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CMS-1403-FC HCPCS Descriptor 75980 Contrast xray exam bile duct 75982 Contrast xray exam bile duct 75984 Xray control catheter change 75989 Abscess drainage under x-ray 75992 Atherectomy, x-ray exam 76000 Fluoroscope examination 76001 Fluoroscope exam, extensive 76010 X-ray, nose to rectum 76080 X-ray exam of fistula 76098 X-ray exam, breast specimen 76100 X-ray exam of body section 76101 Complex body section x-ray 76102 Complex body section x-rays 76120 Cine/video x-rays 76125 Cine/video x-rays add-on 76140 X-ray consultation 76150 X-ray exam, dry process 76350 Special x-ray contrast study 76376 3d render w/o postprocess 76377 3d rendering w/postprocess 76380 CAT scan follow-up study 76390 Mr spectroscopy 76496 Fluoroscopic procedure 76497 Ct procedure 76498 Mri procedure 76506 Echo exam of head 76510 Ophth us, b & quant a 76511 Ophth us, quant a only 76512 Ophth us, b w/non-quant a 76513 Echo exam of eye, water bath 76514 Echo exam of eye, thickness 76516 Echo exam of eye 76519 Echo exam of eye 76529 Echo exam of eye 76536 Us exam of head and neck 76604 Us exam, chest, b-scan 76645 Us exam, breast(s) 76700 Us exam, abdom, complete 76705 Echo exam of abdomen 76770 Us exam abdo back wall, comp 76775 Us exam abdo back wall, lim 76778 Us exam kidney transplant 76800 Us exam, spinal canal 76801 Ob us < 14 wks, single fetus 76802 Ob us < 14 wks, add’l fetus HCPCS Descriptor 76805 Ob us >/= 14 wks, sngl fetus 76810 Ob us >/= 14 wks, addl fetus 76811 Ob us, detailed, sngl fetus 76812 Ob us, detailed, addl fetus 76815 Ob us, limited, fetus(s) 76816 Ob us, follow-up, per fetus 76817 Transvaginal us, obstetric 76818 Fetal biophys profile w/nst 76819 Fetal biophys profil w/o nst 76820 Umbilical artery echo 76821 Middle cerebral artery echo 76825 Echo exam of fetal heart 76826 Echo exam of fetal heart 76827 Echo exam of fetal heart 76828 Echo exam of fetal heart 76830 Transvaginal us, non-ob 76831 Echo exam, uterus 76856 Us exam, pelvic, complete 76857 Us exam, pelvic, limited 76870 Us exam, scrotum 76872 Us, transrectal 76873 Echograp trans r, pros study 76880 Us exam, extremity 76885 Us exam infant hips, dynamic 76886 Us exam infant hips, static 76930 Echo guide, cardiocentesis 76932 Echo guide for heart biopsy 76936 Echo guide for artery repair 76937 Us guide, vascular access 76940 Us guide, tissue ablation 76941 Echo guide for transfusion 76942 Echo guide for biopsy 76945 Echo guide, villus sampling 76946 Echo guide for amniocentesis 76948 Echo guide, ova aspiration 76950 Echo guidance radiotherapy 76965 Echo guidance radiotherapy 76970 Ultrasound exam follow-up 76975 GI endoscopic ultrasound 76977 Us bone density measure 76998 Ultrasound guide intraoper 77001 Fluoroguide for vein device 77002 Needle localization by x-ray 77003 Fluoroguide for spine inject 77011 Ct scan for localization 1432
CMS-1403-FC HCPCS Descriptor 77012 Ct scan for needle biopsy 77013 Ct guide for tissue ablation 77014 Ct scan for therapy guide 77021 Mr guidance for needle place 77022 Mri for tissue ablation 77031 Stereotactic breast biopsy 77032 X-ray of needle wire, breast 77053 X-ray of mammary duct 77054 X-ray of mammary ducts 77058 Magnetic image, breast 77059 Magnetic image, both breasts 77071 X-ray stress view 77072 X-rays for bone age 77073 X-rays, bone evaluation 77074 X-rays, bone survey 77075 X-rays, bone survey 77076 X-rays, bone evaluation 77077 Joint survey, single view 77078 Ct bone density, axial 77079 Ct bone density, peripheral 77080 Dxa bone density, axial 77081 Dxa bone density/peripheral 77082 Dxa bone density/v-fracture 77083 Radiographic absorptiometry 77084 Magnetic image, bone marrow 77417 Radiology port film(s) 77421 Stereoscopic x-ray guidance 78006 Thyroid imaging with uptake 78007 Thyroid image, mult uptakes 78010 Thyroid imaging 78011 Thyroid imaging with flow 78015 Thyroid met imaging 78016 Thyroid met imaging/studies 78018 Thyroid met imaging, body 78020 Thyroid met uptake 78070 Parathyroid nuclear imaging 78075 Adrenal nuclear imaging 78102 Bone marrow imaging, ltd 78103 Bone marrow imaging, mult 78104 Bone marrow imaging, body 78135 Red cell survival kinetics 78140 Red cell sequestration 78185 Spleen imaging 78190 Platelet survival, kinetics 78195 Lymph system imaging HCPCS Descriptor 78201 Liver imaging 78202 Liver imaging with flow 78205 Liver imaging (3D) 78206 Liver image (3d) with flow 78215 Liver and spleen imaging 78216 Liver & spleen image/flow 78220 Liver function study 78223 Hepatobiliary imaging 78230 Salivary gland imaging 78231 