SBS Code
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| Short Description
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| Chapter
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⌀ | Chapter Name
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4.02k
| Block Name
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⌀ | Definition
stringlengths 11
1.18k
⌀ | Includes
stringlengths 4
1.31k
⌀ | Excludes
stringlengths 1
1.23k
⌀ | Guidelines
stringlengths 1
1.54k
⌀ |
|---|---|---|---|---|---|---|---|---|---|---|---|
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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