Download BMCHP Code Lists: Contracted Codes for Various Imaging Modalities and more Lecture notes Computed Tomography in PDF only on Docsity!
The lists below contain all the contracted codes for the BMCHP program. CPT codes that appear on this list are contracted for review. These codes should all “work” in ISAAC. Codes on this list that will not enter ISAAC should be reported immediately via e-mail to: ‘Clinical Integration’; include code and case number.
COMPLETE CODE LIST
The Lists are in Numerical Order and divided by Modality below :
CT/CTA
CT - Computed Tomography
CTA - Computed Tomography Angiography
MRI/MRA
MRI - Magnetic Resonance Imaging
MRA - Magnetic Resonance Angiography
NCM – MPI – MUGA
Nuclear Cardiac Medicine (NCM)
Myocardial Perfusion Imaging(MPI)
MUlti-Gated Acquisition (MUGA),
[aka: Blood Pool Imaging]
PET & PET/CT
PET and PET/CT - Positron Emission Tomography
3D RENDERING
Excluded – Non-MSI Tests
CT - Computed Tomography
0042T Cerebral perfusion analysis using CT with contrast 70450 CT Head without contrast 70460 CT Head with contrast 70470 CT Head with & without contrast W & W/O 70480 CT Orbit, sella, or posterior fossa or outer, middle, or inner ear W/O 70481 CT Orbit, sella, or posterior fossa or outer, middle, or inner ear with contrast 70482 CT Orbit, sella, or posterior fossa or outer, middle, or inner ear W & W/O 70486 CT Maxillofacial area, (sinus) W/O 70487 CT Maxillofacial area, (sinus) with contrast 70488 CT Maxillofacial area, (sinus) with & without contrast W & W/O 70490 CT Soft-tissue Neck W/O 70491 CT Soft-tissue Neck with contrast 70492 CT Soft-tissue Neck with & without contrast W & W/O 71250 CT Chest without contrast 71260 CT Chest with contrast 71270 CT Chest with and without contrast W & W/O 72125 CT Cervical Spine W/O 72126 CT Cervical Spine with contrast 72127 CT Cervical Spine with and without contrast W & W/O 72128 CT Thoracic Spine W/O 72129 CT Thoracic Spine with contrast 72130 CT Thoracic Spine with and without contrast W & W/O 72131 CT Lumbar Spine W/O 72132 CT Lumbar Spine with contrast 72133 CT Lumbar Spine with and without out contrast W & W/O 72192 CT Pelvis W/O 72193 CT Pelvis with contrast 72194 CT Pelvis with and without contrast W & W/O 73200 CT Upper Extremity W/O 73201 CT Upper Extremity with contrast 73202 CT Upper Extremity with and without contrast W & W/O 73700 CT Lower Extremity W/O 73701 CT Lower Extremity with contrast 73702 CT Lower Extremity with and without contrast W & W/O 74150 CT Abdomen W/O 74160 CT Abdomen with contrast 74170 CT Abdomen with and without contrast W & W/O 74176 CT ABDOMEN and PELVIS; without contrast 74177 CT ABDOMEN and PELVIS; with contrast 74178 CT ABDOMEN and PELVIS; with & without contrast 74261 CT Colonography, diagnostic; without contrast material 74262 CT Colonography, diagnostic; with contrast material 74263 CT Colonography, screening, including image postprocessing 75571 CT, heart, without contrast with quantitative evaluation of coronary calcium 75572 CT, heart, with contrast, for evaluation of cardiac structure and morphology 75573 CT, heart, with contrast, for evaluation of cardiac structure and morphology in the setting of congenital heart disease 75574 CT, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image post processing 76380 CT Limited or Localized follow-up 76497 Unlisted CT procedure (e.g., diagnostic, interventional) 77011 CT Guidance for stereotactic localization 77012 CT Guidance for needle placement (eg, biopsy, aspiration, injection) 77013 CT Guidance for and monitoring of, parenchymal tissue ablation 77078 CT BONE MINERAL DENSITY study, 1 or more sites, axial skeleton S8092 CT ELECTRON BEAM (also known as Ultrafast CT, Cine CT)
END BMCHP CT Scans
MRA – Magnetic Resonance Angiography
70544 MRA Head without contrast 70545 MRA Head with contrast 70546 MR Angiography (MRA) Head with and without contrast W & W/O 70547 MRA Neck without contrast 70548 MRA Neck with contrast 70549 MR Angiography (MRA) Neck with and without contrast W & W/O 71555 MR Angiography (MRA) Chest (excluding myocardium)- W or W/O 72159 MR Angiography (MRA) Spinal Canal and contents 72198 MR Angiography (MRA) Pelvis -with or without contrast 73225 MR Angiography (MRA) Upper Extremity -with or without contrast 73725 MR Angiography (MRA) Lower Extremity-with or without contrast 74185 MR Angiography (MRA) Abdomen-with or without contrast
MPI – Myocardial Perfusion Imaging NCM – Nuclear Cardiac Imaging
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion , ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion , ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress
78453
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress
78454
Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress 78466 Myocardial Imaging, infarct avid, planar; qualitative or quantitative 78468 Myocardial Imaging, infarct avid, planar; w/ EF by first pass technique 78469 Myocardial Imaging, infarct avid, planar; tomographic SPECT 78472 Cardiac Blood Pool imaging, gated equilibrium; planar, single study at rest or stress 78473 Cardiac Blood Pool imaging, multiple studies, at rest and stress, 78481 Cardiac Blood Pool imaging, (planar), first pass technique; single study, at rest or with stress 78483 Cardiac Blood Pool imaging, (planar), first pass technique; multiple studies at rest and stress 78494 Cardiac Blood Pool imaging, gated equilibrium, SPECT 78496 Cardiac Blood Pool imaging, gated equilibrium, RV EF by first pass 78499 Unlisted cardiovascular procedure, diagnostic nuclear medicine
PET and PET/CT - Positron Emission Tomography
78608 PET Brain – metabolic evaluation 78609 PET Brain – perfusion evaluation 78459 PET Cardiac–metabolic evaluation 78491 PET Cardiac–perfusion, single, rest or stress 78492 PET Cardiac (myocardial imaging), perfusion multiple studies rest/stress 78811 PET Imaging; limited area (ex: chest, head/neck) 78812 PET Imaging; skull base to mid-thigh 78813 PET Imaging; whole body 78814 PET/CT; limited area (ex: chest, head/neck) 78815 PET/CT; skull base to mid-thigh 78816 PET/CT; whole body
END – BMCHP CODE LIST
