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|---|---|---|---|---|---|---|---|---|---|---|---|
909080012 | 90908-00-12 | U/S guidance for needle inj aspiration/bx bil | Ultrasound guidance for needle injection, aspiration or biopsy, bilateral | 20 | Imaging services | 1,950 | Ultrasound of other sites | Ultrasound guidance for needle injection, aspiration or biopsy from both sides. | null | null | null |
558120000 | 55812-00-00 | Ultrasound of chest or abdominal wall | Ultrasound of chest or abdominal wall | 20 | Imaging services | 1,950 | Ultrasound of other sites | Ultrasound of chest or abdominal wall. | null | null | null |
558160100 | 55816-01-00 | Ultrasound of groin | Ultrasound of groin | 20 | Imaging services | 1,950 | Ultrasound of other sites | Ultrasound of groin, which is the area where upper thigh and lower abdomen meet, excluding hip. | null | null | null |
558440000 | 55844-00-00 | U/s of skin and subcutaneous tissue | Ultrasound of skin and subcutaneous tissue | 20 | Imaging services | 1,950 | Ultrasound of other sites | Ultrasound of skin and subcutaneous tissue. | null | null | null |
558520000 | 55852-00-00 | Ultrasound of spine and spinal cord | Ultrasound of spine and spinal cord | 20 | Imaging services | 1,950 | Ultrasound of other sites | Ultrasound of spine and spinal cord. | null | null | null |
601000000 | 60100-00-00 | Tomography | Tomography | 20 | Imaging services | 1,951 | tomography | Reconstruction tomography
| null | Computerised tomography
(See Blocks [1952] to [1966])
That With:
• Cholecystography (58924-00-00 [1976])
• Intravenous Pyelography (58706-00-00 [1978])
| null |
560010000 | 56001-00-00 | Computerised tomography of brain | Computerised tomography of brain | 20 | Imaging services | 1,952 | Computerised tomography of brain | Computerised tomography of head NOS
| null | Computerised tomography:
• for Spiral Angiography (57350 [1966])
That with Scan of:
• Chest (57001, 57007 [1957])
• and Abdomen (57001-01-00, 57007-01-00 [1957])
• Facial Bone and Paranasal Sinus (56030-00-00, 56036-00-00 [1956])
• Middle Ear and Temporal Bone (56016-02-00, 56016-03-00, 56016-06-00, 56016-07-00 [1955])
• orbit (56013-02-00, 56013-03-00 [1954])
• Pituitary Fossa (56010-02-00, 56010-03-00 [1953])
| null |
560070000 | 56007-00-00 | CT of brain with IV contrast medium | Computerised tomography of brain with intravenous contrast medium | 20 | Imaging services | 1,952 | Computerised tomography of brain | Computerised tomography of head NOS
Computerised tomography of brain without, then with, intravenous contrast medium
| null | Computerised tomography:
• for Spiral Angiography (57350 [1966])
That with Scan of:
• Chest (57001, 57007 [1957])
• and Abdomen (57001-01-00, 57007-01-00 [1957])
• Facial Bone and Paranasal Sinus (56030-00-00, 56036-00-00 [1956])
• Middle Ear and Temporal Bone (56016-02-00, 56016-03-00, 56016-06-00, 56016-07-00 [1955])
• orbit (56013-02-00, 56013-03-00 [1954])
• Pituitary Fossa (56010-02-00, 56010-03-00 [1953])
| null |
560100000 | 56010-00-00 | Computerised tomography pituitary fossa | Computerised tomography of pituitary fossa | 20 | Imaging services | 1,953 | Computerised tomography of pituitary fossa (and brain) | Computerised tomography of pituitary fossa (not including the brain) without intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560100100 | 56010-01-00 | CT pituitary fossa w IV contrast medium | Computerised tomography of pituitary fossa with intravenous contrast medium | 20 | Imaging services | 1,953 | Computerised tomography of pituitary fossa (and brain) | Computerised tomography of pituitary fossa (not including the brain) with intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560100200 | 56010-02-00 | CT of pituitary fossa & brain | Computerised tomography of pituitary fossa and brain | 20 | Imaging services | 1,953 | Computerised tomography of pituitary fossa (and brain) | Computerised tomography of pituitary fossa and brain without intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560100300 | 56010-03-00 | CT pituitary fsa & brain IV contrst medm | Computerised tomography of pituitary fossa and brain with intravenous contrast medium | 20 | Imaging services | 1,953 | Computerised tomography of pituitary fossa (and brain) | Computerised tomography of pituitary fossa and brain with intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560130000 | 56013-00-00 | Computerised tomography of orbit | Computerised tomography of orbit | 20 | Imaging services | 1,954 | Computerised tomography of orbit (and brain) | Computerised tomography of orbit (not including the brain) without intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560130100 | 56013-01-00 | CT orbit with IV contrast medium | Computerised tomography of orbit with intravenous