X Ray CPT / Procedure code list – All 7 Series CPT code
| General X-ray CPT CODE | |
| AC joints bilateral | 73050 |
| Abdomen 1-view | 74000 |
| Abdomen 2- view | 74020 |
| Abdomen 3- view | 74022 |
| Ankle 1-2 view | 73600 |
| Ankle 3-view | 73610 |
| Arthogram ankle | 73615, 27648 |
| Arthogram elbow | 24220 |
| Arthrogram knee | 27370 |
| Arthrogram shoulder | 23350 |
| Arthrogram wrist | 25246 |
| Barium enema | 74270 |
| Barium enema double contrast | 74280 |
| Bone age (wrist, hand) | 77077 |
| Bone survey complete | 77075 |
| Bone survey limited | 77074 |
| Bone survey infant | 77076 |
| C-spine minimum 5 views | 72052 |
| C-spine minimum 4 views | 72050 |
| C-spine 1 view | 72020 |
| C-spine 2 -3 views | 72040 |
| Pelvis 3 views i.e. cesium implant | 72190 |
| Chest 2 views | 71020 |
| Chest lateral decubitus | 71035 |
| Chest 4 views | 71030 |
| Chest 1 view | 71010 |
| Cholangiogram | 74300 |
| Cholangiogram T-tube | 74305 |
| Clavicle | 73000 |
| Cystogram 3 views | 74430 |
| Elbow 2 views | 73070 |
| Elbow minimum 3 views | 73080 |
| Small bowel i.e. enteroclysis | 74251 |
| Esophagus | 74220 |
| Esophagus dilatation | 74360 |
| Facial bones less than 3 views | 70140 |
| Facial bones minimum 3 views | 70150 |
| Feeding tube placement | 43752 |
| Femur 2 views | 73550 |
| Fingers minimum 2 views | 73140 |
| Foot 2 views | 73620 |
| Foot minimum 3 views | 73630 |
| Forearm 2 views | 73090 |
| Cholecystogram | 74290 |
| Cholecystogram (repeat) | 74291 |
| Small bowel air contrast | 74249 |
| GI series air contrast | 74247 |
| GI single contrast; barium | 74241 |
| GI single series with small bowel | 74245 |
| GI esophagus | 74240 |
| Hand 2 views | 73120 |
| Hand minimum 3 views | 73130 |
| Hip 1 view | 73500 |
| Hip 2 views | 73510 |
| Hip intraoperative | 73530 |
| Hip bilateral minimum 2 views | 73520 |
| Humerus 2 views | 73060 |
| Pyelogram IV | 74400 |
| Infant lower extremity minimum 2 views |
73592 |
| Intrathecal injection with contrast |
62284 |
| Intrathecal chemo injection | 96450 |
| Intrathecal radioisotope injection | 62311 |
| Intrathecal bacolofen injection | 62310 |
| Kidney, ureter and bladder, ie KUB | 74000 |
| Knee 1 or 2 views | 73560 |
| Knee 3 views | 73562 |
| Knee 4 or more views | 73564 |
| Knee 1 view bilateral standing | 73565 |
| L-spine flexion and extension minimum 4 views |
72120 |
| L-spine minimum 4 views | 72110 |
| L-spine 1 view | 72020 |
| L-spine 2 or 3 views | 72100 |
| Bone length studies | 77073 |
| Loopogram | 74425 |
| Lumbar puncture; diagnostic | 62270, 76005 |
| Lumbar puncture; therapeutic for drainage of CSF by needle or catheter |
62272, 76005 |
| Mandible complete | 70110 |
| Mandible less than 4 views | 70100 |
| Mastoid less than 3 views | 70120 |
| Mastoid minimum 3 views | 70130 |
| Myelogram cervical | 72240 |
| Myelogram complete | 72270 |
| Myelogram lumbar | 72265 |
| Myelogram thoracic | 72255 |
| Nasal bones minimum 3 views | 70160 |
| OS calcis 2 views | 73650 |
| Orbits minimum 4 views | 70200 |
| Panorex | 70355 |
| Peds foreign body, nose to rectum | 76010 |
| Pelvis 1 or two views | 72170 |
| Mandible less than 4 views | 70100 |
| Mastoid less than 3 views | 70120 |
| Mastoid minimum 3 views | 70130 |
| Myelogram cervical | 72240 |
| Myelogram complete | 72270 |
| Myelogram lumbar | 72265 |
| Myelogram thoracic | 72255 |
| Nasal bones minimum 3 views | 70160 |
| OS calcis 2 views | 73650 |
| Orbits minimum 4 views | 70200 |
| Panorex | 70355 |
| Peds foreign body, nose to rectum | 76010 |
| Pelvis 1 or two views | 72170 |
| Pelvis minimum 3 views | 72190 |
| Pyelogram retrograde | 74420 |
| Ribs bilateral 3 views | 71110 |
| Ribs bilateral 3 views with chest | 71111 |
| Ribs unilateral 2 views with chest | 71101 |
| Ribs unilateral 2 views | 71100 |
| SI joint less than 3 views | 72200 |
| SI joint minimum 3 views | 72202 |
| Sacrum and/or coccyx | 72220 |
| Salpingogram | 74740 |
| Scapula | 73010 |
| Scoliosis single view | 72020 |
| Scoliosis 2 views | 72069 |
| 73030 | |
| Shunt placement series, order three codes |
70250, 74020 71020 |
| Sialogram | 70390, 42550 |
| Sinogram | 76080, 20501 |
| Sinus less than 3 views | 70210 |
| Sinus minimum 3 views | 70220 |
| Skull less than 4 views | 70250 |
| Skull minimum 4 views | 70260 |
| Small bowel | 74250 |
| Soft tissue neck | 70360 |
| Spine complete 2 views | 72010 |
| Spine single view | 72020 |
| Sternoclavicular joint minimum 3 views |
71130 |
| Sternum 2 views | 71120 |
| Swallowing study | 74230 |
| TMJ bilateral | 70330 |
| TMJ unilateral | 70328 |
| Thoracic spine 2 views | 72070 |
| Thoracic spine 3 views | 72072 |
| Thoracic spine 4 views | 72074 |
| Thoracic-Lumbar 2 views | 72080 |
| Tibia-fibula 2 views | 73590 |
| Toes minimum 2 views | 73660 |
| Tomogram | 76100 |
| Urethrogram | 74450 |
| Venogram bilateral | 75822 |
| Venogram unilateral | 75820 |
| Voiding cystouretrogram | 74455, 51600 |
| Wrist 2 views | 73100 |
| Wrist minimum 3 views | 73110 |
| Zygomatic arches less than 3 views | 70140 |
X Ray CPT CODES another list
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
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
71130 x-ray, sternum+sc joint
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
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
PROCEDURE DESCRIPTION CPT CODE
• 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