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

97750 Physical performance test<br />

97755 Assistive technology assess<br />

97760 Orthotic mgmt and training<br />

97761 Prosthetic training<br />

97762 C/O for orthotic/prosth use<br />

97799 Physical medicine procedure<br />

G0281 Elec stim unattend for press<br />

G0283 Elec stim other than wound<br />

G0329 Electromagntic tx for ulcers<br />

RADIOLOGY AND CERTAIN OTHER IMAGING SERVICES<br />

INCLUDE the following CPT and HCPCS codes:<br />

0042T Ct perfusion w/contrast, cbf<br />

0067T Ct colonography;dx<br />

0144T Ct heart wo dye; qual calc<br />

0145T Ct heart w/wo dye funct<br />

0146T Ccta w/wo dye<br />

0147T Ccta w/wo, quan calcium<br />

0148T Ccta w/wo, strxr<br />

0149T Ccta w/wo, strxr quan calc<br />

0150T Ccta w/wo, disease strxr<br />

0151T Ct heart funct add-on<br />

0159T Cad breast mri<br />

0174T Cad cxr with interp<br />

0175T Cad cxr remote<br />

51798 Us urine capacity measure<br />

70100 X-ray exam of jaw<br />

70110 X-ray exam of jaw<br />

70120 X-ray exam of mastoids<br />

70130 X-ray exam of mastoids<br />

70134 X-ray exam of middle ear<br />

70140 X-ray exam of facial bones<br />

70150 X-ray exam of facial bones<br />

70160 X-ray exam of nasal bones<br />

70190 X-ray exam of eye sockets<br />

70200 X-ray exam of eye sockets<br />

70210 X-ray exam of sinuses<br />

70220 X-ray exam of sinuses<br />

1440

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