contrast medium | 20 | Imaging services | 1,954 | Computerised tomography of orbit (and brain) | Computerised tomography of orbit (not including the brain) with intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560130200 | 56013-02-00 | CT of orbit & brain | Computerised tomography of orbit and brain | 20 | Imaging services | 1,954 | Computerised tomography of orbit (and brain) | Computerised tomography of orbit and brain without intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560130300 | 56013-03-00 | CT of orbit & brain w IV contrast medium | Computerised tomography of orbit and brain with intravenous contrast medium | 20 | Imaging services | 1,954 | Computerised tomography of orbit (and brain) | Computerised tomography of orbit and brain with intravenous contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160000 | 56016-00-00 | CT middle ear & temporal bone unilateral | Computerised tomography of middle ear and temporal bone, unilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear and temporal bone without intravenous contrast medium (one side), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160100 | 56016-01-00 | CT mid ear & tmpl bone IV contrast uni | Computerised tomography of middle ear and temporal bone with intravenous contrast medium, unilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear and temporal bone (not including the brain) with intravenous contrast medium (one side), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160200 | 56016-02-00 | CT middle ear temporal bone & brain uni | Computerised tomography of middle ear, temporal bone and brain, unilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear, temporal bone and brain without intravenous contrast medium (one side), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160300 | 56016-03-00 | CT mid ear tmpl bne & brain IV medm uni | Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, unilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium (one side), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160400 | 56016-04-00 | CT middle ear & temporal bone bil | Computerised tomography of middle ear and temporal bone, bilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear and temporal bone (not including the brain) without intravenous contrast medium (both sides), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160500 | 56016-05-00 | CT mid ear tmpl bne IV contrst medm bil | Computerised tomography of middle ear and temporal bone with intravenous contrast medium, bilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear and temporal bone (not including the brain) with intravenous contrast medium (both sides), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160600 | 56016-06-00 | CT middle ear temporal bone & brain bil | Computerised tomography of middle ear, temporal bone and brain, bilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear, temporal bone and brain without intravenous contrast medium (both sides), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560160700 | 56016-07-00 | CT mid ear tmpl bne & brain IV medm bil | Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, bilateral | 20 | Imaging services | 1,955 | Computerised tomography of middle ear and temporal bone (and brain) | Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium (both sides), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560220000 | 56022-00-00 | CT of facial bone | Computerised tomography of facial bone | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone (not including paranasal sinus and brain), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560220100 | 56022-01-00 | CT of paranasal sinus | Computerised tomography of paranasal sinus | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of paranasal sinus (not including facial bone and brain), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560220200 | 56022-02-00 | CT of facial bone & paranasal sinus | Computerised tomography of facial bone and paranasal sinus | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone and paranasal sinus (not including the brain), excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560280000 | 56028-00-00 | CT of facial bone w IV contrast medium | Computerised tomography of facial bone with intravenous contrast medium | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560280100 | 56028-01-00 | CT of paranasal sinus IV contrast medm | Computerised tomography of paranasal sinus with intravenous contrast medium | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of paranasal sinus without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560280200 | 56028-02-00 | CT facial bne & paranasal sinus IV medm | Computerised tomography of facial bone and paranasal sinus with intravenous contrast medium | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone and paranasal sinus without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560300000 | 56030-00-00 | CT facial bone paranasal sinus and brain | Computerised tomography of facial bone, paranasal sinus and brain | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone, paranasal sinus and brain, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
