&SIM|CPT|Procedure
1|78018|NUC. WHOLE BODY THYROID IMAGING
2|78806|NUC. TAGGED WBC STUDY
3|78278|NUC. TAGGED RBC STUDY
4|78701|NUC. RENAL VASCULAR FLOW EXAM
5|78070|NUC. PARATHYROID NUCLEAR IMAGING
6|78075|NUC. ADRENAL NUCLEAR IMAGING/ MIBG
7|78195|NUC. LYMPHOSCINTIGRAPHY
8|78223|NUC. HEPATOBILIARY/DISIDA/HIDA
9|78216|NUC. LIVER & SPLEEN IMAGE/FLOW   
10|78220|NUC. LIVER FUNCTION STUDY
11|78206|NUC. LIVER IMAGE W/FLOW (HEMANGIOMA)
12|78205|NUC. LIVER IMAGING SPECT
13|78264|NUC. GASTRIC EMPTYING STUDY
14|78267|NUC. H-PYLORI BREATH TEST
15|78278|NUC. GI BLEED  NUC MED
16|78290|NUC. MECKEL'S DIVERT EXAM
17|78291|NUC. VP SHUNT PATENCY
18|78306|NUC. BONE IMAGING, WHOLE BODY
19|78315|NUC. BONE IMAGING, TRIPLE PHASE
20|78320|NUC. BONE SPECT
21|78472|NUC. MUGA 
22|78588|NUC. VQ LUNG SCAN
23|78606|NUC. BRAIN IMAGING, COMPL W/FLOW
24|78630|NUC. CISTERNOGRAM
25|78000|NUC. THYROID, SINGLE UPTAKE
26|78006|NUC. THYROID IMAGING WITH UPTAKE
27|70544|MRA BRAIN W/O DYE + 3D
28|70545|MRA BRAIN W/DYE + 3D
29|74181|MRI ABDOMEN W/O              
30|74182|MRI ABDOMEN WITH             
31|74183|MRI ABDOMEN W/O & WITH       
32|c8902|MRA ABDOMEN W/O              
33|c8902|MRA ABDOMEN WITH             
34|c8902|MRA ABDOMEN W/O & WITH    
35|c8902|MRA AORTA
36|70544|MRA BRAIN W/O + 3D                
37|70545|MRA BRAIN WITH +3D  
38|c8902|MRA RENAL W/O&W/DYE +3D
39|73225|MRA UPPER EXTR W/O&W/DYE +3D
40|73225|MRA UPPER EXTR W/O + 3D
41|73225|MRA UPPER EXTR W/DYE + 3D
42|c8913|MRA LOWER EXTR W/O +3D
43|c8912|MRA LOWER EXTR W/DYE +3D
44|c8914|MRA LOWER EXTR W/O &W/DYE +3D
45|70547|MRA NECK W/O + 3D               
46|70548|MRA NECK WITH + 3D               
47|70549|MRA NECK W/O & WITH + 3D         
48|70551|MRI BRAIN W/O (SEIZURE)               
49|70552|MRI BRAIN WITH                
50|70553|MRI BRAIN W/O & WITH (SEIZURE)
51|70553|MRI BRAIN ATTN: PITUITARY
52|73525|MRI HIP ARTHROGRAM
53|73721|MRI HIP(S)0
54|70551|MRI IAC W/O DYE
55|70553|MRI IAC W/O & W/DYE
56|75557|MRI CARDIAC MORPHOLOGY W/O CONTRAST
57|75558|MRI CARDIAC FLOW/VELOCITY W/O CONTRAST
59|75561|MRI CARDIAC MORPHOLOGY W/ cONTRAST
60|75562|MRI CARDIAC FLOW/VELOCITY W/ CONTRAST
61|72156|MRI CERVICAL SPINE W/O & WITH DYE
62|70553|MRI BRAIN FOR FACIAL PAIN
63|73721|MRI ANKLE W/O DYE
64|73721|MRI KNEE W/O DYE
