X Ray CPT / Procedure code list

X Ray CPT / Procedure code list – All 7 Series CPT code

General X-rayCPT CODE
AC joints bilateral73050
Abdomen 1-view74000
Abdomen 2- view74020
Abdomen 3- view74022
Ankle 1-2 view73600
Ankle 3-view73610
Arthogram ankle73615, 27648
Arthogram elbow24220
Arthrogram knee27370
Arthrogram shoulder23350
Arthrogram wrist25246
Barium enema74270
Barium enema double contrast74280
Bone age (wrist, hand)77077
Bone survey complete77075
Bone survey limited77074
Bone survey infant77076
C-spine minimum 5 views72052
C-spine minimum 4 views72050
C-spine 1 view72020
C-spine 2 -3 views72040
Pelvis 3 views i.e. cesium implant72190
Chest 2 views71020
Chest lateral decubitus71035
Chest 4 views71030
Chest 1 view71010
Cholangiogram74300
Cholangiogram T-tube74305
Clavicle73000
Cystogram 3 views74430
Elbow 2 views73070
Elbow minimum 3 views73080
Small bowel i.e. enteroclysis74251
Esophagus74220
Esophagus dilatation74360
Facial bones less than 3 views70140
Facial bones minimum 3 views70150
Feeding tube placement43752
Femur 2 views73550
Fingers minimum 2 views73140
Foot 2 views73620
Foot minimum 3 views73630
Forearm 2 views73090
Cholecystogram74290
Cholecystogram (repeat)74291
Small bowel air contrast74249
GI series air contrast74247
GI single contrast; barium74241
GI single series with small bowel74245
GI esophagus74240
Hand 2 views73120
Hand minimum 3 views73130
Hip 1 view73500
Hip 2 views73510
Hip intraoperative73530
Hip bilateral minimum 2 views73520
Humerus 2 views73060
Pyelogram IV74400
Infant lower extremity minimum 2
views		73592
Intrathecal injection with
contrast		62284
Intrathecal chemo injection96450
Intrathecal radioisotope injection62311
Intrathecal bacolofen injection62310
Kidney, ureter and bladder, ie KUB74000
Knee 1 or 2 views73560
Knee 3 views73562
Knee 4 or more views73564
Knee 1 view bilateral standing73565
L-spine flexion and extension minimum 4
views		72120
L-spine minimum 4 views72110
L-spine 1 view72020
L-spine 2 or 3 views72100
Bone length studies77073
Loopogram74425

X Ray CPT CODES another list

General X-rayCPT CODE
Lumbar puncture; diagnostic62270, 76005
Lumbar puncture; therapeutic for drainage
of CSF by needle or catheter		62272, 76005
Mandible complete70110
Mandible less than 4 views70100
Mastoid less than 3 views70120
Mastoid minimum 3 views70130
Myelogram cervical72240
Myelogram complete72270
Myelogram lumbar72265
Myelogram thoracic72255
Nasal bones minimum 3 views70160
OS calcis 2 views73650
Orbits minimum 4 views70200
Panorex70355
Peds foreign body, nose to rectum76010
Pelvis 1 or two views72170
Mandible less than 4 views70100
Mastoid less than 3 views70120
Mastoid minimum 3 views70130
Myelogram cervical72240
Myelogram complete72270
Myelogram lumbar72265
Myelogram thoracic72255
Nasal bones minimum 3 views70160
OS calcis 2 views73650
Orbits minimum 4 views70200
Panorex70355
Peds foreign body, nose to rectum76010
Pelvis 1 or two views72170
Pelvis minimum 3 views72190
Pyelogram retrograde74420
Ribs bilateral 3 views71110
Ribs bilateral 3 views with chest71111
Ribs unilateral 2 views with chest71101
Ribs unilateral 2 views71100
SI joint less than 3 views72200
SI joint minimum 3 views72202
Sacrum and/or coccyx72220
Salpingogram74740
Scapula73010
Scoliosis single view72020
Scoliosis 2 views72069
73030
Shunt placement series, order three
codes		70250, 74020 71020
Sialogram70390, 42550
Sinogram76080, 20501
Sinus less than 3 views70210
Sinus minimum 3 views70220
Skull less than 4 views70250
Skull minimum 4 views70260
Small bowel74250
Soft tissue neck70360
Spine complete 2 views72010
Spine single view72020
Sternoclavicular joint minimum 3
views		71130
Sternum 2 views71120
Swallowing study74230
TMJ bilateral70330
TMJ unilateral70328
Thoracic spine 2 views72070
Thoracic spine 3 views72072
Thoracic spine 4 views72074
Thoracic-Lumbar 2 views72080
Tibia-fibula 2 views73590
Toes minimum 2 views73660
Tomogram76100
Urethrogram74450
Venogram bilateral75822
Venogram unilateral75820
Voiding cystouretrogram74455, 51600
Wrist 2 views73100
Wrist minimum 3 views73110
Zygomatic arches less than 3 views70140