Serial salivary imaging 78232 Salivary gland function exam 78258 Esophageal motility study 78261 Gastric mucosa imaging 78262 Gastroesophageal reflux exam 78264 Gastric emptying study 78278 Acute GI blood loss imaging 78282 GI protein loss exam 78290 Meckel’s divert exam 78291 Leveen/shunt patency exam 78300 Bone imaging, limited area 78305 Bone imaging, multiple areas 78306 Bone imaging, whole body 78315 Bone imaging, 3 phase 78320 Bone imaging (3D) 78350 Bone mineral, single photon 78351 Bone mineral, dual photon 78428 Cardiac shunt imaging 78445 Vascular flow imaging 78456 Acute venous thrombus image 78457 Venous thrombosis imaging 78458 Ven thrombosis images, bilat 78459 Heart muscle imaging (PET) 78460 Heart muscle blood, single 78461 Heart muscle blood, multiple 78464 Heart image (3d), single 78465 Heart image (3d), multiple 78466 Heart infarct image 78468 Heart infarct image (ef) 78469 Heart infarct image (3D) 78472 Gated heart, planar, single 78473 Gated heart, multiple 78478 Heart wall motion add-on 78480 Heart function add-on 78481 Heart first pass, single 78483 Heart first pass, multiple 1433
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<strong>CMS</strong>-1403-FC<br />
HCPCS Descriptor<br />
75980 Contrast xray exam bile duct<br />
75982 Contrast xray exam bile duct<br />
75984 Xray control catheter change<br />
75989 Abscess drainage under x-ray<br />
75992 Atherectomy, x-ray exam<br />
76000 Fluoroscope examination<br />
76001 Fluoroscope exam, extensive<br />
76010 X-ray, nose to rectum<br />
76080 X-ray exam of fistula<br />
76098 X-ray exam, breast specimen<br />
76100 X-ray exam of body section<br />
76101 Complex body section x-ray<br />
76102 Complex body section x-rays<br />
76120 Cine/video x-rays<br />
76125 Cine/video x-rays add-on<br />
76140 X-ray consultation<br />
76150 X-ray exam, dry process<br />
76350 Special x-ray contrast study<br />
76376 3d render w/o postprocess<br />
76377 3d rendering w/postprocess<br />
76380 CAT scan follow-up study<br />
76390 Mr spectroscopy<br />
76496 Fluoroscopic procedure<br />
76497 Ct procedure<br />
76498 Mri procedure<br />
76506 Echo exam of head<br />
76510 Ophth us, b & quant a<br />
76511 Ophth us, quant a only<br />
76512 Ophth us, b w/non-quant a<br />
76513 Echo exam of eye, water bath<br />
76514 Echo exam of eye, thickness<br />
76516 Echo exam of eye<br />
76519 Echo exam of eye<br />
76529 Echo exam of eye<br />
76536 Us exam of head and neck<br />
76604 Us exam, chest, b-scan<br />
76645 Us exam, breast(s)<br />
76700 Us exam, abdom, complete<br />
76705 Echo exam of abdomen<br />
76770 Us exam abdo back wall, comp<br />
76775 Us exam abdo back wall, lim<br />
76778 Us exam kidney transplant<br />
76800 Us exam, spinal canal<br />
76801 Ob us < 14 wks, single fetus<br />
76802 Ob us < 14 wks, add’l fetus<br />
HCPCS Descriptor<br />
76805 Ob us >/= 14 wks, sngl fetus<br />
76810 Ob us >/= 14 wks, addl fetus<br />
76811 Ob us, detailed, sngl fetus<br />
76812 Ob us, detailed, addl fetus<br />
76815 Ob us, limited, fetus(s)<br />
76816 Ob us, follow-up, per fetus<br />
76817 Transvaginal us, obstetric<br />
76818 Fetal biophys profile w/nst<br />
76819 Fetal biophys profil w/o nst<br />
76820 Umbilical artery echo<br />
76821 Middle cerebral artery echo<br />
76825 Echo exam of fetal heart<br />
76826 Echo exam of fetal heart<br />
76827 Echo exam of fetal heart<br />
76828 Echo exam of fetal heart<br />
76830 Transvaginal us, non-ob<br />
76831 Echo exam, uterus<br />
76856 Us exam, pelvic, complete<br />
76857 Us exam, pelvic, limited<br />
76870 Us exam, scrotum<br />
76872 Us, transrectal<br />
76873 Echograp trans r, pros study<br />
76880 Us exam, extremity<br />
76885 Us exam infant hips, dynamic<br />
76886 Us exam infant hips, static<br />
76930 Echo guide, cardiocentesis<br />
76932 Echo guide for heart biopsy<br />
76936 Echo guide for artery repair<br />
76937 Us guide, vascular access<br />
76940 Us guide, tissue ablation<br />
76941 Echo guide for transfusion<br />
76942 Echo guide for biopsy<br />
76945 Echo guide, villus sampling<br />
76946 Echo guide for amniocentesis<br />
76948 Echo guide, ova aspiration<br />
76950 Echo guidance radiotherapy<br />
76965 Echo guidance radiotherapy<br />
76970 Ultrasound exam follow-up<br />
76975 GI endoscopic ultrasound<br />
76977 Us bone density measure<br />
76998 Ultrasound guide intraoper<br />
77001 Fluoroguide for vein device<br />
77002 Needle localization by x-ray<br />
77003 Fluoroguide for spine inject<br />
77011 Ct scan for localization<br />
1432