65|73723|MRI ANKLE W/O & W/DYE
66|73723|MRI KNEE W/O & W/DYE
67|73221|MRI ELBOW W/O DYE
68|73222|MRI ELBOW W/ DYE
69|73218|MRI HAND W/O DYE
70|70542|MRI ORBIT/FACE W/DYE (SPECIFY LOCATION)
71|70540|MRI SOFT TISSUE NECK W/O DYE
72|70543|MRI SOFT TISSUE NECK W/O &W/ DYE
73|73718|MRI LOWER EXT. NON-JOINT W/O DYE (SPECIFY LOCATION)
74|73720|MRI LOWER EXT.NON-JOINT W/O&W/DYE (SPECIFY LOCATION)
75|73719|MRI LOWER EXT. NON-JOINT W/DYE (SPECIFY LOCATION)
76|72141|MRI CERVICAL SPINE W/O DYE
77|73222|MRI SHOULDER POST ARTHROGRAM
78|73221|MRI SHOULDER W/O DYE
79|73222|MRI SHOULDER W/ DYE
80|73221|MRI BRACHIAL PLEXUS W/O
81|73220|MRI BRAICHIAL PLEXUS W/O & W/DYE
82|71550|MRI CHEST W/O DYE
83|71552|MRI CHEST W/O & W/DYE
84|71551|MRI CHEST W/ DYE
85|72146|MRI THORACIC SPINE W/O DYE
86|72157|MRI THORACIC SPINE W/O & W/DYE
87|72147|MRI THORACIC SPINE W/DYE
88|72148|MRI LUMBAR SPINE W/O DYE
89|72149|MRI LUMBAR SPINE W/DYE
90|72158|MRI LUMBAR SPINE W/O & W/DYE
91|72195|MRI SACRUM & COCCYX
92|70336|MRI TMJ 
93|73221|MRI WRIST W/O DYE
94|72195|MRI PELVIS W/O               
95|72196|MRI PELVIS WITH              
96|72197|MRI PELVIS W/O & WITH        
97|72198|MRA PELVIS + 3D     
98|C8906|MRI BREAST BILATERAL
99|C8903|MRI BREAST UNILATERAL
100|19103|BIOPSY OF BREAST (NEED GUIDANCE CODE)        
101|19102|BIOPSY BREAST, CORE/IMAGE GUID (NEED GUIDANCE CODE)
102|77031|STEREOTACTIC GUIDANCE (FOR BREAST BIOPSY)
103|72191|CTA PELVIS
104|75635|CTA AORTA (THORACIC&ABDOMINAL)
105|74175|CTA ABDOMEN (AAA)
106|75635|CTA ABDOMINAL AORTA W/ RUNOFF
107|70496|CTA BRAIN
108|70498|CTA NECK/CAROTID ARTERIES
109|73206|CTA UPPER EXTREMITY
110|71275|CTA PULMONARY CHEST
111|70450|CT HEAD/BRAIN W/O DYE
112|70460|CT HEAD/BRAIN W/DYE
113|70470|CT HEAD/BRAIN W/O & W/DYE
114|70480|CT ORBIT/IAC/MASTOID W/O DYE
115|70481|CT ORBIT/IAC/MASTOID W/DYE
116|70482|CT ORBIT/IAC/MASTOID W/O&W/DYE
117|70486|CT MAXILLOFACIAL W/O DYE
118|74150|CT ABDOMEN W/O DYE
119|74160|CT ABDOMEN W/DYE
120|74170|CT ABDOMEN W/O & W/DYE
121|71260|CT CHEST (HIGH RESOLUTION PROTOCOL)
122|70486|CT SINUS + STEALTH  
123|70486|CT SINUSES W/DYE                  
124|70486|CT SINUS W/O DYE
125|70486|CT SINUS LIMITED
126|76380|CT KIDNEYS (RENAL PROTOCOL W/0&W/DYE)
127|70487|CT MAXILLOFACIAL W/DYE
128|70488|CT MAXILLOFACIAL W/O & W/DYE