560360000 | 56036-00-00 | CT fac bne paransl sin & brain w IV medm | Computerised tomography of facial bone, paranasal sinus and brain with intravenous contrast medium | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of facial bone, paranasal sinus and brain without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
573620000 | 57362-00-00 | CT of temporo-mandibular joint | Computerised tomography of temporomandibular joint [tmj] | 20 | Imaging services | 1,956 | Computerised tomography of facial bone/joints and/or paranasal sinus (and brain) | Computerised tomography of temporomandibular joint [tmj], excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
563010100 | 56301-01-00 | Computerised tomography chest & abdomen | Computerised tomography of chest and abdomen | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | null | Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
563070100 | 56307-01-00 | CT chest & abdomen w IV contrast medium | Computerised tomography of chest and abdomen with intravenous contrast medium | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | Computerised tomography of brain, chest and abdomen without, then with, intravenous contrast medium
| Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
570010000 | 57001-00-00 | Computerised tomography of brain & chest | Computerised tomography of brain and chest | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | null | Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
570010100 | 57001-01-00 | CT of brain chest & abdomen | Computerised tomography of brain, chest and abdomen | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | null | Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
570070000 | 57007-00-00 | CT of brain & chest w IV contrast medium | Computerised tomography of brain and chest with intravenous contrast medium | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | Computerised tomography of brain and chest without, then with, intravenous contrast medium
| Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
570070100 | 57007-01-00 | CT brain chest & abdo w IV contrst medm | Computerised tomography of brain, chest and abdomen with intravenous contrast medium | 20 | Imaging services | 1,957 | Computerised tomography of brain, chest and abdomen | Computerised tomography of chest and abdomen without, then with, intravenous contrast medium
| Upper Abdomen | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
561010000 | 56101-00-00 | CT of soft tissue of neck | Computerised tomography of soft tissue of neck | 20 | Imaging services | 1,958 | Computerised tomography of neck | null | Larynx
Pharynx
Salivary Gland
Upper Oesophagus
| Computerised tomography for Spiral Angiography (57350 [1966])
That of Cervical Spine (See Block [1959])
That with Scan of Chest, Abdomen and Pelvis (56801-00-00, 56807-00-00 [1961])
| null |
561070000 | 56107-00-00 | CT soft tissue neck w IV contrast medium | Computerised tomography of soft tissue of neck with intravenous contrast medium | 20 | Imaging services | 1,958 | Computerised tomography of neck | Computerised tomography of soft tissue of neck without, then with, intravenous contrast medium
| Larynx
Pharynx
Salivary Gland
Upper Oesophagus
| Computerised tomography for Spiral Angiography (57350 [1966])
That of Cervical Spine (See Block [1959])
That with Scan of Chest, Abdomen and Pelvis (56801-00-00, 56807-00-00 [1961])
| null |
562190000 | 56219-00-00 | CT spine w intrathecal contrast medium | Computerised tomography of spine with intrathecal contrast medium | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine with intrathecal contrast medium, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562200000 | 56220-00-00 | CT of spine cervical region | Computerised tomography of spine, cervical region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine, cervical region, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562210000 | 56221-00-00 | CT of spine thoracic region | Computerised tomography of spine, thoracic region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine, thoracic region, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562230000 | 56223-00-00 | CT of spine lumbosacral region | Computerised tomography of spine, lumbosacral region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine, lumbosacral region, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562240000 | 56224-00-00 | CT spine w IV CM cervical region | Computerised tomography of spine with intravenous contrast medium, cervical region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of cervical spine without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562250000 | 56225-00-00 | CT spine w IV CM thoracic region | Computerised tomography of spine with intravenous contrast medium, thoracic region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of thoracic spine without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562260000 | 56226-00-00 | CT spine w IV CM lumbosacral region | Computerised tomography of spine with intravenous contrast medium, lumbosacral region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of lumbosacral spine without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562330000 | 56233-00-00 | CT of spine multiple regions | Computerised tomography of spine, multiple regions | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine, multiple regions, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
562340000 | 56234-00-00 | CT spine w IV CM multiple regions | Computerised tomography of spine with intravenous contrast medium, multiple regions | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of multiple regions of spine, without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
909120000 | 90912-00-00 | CT of spine unspecified region | Computerised tomography of spine, unspecified region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of spine, unspecified region, excluding computerised tomography for spiral angiography. | null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
909120100 | 90912-01-00 | CT spine w IV CM unspecified region | Computerised tomography of spine with intravenous contrast medium, unspecified region | 20 | Imaging services | 1,959 | Computerised tomography of spine | Computerised tomography of unspecified spine without, then with, intravenous contrast medium
| null | Computerised tomography for Spiral Angiography (57350 [1966]) | null |
563010000 | 56301-00-00 | Computerised tomography of chest | Computerised tomography of chest | 20 | Imaging services | 1,960 | Computerised tomography of chest | Computerised tomography of thorax
| Bone
Chest Wall
Lung
Mediastinum
Pleura
| Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Abdomen (56301-01-00, 56307-01-00 [1957])
• and Pelvis (56801-00-00, 56807-00-00 [1961])
• Brain (57001, 57007 [1957])
| null |
563070000 | 56307-00-00 | CT of chest w IV contrast medium | Computerised tomography of chest with intravenous contrast medium | 20 | Imaging services | 1,960 | Computerised tomography of chest | Computerised tomography of thorax
Computerised tomography of chest without, then with, intravenous contrast medium
| Bone
Chest Wall
Lung
Mediastinum
Pleura
| Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Abdomen (56301-01-00, 56307-01-00 [1957])
• and Pelvis (56801-00-00, 56807-00-00 [1961])
• Brain (57001, 57007 [1957])
| null |
568010000 | 56801-00-00 | CT of chest abdomen & pelvis | Computerised tomography of chest, abdomen and pelvis | 20 | Imaging services | 1,961 | Computerised tomography of chest, abdomen and pelvis | null | Bone
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966]) | null |
568070000 | 56807-00-00 | CT chest abdo & pelvis IV contrst medium | Computerised tomography of chest, abdomen and pelvis with intravenous contrast medium | 20 | Imaging services | 1,961 | Computerised tomography of chest, abdomen and pelvis | Computerised tomography of chest, abdomen and pelvis without, then with, intravenous contrast medium
| Bone
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966]) | null |
564010000 | 56401-00-00 | Computerised tomography of abdomen | Computerised tomography of abdomen | 20 | Imaging services | 1,962 | Computerised tomography of abdomen | null | Region From Diaphragm to Iliac Crest | Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Chest (56301-01-00, 56307-01-00 [1957])
• and
• Brain (57001-01-00, 57007-01-00 [1957])
• Pelvis (56801-00-00, 56807-00-00 [1961])
• Pelvis (56501-00-00, 56507-00-00 [1963])
| null |
564070000 | 56407-00-00 | CT abdomen w IV contrast medium | Computerised tomography of abdomen with intravenous contrast medium | 20 | Imaging services | 1,962 | Computerised tomography of abdomen | Computerised tomography of abdomen without, then with, intravenous contrast medium
| Region From Diaphragm to Iliac Crest | Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Chest (56301-01-00, 56307-01-00 [1957])
• and
• Brain (57001-01-00, 57007-01-00 [1957])
• Pelvis (56801-00-00, 56807-00-00 [1961])
• Pelvis (56501-00-00, 56507-00-00 [1963])
| null |
