X Ray CPT / Procedure code list

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