129|70490|CT SOFT TISSUE NECK W/O DYE
130|70491|CT SOFT TISSUE NECK W/DYE
131|70492|CT SFT TSUE NCK W/O & W/DYE
132|71250|CT CHEST W/O DYE
133|71260|CT CHEST W/DYE
134|71270|CT CHEST W/O & W/DYE
135|73200|CT UPPER EXTREMITY W/O DYE
136|73201|CT UPPER EXTREMITY W/DYE
137|73202|CT UPPR EXTREMITY W/O&W/DYE
138|72125|CT CERVICAL SPINE W/O DYE
139|72126|CT CERVICAL SPINE W/DYE
140|72127|CT CERVICAL SPINE W/O & W/DYE
141|72128|CT THORACIC SPINE W/O DYE
142|72129|CT THORACIC SPINE W/DYE
143|72130|CT THORACIC SPINE W/O & W/DYE
144|72131|CT LUMBAR SPINE W/O DYE
145|72132|CT LUMBAR SPINE W/DYE
146|72133|CT LUMBAR SPINE W/O & W/DYE
147|72192|CT PELVIS W/O DYE
148|72193|CT PELVIS W/DYE
149|72194|CT PELVIS W/O & W/DYE
150|73700|CT LOWER EXTREMITY W/O DYE
151|73701|CT LOWER EXTREMITY W/DYE
152|73702|CT LWR EXTREMITY W/O&W/DYE
153|76370|CT SCAN FOR THERAPY GUIDE
154|72202|X-RAY SACROILIAC JOINTS
155|72220|X-RAY SACRUM & COCCYX
156|73000|X-RAY CLAVICLE 
157|73010|X-RAY SCAPULA
158|73020|X-RAY SHOULDER 1 VIEW
159|73030|X-RAY SHOULDER COMPLETE
160|73050|X-RAY ACROMIOCLAVICULAR JOINTS
161|73060|X-RAY HUMERUS
162|73070|X-RAY ELBOW 2 VIEWS
163|73080|X-RAY ELBOW COMPLETE
164|73090|X-RAY FOREARM
165|73092|X-RAY ARM, INFANT <1 YR
166|73100|X-RAY WRIST 2 VIEWS
167|73110|X-RAY WRIST COMPLETE
168|70150|X-RAY FACIAL BONES
169|73120|X-RAY HAND 2 VIEWS
170|73130|X-RAY HAND COMPLETE
171|73140|X-RAY FINGER(S)
172|71020|X-RAY CHEST X-RAY 2 VIEW
173|71010|X-RAY CHEST X-RAY 1 VIEW
174|71110|X-RAY RIBS BILATERAL
175|71111|X-RAY RIBS BILAT/CHEST
176|71100|X-RAY RIBS UNILAT
177|71101|X-RAY RIBS UNILAT/CHEST 
178|71120|X-RAY STERNUM
179|73500|X-RAY HIP UNILAT 1 VIEW
180|73510|X-RAY HIP COMPLETE
181|73520|X-RAY HIPS BILAT
182|73540|X-RAY PELVIS & HIPS INFANT
183|73550|X-RAY FEMUR COMPLETE
184|73560|X-RAY KNEE, 1 OR 2 VIEWS
185|73564|X-RAY KNEE COMPLETE
186|73565|X-RAY KNEES AP STANDING         
187|73590|X-RAY TIBIA FIBULA (LOWER LEG)
188|73592|X-RAY LEG, INFANT <1YR
189|73600|X-RAY ANKLE 2 VIEWS
190|73610|X-RAY ANKLE COMPLETE
191|73620|X-RAY FOOT 2 VIEWS
192|73630|X-RAY FOOT COMPLETE
193|73650|X-RAY HEEL (CALCANEOUS)
194|73660|X-RAY TOE(S)
195|72170|X-RAY PELVIS 1 OR 2 VIEWS
196|72190|X-RAY PELVIS W/ OBLIQUES
197|74020|X-RAY ABDOMEN 2 VIEWS
198|74000|X-RAY ABDOMEN (KUB)