565490100 | 56549-01-00 | Computerised tomography of colon | Computerised tomography of colon | 20 | Imaging services | 1,962 | Computerised tomography of abdomen | Computerised tomography of colon following incomplete colonoscopy
Virtual colonoscopy
| Region From Diaphragm to Iliac Crest | Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Chest (56301-01-00, 56307-01-00 [1957])
• and
• Brain (57001-01-00, 57007-01-00 [1957])
• Pelvis (56801-00-00, 56807-00-00 [1961])
• Pelvis (56501-00-00, 56507-00-00 [1963])
| null |
565010000 | 56501-00-00 | CT abd & pelv | Computerised tomography of abdomen and pelvis | 20 | Imaging services | 1,963 | Computerised tomography of abdomen and pelvis | null | Bone
Kidney, Ureter and Bladder
Soft Tissue
| Computerised tomography for Spiral Angiography (57350-00-00 [1966])
That with Scan of Chest (56801-00-00, 56807-00-00 [1961])
| null |
565010010 | 56501-00-10 | CT kidney ureter & bladder | Computerised tomography of kidney, ureter and bladder | 20 | Imaging services | 1,963 | Computerised tomography of abdomen and pelvis | Computerised tomography of kidney, ureter and bladder, without intravenous contrast medium. | null | null | null |
565010020 | 56501-00-20 | CT prostate | Computerised tomography of prostate | 20 | Imaging services | 1,963 | Computerised tomography of abdomen and pelvis | Ct scan (also called a cat scan) uses x-rays and computers to produce an image of a cross-section of prostate. | null | null | null |
565070000 | 56507-00-00 | CT abd & pelv w/ I.V con medium | Computerised tomography of abdomen and pelvis with intravenous contrast medium | 20 | Imaging services | 1,963 | Computerised tomography of abdomen and pelvis | Computerised tomography of abdomen and pelvis without, then with, intravenous contrast medium
| Bone
Kidney, Ureter and Bladder
Soft Tissue
| Computerised tomography for Spiral Angiography (57350-00-00 [1966])
That with Scan of Chest (56801-00-00, 56807-00-00 [1961])
| null |
565070010 | 56507-00-10 | CT kidney ureter & bladder w/ I.V con medium | Computerised tomography of kidney, ureter and bladder, with intravenous contrast medium | 20 | Imaging services | 1,963 | Computerised tomography of abdomen and pelvis | Ct scan (also called a cat scan) uses x-rays and computers to produce an image of a cross-section of kidney, ureter and bladder, with intravenous contrast medium. | null | null | null |
564090000 | 56409-00-00 | Computerised tomography of pelvis | Computerised tomography of pelvis | 20 | Imaging services | 1,964 | Computerised tomography of pelvis | null | Bone
Region From Iliac Crest to Pubic Symphysis
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Abdomen (56501-00-00, 56507-00-00 [1963])
• Abdomen and Chest (56801-00-00, 56807-00-00 [1961])
| null |
564120000 | 56412-00-00 | CT of pelvis with IV contrast medium | Computerised tomography of pelvis with intravenous contrast medium | 20 | Imaging services | 1,964 | Computerised tomography of pelvis | Computerised tomography of pelvis without, then with, intravenous contrast medium
| Bone
Region From Iliac Crest to Pubic Symphysis
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Abdomen (56501-00-00, 56507-00-00 [1963])
• Abdomen and Chest (56801-00-00, 56807-00-00 [1961])
| null |
572010000 | 57201-00-00 | Pelvimetry by computerised tomography | Pelvimetry by computerised tomography | 20 | Imaging services | 1,964 | Computerised tomography of pelvis | Measurement of capacity and diameter of pelvis by computerised tomography
| Bone
Region From Iliac Crest to Pubic Symphysis
Soft Tissue
|
Computerised tomography for Spiral Angiography (57350 [1966])
That with Scan of:
• Abdomen (56501-00, 56507-00 [1963])
• Abdomen and Chest (56801-00, 56807-00 [1961])
| null |
566190001 | 56619-00-01 | CT limb uni | Computerised tomography of limb, unilateral | 20 | Imaging services | 1,965 | Computerised tomography of limb | null | Arm
Bone
Digit
Extremity
Leg
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
Computerised tomography for Spiral Angiography (57350 [1966]) | null |
566190002 | 56619-00-02 | CT limb bil | Computerised tomography of limb, bilateral | 20 | Imaging services | 1,965 | Computerised tomography of limb | null | Arm
Bone
Digit
Extremity
Leg
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
Computerised tomography for Spiral Angiography (57350 [1966]) | null |
566250001 | 56625-00-01 | CT limb w/ I.V con medium uni | Computerised tomography of limb with intravenous contrast medium, unilateral | 20 | Imaging services | 1,965 | Computerised tomography of limb | Computerised tomography of limb without, then with, intravenous contrast medium
| Arm
Bone
Digit
Extremity
Leg
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
Computerised tomography for Spiral Angiography (57350 [1966]) | null |