72010 x-ray spine entire
72020 x-ray spine, 1 view
72040 xray spine cervical 2-3 views
72050 x-ray, spine cervical 4+ views
72052 x-ray spine cervical complete,
72069 x-ray spine standing for thoracolumbar
72070 x-ray spine thoracic 2 views
72072 x-ray spine thoracic 3 views
72074 x-ray, spine thoracic 4+ views
72080 x-ray spine thoracolumbar 2 views
72090 x-ray spine thoracolumbar supine and standing
72100 x-ray spine lumbosacral 2-3 views
72110 x-ray spine lumbosacral 4+ views
72114 x-ray spine lumbosacral complete
72120 x-ray spine lumbosacral bending only
72170 x-ray pelvis, 1-2 views
72190 x-ray pelvis complete
72200 x-ray sacroiliac joints, up to 3 views
72202 x-sacroiliac joints 3+ views
72220 x-ray sacrum and coccyx 2+ views
73000 x-ray clavicle complete
73010 x-ray scapula compete
73020 x-ray shoulder 1 view
73030 x-ray shoulder 2+ views
73050 x-ray acromioclavicular joint, bilateral
73060 x-ray humerus, 2+ views

71130 x-ray, sternum+sc joint

73070 x-ray elbow 2 views
73080 x-ray elbow 3+ views
73090 x-ray forearm 2 views
73100 x-ray wrist, 2 views
73110 x-ray wrist, 3+ views
73120 x-ray hand 2 views
73130 x-ray hand 3+ views
73140 x-ray finger(s) 2+ views
73500 x-ray hip unilateral 1 view
73510 x-ray hip unilateral 2+ views
73520 x-ray hip bilateral 2+ views
73550 x-ray femur 2 views
73560 x-ray knee 1-2 views
73562 x-ray knee 3 views
73564 x-ray knee 4+ views
73565 x-ray bilateral knees standing
73590 x-ray tibia fibula 2 views
73600 x-ray ankle 2 views
73610 x-ray ankle 3+ views
73620 x-ray foot, two views
73630 x-ray foot, 3+ views
73650 x-ray heel 2+ views
73660 x-ray toe–2 or more views
71100 xray ribs, unilateral; 2 views
71110 x-ray ribs, bilateral 3 views
71120 x-ray sternum, 2+ views

72141 MRI MR Cervical without contrast with Flexion & Extension
• Neck pain/upper extremity radicular symptoms, especially when position dependent
• Neck pain w/ upper extremity radicular symptoms w/ suspected cervical instability
• Disc herniation
• Fracture
• Soft tissue damage
• Spinal stenosis
• Trauma

72141* MRI MR Thoracic without contrast
72146 MRI MR Lumbar without contrast
72148 MRI MR Lumbar without contrast with Flexion & Extension
• Back pain/lower extremity radicular symptoms, especially when position dependent
• Back pain/lower extremity radicular symptoms w/ suspected low back instability
• Disc bulge
• Disc herniation
• Incontinence
• Spinal stenosis
• Trauma

72148* MRI MR Lumbar withoutand with contrast
• Cauda Equina syndrome
• Mass/lesion
• Postoperative back pain or radiculopathy
• Suspected disc space infection/osteomyelitis

72158 MRI MR Lumbar Weight Bearing without and with contrast
• Cauda Equina syndrome
• Mass/lesion
• Suspected disc space infection/osteomyelitis
• When the above symptoms change significantly w/ versus w/out weight bearing

73721 MRI MR Sacrum/Coccyx without contrast
• Injury
• Pain

72195 X-RAY XR Cervical 2-3 Views • Neck pain
• Suspected lesion
• Upper extremity pain

72040 X-RAY XR Cervical 4-5 Views • Neck pain
• Suspected lesion
• Upper extremity pain

PROCEDURE DESCRIPTION CPT CODE

72050 X-RAY XR Cervical 6+ Views (Davis Series)
• Neck pain
• Suspected lesion
• Upper extremity pain

72052 X-RAY XR Thoracic 2 Views • Back pain
• Suspected lesion

72070 X-RAY XR Thoracic 4+ Views • Back pain with thoracic cage pain
• Suspected lesion

72074 X-RAY XR Lumbar 2-3 Views • Back pain
• Suspected lesion
• Leg pain

72100 X-RAY XR Lumbar 4 +Views • Back pain
• Suspected lesion
• Leg pain

72110 X-RAY XR Lumbar Complete with Bending
• Back pain with or without leg pain, especially if symptoms increase with bending
• Suspected lesion
• Suspected lumbar instability