199|70150|X-RAY FACIAL BONES
200|74022|X-RAY ABDOMEN SERIES
201|70110|X-RAY MANDIBLE
202|70355|X-RAY JAWS (PANOREX)
203|70160|X-RAY NASAL BONES
204|72090|X-RAY SCOLIOUSIS STUDY
205|70210|X-RAY SINUSES 3 VIEWS
206|70220|X-RAY SINUSES COMPLETE
207|70250|X-RAY SKULL AP & LAT
208|70260|X-RAY SKULL COMPLETE
209|72050|X-RAY CERVICAL SPINE COMPLETE
210|72040|X-RAY CERVICAL SP AP & LAT
211|72052|X-RAY CERVICAL SP W/FLEX & EXT
212|72020|X-RAY SPINE 1 VIEW SPECIFY C,T,L-SPINE
213|72110|X-RAY LUMBAR SPINE COMPLETE
214|72114|X-RAY LUMBAR SP W/FLEX&EXT
215|72100|X-RAY LUMBAR SPINE 2-3 VIEWS
216|72072|X-RAY THORACIC SPINE COMPLETE
217|72070|X-RAY THORACIC SPINE AP&LAT
218|72010|X-RAY TOTAL SPINE AP&LAT
219|71130|X-RAY STERNOCLAVICULAR JOINTS
220|73580|ARTHROGRAM OF KNEE JOINT
221|73040|ARTHROGRAM SHOULDER
222|73085|ARTHROGRAM ELBOW
223|73525|ARTHROGRAM HIP
224|62270|LUMBAR PUNCTURE, DIAGNOSTIC
225|96450|LUMBAR PUNCTURE FOR CHEMO
226|62272|LUMBAR PUNCTURE THERAPEUTIC
227|62311|LUMBAR PUNCTURE CISTERNOGRAM
228|72265|MYELOGRAM LUMBAR 
229|72270|MYELOGRAM CERVICAL + THORACIC
230|72270|MYELOGRAM CERVICAL + LUMBAR      
231|72270|MYELOGRAM OF CERV, THORACIC & LUMBAR
232|72240|MYELOGRAM CERVICAL 
233|72255|MYELOGRAM THORACIC 
234|74220|ESOPHOGRAM, BARIUM SWALLOW (GASTROGRAFIN UPON REQUEST)
235|74270|BARIUM ENEMA (GASTROGRAFIN UPON REQUEST)
236|74280|BARIUM ENEMA W/AIR
237|74283|BARIUM ENEMA (THERAPUTIC)
238|74230|BARIUM SWALLOW MOD/SPEECH
239|74241|UPPER GI SERIES W/O AIR (INFANT)
240|74247|UPPER GI SERIES 
241|74249|UPPER GI-SMALL BOWEL SERIES
242|74241|GASTROGRAFIN GI 
243|74250|SMALL BOWEL SERIES
244|74251|ENTEROCLYSIS
245|74415|IVP WITH TOMOGRAMS
246|74410|IVP W/O TOMOS
247|74450|RETROGRADE URETHROGRAM 
248|74430|CYSTOGRAM
249|74420|RETROGRADE PYELOGRAM
250|75740|HYSTEROSALPINGOGRAM
251|74425|LOOPOGRAM
252|74455|VCUG - VOIDING CYSTOURETHROGRAM 
253|74440|VASOGRAM 
254|76817|US OB ENDOVAGINAL
255|76830|US ENODVAGINAL (NON-OB)
256|76700|US ABDOMEN, COMPLETE
257|76775|US AORTA
258|76870|US SCROTUM
259|76856|US PELVIS (NON-OB)
260|76645|US BREAST(S)
261|76604|US CHEST     
262|76872|US PROSTATE
263|76705|US PYLORUS         
264|76857|US BLADDER
265|76536|US THYROID
266|76705|US SPLEEN
267|76705|US GALLBLADDER
268|76705|US PANCREAS
269|76705|US LIVER
