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<strong>CMS</strong>-1403-FC<br />

HCPCS Descriptor<br />

78491 Heart image (pet), single<br />

78492 Heart image (pet), multiple<br />

78494 Heart image, spect<br />

78496 Heart first pass add-on<br />

78580 Lung perfusion imaging<br />

78584 Lung V/Q image single breath<br />

78585 Lung V/Q imaging<br />

78586 Aerosol lung image, single<br />

78587 Aerosol lung image, multiple<br />

78588 Perfusion lung image<br />

78591 Vent image, 1 breath, 1 proj<br />

78593 Vent image, 1 proj, gas<br />

78594 Vent image, mult proj, gas<br />

78596 Lung differential function<br />

78600 Brain imaging, ltd static<br />

78601 Brain imaging, ltd w/flow<br />

78605 Brain imaging, complete<br />

78606 Brain imaging, compl w/flow<br />

78607 Brain imaging (3D)<br />

78608 Brain imaging (PET)<br />

78609 Brain imaging (PET)<br />

78610 Brain flow imaging only<br />

78630 Cerebrospinal fluid scan<br />

78635 CSF ventriculography<br />

78645 CSF shunt evaluation<br />

78647 Cerebrospinal fluid scan<br />

78650 CSF leakage imaging<br />

78660 Nuclear exam of tear flow<br />

78700 Kidney imaging, static<br />

78701 Kidney imaging with flow<br />

78704 Imaging renogram<br />

78707 Kidney flow/function image<br />

78708 Kidney flow/function image<br />

78709 Kidney flow/function image<br />

78710 Kidney imaging (3D)<br />

78715 Renal vascular flow exam<br />

78730 Urinary bladder retention<br />

78740 Ureteral reflux study<br />

78760 Testicular imaging<br />

78761 Testicular imaging/flow<br />

78800 Tumor imaging, limited area<br />

78801 Tumor imaging, mult areas<br />

78802 Tumor imaging, whole body<br />

78803 Tumor imaging (3D)<br />

78804 Tumor imaging, whole body<br />

1434<br />

HCPCS Descriptor<br />

78805 Abscess imaging, ltd area<br />

78806 Abscess imaging, whole body<br />

78807 Nuclear localization/abscess<br />

78811 Tumor imaging (pet), limited<br />

78812 Tumor image (pet)/skul-thigh<br />

78813 Tumor image (pet) full body<br />

78814 Tumor image pet/ct, limited<br />

78815 Tumorimage pet/ct skul-thigh<br />

78816 Tumor image pet/ct full body<br />

92135 Scanning computer ophthalmic<br />

92235 Fluorscein angioscopy<br />

92240 IDC green angiography<br />

92250 Fundus photography<br />

92285 External ocular photography<br />

92286 Anterior segment photography<br />

93303 Echo transthoracic<br />

93304 Echo transthoracic<br />

93306 Echocardiography<br />

93307 Echo exam of heart<br />

93308 Echo exam of heart<br />

93312 Echo transesophageal<br />

93314 Echo transesophageal<br />

93315 Echo transesophageal<br />

93317 Echo transesophageal<br />

93318 Echo transesophageal intraop<br />

93320 Doppler echo exam, heart<br />

93321 Doppler echo exam, heart<br />

93325 Doppler color flow add-on<br />

93350 Echo transthoracic<br />

93555 Imaging, cardiac cath<br />

93556 Imaging, cardiac cath<br />

93571 Heart flow reserve measure<br />

93572 Heart flow reserve measure<br />

93880 Extracranial study<br />

93882 Extracranial study<br />

93886 Intracranial study<br />

93888 Intracranial study<br />

93890 Tcd, vasoreactivity study<br />

93892 Tcd, emboli detect w/o inj<br />

93893 Tcd, emboli detect w/inj<br />

93925 Lower extremity study<br />

93926 Lower extremity study<br />

93930 Upper extremity study<br />

93931 Upper extremity study<br />

93970 Extremity study

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