72114
X-RAY XR Sacrum & Coccyx 2+ Views • Fracture
• Pain or tenderness
• Tumor

72220
MODALITY PROCEDURE REASON FOR STUDY CPT
CT CT Cervical without contrast • Arthritis
• Disc herniation
• Failed fusion
• Infection

72125
CT CT Lumbar without contrast • Arthritis
• Disc herniation
• Failed fusion
• Infection 72131

• Chest 1 View 71010
• Chest 2 Views 71020
• Chest Minimum 4 Views 71030
• Chest Special Views 71035
• Ribs Unilateral 2 Views 71100
• Ribs Unilateral 2 Views with PA CXR 71101
• Ribs Bilateral 3 Views 71110
• Sternum Minimum 2 Views 71120
• Sternoclavicular Joints 3 Views 71130
• Abdomen or KUB or 1 View 74000
• Abdomen 2 View Complete or Flat and Upright 74020
• Acute Abdomen Series + PA CXR 3 Views 74022
• Pelvis 1 or 2 Views 72170
• Pelvis Minimum 3 Views 72190
• Sacrum & Coccyx Minimum 2 Views 72220
• Sacroiliac Joints 3+ Views 72202
• Finger(s) Minimum 2 Views 73140
• Hand 2 Views 73120
• Hand Minimum 3 Views 73130
• Wrist 2 Views 73100
• Wrist Minimum 3 Views 73110
• Forearm 2 Views 73090
• Upper Extremity Infant (up to 364 days old) Minimum 2 Views 73092
• Elbow 2 Views 73070
• Elbow Minimum 3 Views 73080
• Humerus Minimum 2 Views 73060
• Shoulder 1 View 73020
• Shoulder Minimum 2 Views 73030
• Acromioclavicular Joints Bilateral 73050
• Clavicle Complete 73000
• Scapula Complete 73010
• Toe(s) Minimum 2 Views 73660
• Foot 2 Views 73620
• Foot Minimum 3 Views 73630
• Calcaneus (Heel) Minimum 2 Views 73650
• Ankle 2 Views 73600
• Ankle Minimum 3 Views 73610
• Tibia & Fibula 2 Views 73590
• Lower Extremity Infant (up to 364 days old) 2+ Views 73592
• Knee 1 or 2 Views 73560
• Knee 3 Views 73562
• Knee 4 or More Views 73564
• Both Knees Standing AP 73565
• Bone Age Studies 77072
• Bone Length Studies 77073
• Osseous Complete (Bone Survey) 77075
• Mandible < 4 Views 70100
• Mandible 4 Views 70110

• Screening Orbit (Pre MRI) 70030
• Facial Bones < 3 Views 70140
• Facial Bones Minimum 3 Views 70150
• Nasal Bones Minimum 3 Views 70160
• Orbits Minimum 4 Views 70200
• Sinuses Paranasal < 3 Views 70210
• Sinuses Paranasal Minimum 3 Views 70220
• Skull < 4 Views 70250
• Skull Minimum 4 Views 70260
• Neck Soft Tissue (Not for Cervical Spine) 70360
• C-Spine 2 or 3 Views 72040
• C-Spine Minimum 4-5 Views 72050
• C-Spine Complete 6 or More Views 72052
• T-Spine 2 Views 72070
• T-Spine 3 Views 72072
• T-Spine 4 Views 72074
• L/S Spine 2 or 3 Views 72100
• L/S Spine Minimum 4 Views 72110
• L/S Spine Complete with Bending Views (Minimum 6 Views) 72114
• L/S Spine Bending Views (Only 2-3 Views) 72120
• Thoracolumbar Junction (Minimum 2 Views) 72080
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 1 View 72081
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 2 or 3 Views 72082
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 4 or 5 Views 72083
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); Min. 6 Views 72084
• Hip, Unilateral, with Pelvis When Performed; 1 View 73501
• Hip, Unilateral, with Pelvis When Performed; 2 or 3 Views 73502
• Hip, Unilateral, with Pelvis When Performed; Minimum 4 Views 73503
• Hips, Bilateral, with Pelvis When Performed; 2 Views 73521
• Hips, Bilateral, with Pelvis When Performed; 3-4 Views 73522
• Hips, Bilateral, with Pelvis When Performed; Minimum 5 Views 73523
• Femur; 1 View 73551
• Femur; Minimum 2 Views 73552 74020 complete, including decubitus and/or erect views