270|76705|US RUQ
271|76770|US KIDNEYS/RENAL
272|76880|US LOWER EXT. VENOUS
273|76536|US NECK SOFT TISSUE
274|76880|US EXTREMITY (NON DUPLEX)
275|76536|US THYROID
276|76886|US HIP(S)(LTD)
277|76815|US FETAL VIABILITY
278|76506|US HEAD
279|G0202|MAMMO DIGITAL SCREENING
280|G0206|MAMMO DIGITAL DIAG. UNILATERAL
281|G0204|MAMMO DIGITAL DIAG. BILATERAL
282|77012|CT GUIDANCE FOR BIOPSY/ASPIRATION/DRAINAGE
283|76942|US GUIDANCE FOR BIOPSY/ASPIRATION/DRAINAGE
284|47000|BIOPSY LIVER (NEED GUIDANCE CODE)
285|48102|BIOPSY PANCREAS (NEED GUIDANCE CODE)
286|20206|BIOPSY MUSCLE (NEED GUIDANCE CODE)
287|32405|BIOPSY LUNG OR MEDIASTINUM (NEED GUIDANCE CODE)
288|38505|BIOPS LYMPH NODES (NEED GUIDANCE CODES)
289|49180|BIOPSY ABDOMINAL MASS (NEED GUIDANCE CODE)
290|60100|BIOPSY THYROID (NEED GUIDANCE CODE)
291|49180|BIOPSY ADRENAL GLAND (NEED GUIDANCE CODE)
292|48511|DRAIN PANCREATIC PSEUDOCYST (NEED GUIDANCE CODE)
293|50390|DRAINAGE KIDNEY LESION (NEED GUIDANCE CODE)
294|49180|BIPOSY SPLEEN (NEED GUIDANCE CODE)
295|60000|DRAIN THYROID (NEED GUIDANCE CODE)
296|20220|BONE BIOPSY, SUPERFICIAL (NEED GUIDANCE CODE)
297|20225|BONE BIOPSY, DEEP (NEED GUIDANCE CODE)
298|77080|DEXA BONE DENSITY,  AXIAL
299|77081|DEXA BONE DENSITY/PERIPHERAL
300|75820|VENOGRAPHY,EXTREMITY UNILATERAL
301|75822|VENOGRAPHY,EXTREMITY BILATERAL
302|75831|VENOGRAPHY,RENAL UNILATERAL
303|75833|VENOGRAPHY,RENAL BILATERAL
304|76102|TOMOGRAPHY (OTHER)
305|32421|THORACENTESIS (NEED GUIDANCE CODE)
306|49080|PARACENTESIS (NEED GUIDANCE CODE)
307|93307|CARD. ECHO REAL TIME 2-D/M-MODE
308|93350|CARD. STRESS ECHO
309|93350|CARD. DOBUTAMINE STRESS ECHO
310|93313|CARD. TRANSESOPHAGEAL ECHOCARDIOGRAM
311|92960|CARD. CARDIOVERSION
312|93660|CARD. TILT TABLE
313|32000|CARD. THORACENTSIS (CARDIOLOGY)
314|93270|CARD. CARDIAC EVENT
315|93225|CARD. HOLTER MONITOR RECORDING
316|93690|CARD. AMBULATORY BP MONITOR PRO-FEE
317|93005|CARD. ELECTROCARDIOGRAM (EKG)
318|93017|CARD. TREADMILL STRESS TEST (ETT)
319|78465|CARD. NUCLEAR STRESS TEST (PERSANTINE/DOBUTAMINE & TREADMILL)
321|93971|CARD. VENOUS DUPLEX SCAN UNILATERAL
322|93970|CARD. VENOUS DUPLEX SCAN BILATERAL
323|93930|CARD. ARTERIAL DUPLEX SCAN UPPER
324|93925|CARD. ARTERIAL DUPLEX SCAN LOWER
325|93880|CARD. CAROTID DUPLEX SCAN
326|93979|CARD. AORTA DUPLEX SCAN 