566250002 | 56625-00-02 | CT limb w/ I.V con medium bil | Computerised tomography of limb with intravenous contrast medium, bilateral | 20 | Imaging services | 1,965 | Computerised tomography of limb | Computerised tomography of limb without, then with, intravenous contrast medium
| Arm
Bone
Digit
Extremity
Leg
Soft Tissue
| Computerised tomography for Spiral Angiography (57350 [1966])
Computerised tomography for Spiral Angiography (57350 [1966]) | null |
573500101 | 57350-01-01 | Spiral angiograhpy by CT Uppr extrem w IV contrast, uni | Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium, unilateral | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of upper extremity, without, then with, intravenous contrast medium, unilateral
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Upper Extremity, without, then with, Intravenous Contrast Medium, unilateral
Roentgenography
X-Ray | null | null |
573500102 | 57350-01-02 | Spiral angiograhpy by CT Uppr extrem w IV contrast, bil | Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium, bilateral | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of upper extremity, without, then with, intravenous contrast medium, bilateral
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Upper Extremity, without, then with, Intravenous Contrast Medium, bilateral
Roentgenography
X-Ray | null | null |
573500100 | 57350-01-00 | Spiral angio by CT upper extremity w/ I.V con medium | Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of upper extremity, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Upper Extremity, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500701 | 57350-07-01 | Spiral angio by CT lower extremity w/ I.V con medium uni | Spiral angiography by computerised tomography of lower extremity, with intravenous contrast medium, unilateral | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of lower extremity, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Lower Extremity, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500702 | 57350-07-02 | Spiral angio by CT lower extremity w/ I.V con medium bil | Spiral angiography by computerised tomography of lower extremity, with intravenous contrast medium, bilateral | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of lower extremity, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Lower Extremity, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500000 | 57350-00-00 | Spr ang CT head &/ neck w IV CM | Spiral angiography by computerised tomography of head and/or neck, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of head and/or neck, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Head and/or Neck, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500200 | 57350-02-00 | Spr ang CT chest w IV CM | Spiral angiography by computerised tomography of chest, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of chest, without, then with, intravenous contrast medium
Roentgenography
X-ray
Except computerised tomography coronary angiogram.
| null | Computerised tomography Coronary Angiogram (57360-00-00 [1966]) | null |
573500300 | 57350-03-00 | Spr ang CT abdo w IVCM | Spiral angiography by computerised tomography of abdomen, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of abdomen, without, then with, intravenous contrast medium
Roentgenography
X-ray
Except abdominal aorta with (bilateral) iliofemoral lower extremity.
| Spiral Angiography by Computerised tomography of Abdomen, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray
organs within Region From Diaphragm to Iliac Crest | Abdominal Aorta with (Bilateral) Iliofemoral Lower Extremity (57350-04-00 [1966]) | null |
573500400 | 57350-04-00 | Spr ang CT AA bil ifem low extrem w IVCM | Spiral angiography by computerised tomography of abdominal aorta and bilateral iliofemoral lower extremity, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of abdominal aorta and bilateral iliofemoral lower extremity, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Abdominal Aorta and Bilateral IliofemOral Lower Extremity, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500500 | 57350-05-00 | Spr ang CT spine w IVCM | Spiral angiography by computerised tomography of spine, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of spine, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Spine, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500600 | 57350-06-00 | Spr ang CT pelvis w IVCM | Spiral angiography by computerised tomography of pelvis, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of pelvis, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Pelvis, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573500800 | 57350-08-00 | Spr ang CT other site w IVCM | Spiral angiography by computerised tomography of other site, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | Spiral angiography by computerised tomography of other site, without, then with, intravenous contrast medium