327|93970|CARD. VEIN MAPPING UPPER
328|93924|CARD. PVR w/ EXERCISE
329|93923|CARD. PVR UPPER
330|93510|CARD. LT. HEART CATH-CROSS VALVE
331|93598|CARD. LT. HEART CATH, NO CROSS VALVE
332|93530|CARD. RHC ONLY-CONGEN. ANOMALIES
333|93501|CARD. RHC ONLY-NO CONGEN. ANOMALIES
334|93526|CARD. RT & LT HEART CATH
335|93620|CARD. EP STUDY WITH ABLATION POSSIBLE
336|93650|CARD. EP STUDY WITHOUT ABLATION
337|75625|CARD. ABDOMINAL AORTOGRAM, S&I
338|33249|CARD. ICD SINGLE OR DUAL CHAMBER
339|75724|CARD. RENAL, BILATERAL S&I
340|74722|CARD. RENAL, UNILATERAL S&I
341|93642|CARD. NIPS
342|92982|CARD. PERCUTANEOUS CORONARY INTERVENTION-PCI ANGIO
343|92980|CARD. PERCUTANEOUR CORONARY INTERVENTION-PCI STENT
344|35474|CARD. PTA FEM POP
345|35473|CARD. PTA ILIAC
346|35471|CARD. PTA RENAL
347|35471|CARD. PTA AORTIC
348|35475|CARD. PTA BRACHIOCEPHALIC
349|33206|CARD. PACEMAKER SINGLE CHAMBER-ATRIAL
350|33207|CARD. PACEMAKER SINGLE CHAMBER-VENTRICULAR
351|33208|CARD. PACEMAKE DUAL CHAMBER
352|37215|CARD. CAROTID STENT PLCMT. W/ D.P
353|37216|CARD. CAROTID STENT PLCMT. W/O D.P
354|C8909|MRA CHEST
355|73706|CTA LOWER EXTREMITY
356|95819|NEURO. EEG
357|95819|NEURO. EEG/PEDI
358|95822|NEURO. SLEEP DEPRIVED
359|92585|NEURO. BAER/ADULT
360|92585|NEURO. BAER/PEDI
361|95930|NEURO. VER
362|95860|NEURO. EMG ONE EXTREMITY
363|95861|NEURO. EMG TWO EXTREMITIES
364|95863|NEURO. EMG THREE EXTREMITIES
365|95864|NEURO. EMG FOUR EXTRMITIES
366|95953|NEURO. EEG/AMBULATORY
367|95951|NEURO. EEG/AMBULATORY/WITH VIDEO
368|95805|SLP. MULTI SLEEP LATENCY TEST (MSLT)
369|95805|SLP. MAINTENANCE OF WAKEFULLNESS TEST (MWT)
370|95810|SLP. FULL POLYSOMNOGRAM
371|95811|SLP. CPAP TITRATION POLYSOMNOGRAM
372|95811|SLP. SPLIT NIGHT POLYSOMNOGRAM
373|94010|RESP. SIMPLE SPIROMETRY (PFT)
374|94060|RESP. PF-TEST W/ BRONCHILATOR
376|94260|RESP. LUNG VOLUME-PLETHSMOGRAPH(MUST ALSO DO SIMPLE SPIROMETRY)
377|94070|RESP. METHACHOLINE CHALLANGE
378|94720|RESP. CO DIFFUSION (MUST ALSO DO SIMPLE SPIROMETRY)
379|82805|RESP. ARTERIAL BLOOD GAS 
380|94010|RESP. INDUSTRIAL PFT
381|93970|CARD. VEIN MAPPING LOWER
382|93975|CARD. RENAL DUPLEX SCAN
383|93975|CARD. VISCERAL
384|93979|CARD. IVC
385|93924|CARD. GRAPH MAPPING
386|93923|CARD. PVR LOWER
387|93923|CARD. TOS
388|93923|CARD. TCO2
389|93886|CARD. TCD