Roentgenography
X-ray
| Spiral Angiography by Computerised tomography of Other Site, without, then with, Intravenous Contrast Medium
Roentgenography
X-Ray | null | null |
573600000 | 57360-00-00 | Spr coron ang CT w IV CM | Spiral coronary angiography by computerised tomography, with intravenous contrast medium | 20 | Imaging services | 1,966 | Spiral angiography by computerised tomography | CT coronary angiogram
Roentgenography
X-ray
| Ct Coronary Angiogram
Roentgenography
X-Ray | null | null |
579010010 | 57901-00-10 | Radiography skull 1-3 vws | Radiography of skull, 1 to 3 views | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | Calvarium | That of Cervical Spine (58100-00-00 [1968])
Cephalometry (57902-00-00, 57930-00-00, 57933-00-00 [1967])
That of:
• Mastoid Bone (57906-00-01, 57906-00-02 [1967])
• Paranasal Sinus (57903-00-00 [1967])
• Petrous Temporal Bone (57909-00-00 [1967])
| null |
579010020 | 57901-00-20 | Radiography skull >= 4 vws | Radiography of skull, 4 or more views | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | Calvarium | That of Cervical Spine (58100-00-00 [1968])
Cephalometry (57902-00-00, 57930-00-00, 57933-00-00 [1967])
That of:
• Mastoid Bone (57906-00-01, 57906-00-02 [1967])
• Paranasal Sinus (57903-00-00 [1967])
• Petrous Temporal Bone (57909-00-00 [1967])
| null |
579060001 | 57906-00-01 | Radiography mastoid bone uni | Radiography of mastoid bone, unilateral | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968]) | null |
579060002 | 57906-00-02 | Radiography mastoid bone bil | Radiography of mastoid bone, bilateral | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968]) | null |
579240001 | 57924-00-01 | Radiography eye uni | Radiography of eye, unilateral | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968])
orbit (57912-00-00 [1967])
| null |
579240002 | 57924-00-02 | Radiography eye bil | Radiography of eye, bilateral | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968])
orbit (57912-00-00 [1967])
| null |
579330000 | 57933-00-00 | Radiography teeth full mouth | Radiography of teeth, full mouth | 20 | Imaging services | 1,967 | Radiography of head or neck | Sialography with contrast, except that of cervical spine. | Sialography with Contrast | That of Cervical Spine (58100-00-00 [1968]) | null |
579330010 | 57933-00-10 | Post dental radiograph extraoral | Posterior dental radiograph, extraoral | 20 | Imaging services | 1,967 | Radiography of head or neck | Radiograph of the teeth and tissues toward the back of the mouth, these teeth include the premolars and molars (outside of the oral cavity). | null | null | null |
579420000 | 57942-00-00 | Palatopharyngeal study | Palatopharyngeal study | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968]) | null |
579420010 | 57942-00-10 | Radiography adenoids | Radiography of adenoids | 20 | Imaging services | 1,967 | Radiography of head or neck | Radiography, roentgenography, x-ray of adenoids. | null | null | null |
579020000 | 57902-00-00 | Cephalometry | Cephalometry/cephalography | 20 | Imaging services | 1,967 | Radiography of head or neck | Cephalometry or cephalography, excluding that of cervical spine and orthodontic cephalometry. | null | That of Cervical Spine (58100-00-00 [1968])
orthodontic Cephalometry (57930-00-00, 57933-00-00 [1967])
| null |
579030000 | 57903-00-00 | Radiography of paranasal sinus | Radiography of paranasal sinus | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968]) | null |
579090000 | 57909-00-00 | Radiography of petrous temporal bone | Radiography of petrous temporal bone | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968]) | null |
579120000 | 57912-00-00 | Radiography of other facial bone | Radiography of other facial bone | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | Malar
Maxilla
orbit
| That of Cervical Spine (58100-00-00 [1968])
That of:
• Mandible (57915-00-00 [1967])
• Nose (57921-00-00 [1967])
• Temporomandibular Joint (57927-00-01, 57927-00-02 [1967])
| null |
579150000 | 57915-00-00 | Radiography of mandible | Radiography of mandible | 20 | Imaging services | 1,967 | Radiography of head or neck | Except that of cervical spine. | null | That of Cervical Spine (58100-00-00 [1968])
That by orthopantomography (57960-00-00 [1967])
• Temporomandibular Joint (57927-00-01, 57927-00-02 [1967])
| null |
579180000 | 57918-00-00 | Radiography of salivary gland | Sialography without contrast | 20 | Imaging services | 1,967 | Radiography of head or neck | Radiography of salivary calculus Sialography | null | That of Cervical Spine (58100-00-00 [1968]) | null |
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