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CMS-1403-FC 70553 Mri brain w/o & w/dye 70554 Fmri brain by tech 70555 Fmri brain by phys/psych 71010 Chest x-ray 71015 Chest x-ray 71020 Chest x-ray 71021 Chest x-ray 71022 Chest x-ray 71023 Chest x-ray and fluoroscopy 71030 Chest x-ray 71034 Chest x-ray and fluoroscopy 71035 Chest x-ray 71100 X-ray exam of ribs 71101 X-ray exam of ribs/chest 71110 X-ray exam of ribs 71111 X-ray exam of ribs/chest 71120 X-ray exam of breastbone 71130 X-ray exam of breastbone 71250 Ct thorax w/o dye 71260 Ct thorax w/dye 71270 Ct thorax w/o & w/dye 71275 Ct angiography, chest 71550 Mri chest w/o dye 71551 Mri chest w/dye 71552 Mri chest w/o & w/dye 71555 Mri angio chest w or w/o dye 72010 X-ray exam of spine 72020 X-ray exam of spine 72040 X-ray exam of neck spine 72050 X-ray exam of neck spine 72052 X-ray exam of neck spine 72069 X-ray exam of trunk spine 72070 X-ray exam of thoracic spine 72072 X-ray exam of thoracic spine 72074 X-ray exam of thoracic spine 72080 X-ray exam of trunk spine 72090 X-ray exam of trunk spine 72100 X-ray exam of lower spine 72110 X-ray exam of lower spine 72114 X-ray exam of lower spine 1442
CMS-1403-FC 72120 X-ray exam of lower spine 72125 Ct neck spine w/o dye 72126 Ct neck spine w/dye 72127 Ct neck spine w/o & w/dye 72128 Ct chest spine w/o dye 72129 Ct chest spine w/dye 72130 Ct chest spine w/o & w/dye 72131 Ct lumbar spine w/o dye 72132 Ct lumbar spine w/dye 72133 Ct lumbar spine w/o & w/dye 72141 Mri neck spine w/o dye 72142 Mri neck spine w/dye 72146 Mri chest spine w/o dye 72147 Mri chest spine w/dye 72148 Mri lumbar spine w/o dye 72149 Mri lumbar spine w/dye 72156 Mri neck spine w/o & w/dye 72157 Mri chest spine w/o & w/dye 72158 Mri lumbar spine w/o & w/dye 72170 X-ray exam of pelvis 72190 X-ray exam of pelvis 72191 Ct angiograph pelv w/o&w/dye 72192 Ct pelvis w/o dye 72193 Ct pelvis w/dye 72194 Ct pelvis w/o & w/dye 72195 Mri pelvis w/o dye 72196 Mri pelvis w/dye 72197 Mri pelvis w/o & w/dye 72198 Mr angio pelvis w/o & w/dye 72200 X-ray exam sacroiliac joints 72202 X-ray exam sacroiliac joints 72220 X-ray exam of tailbone 73000 X-ray exam of collar bone 73010 X-ray exam of shoulder blade 73020 X-ray exam of shoulder 73030 X-ray exam of shoulder 73050 X-ray exam of shoulders 73060 X-ray exam of humerus 73070 X-ray exam of elbow 73080 X-ray exam of elbow 1443
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<strong>CMS</strong>-1403-FC<br />
70553 Mri brain w/o & w/dye<br />
70554 Fmri brain by tech<br />
70555 Fmri brain by phys/psych<br />
71010 Chest x-ray<br />
71015 Chest x-ray<br />
71020 Chest x-ray<br />
71021 Chest x-ray<br />
71022 Chest x-ray<br />
71023 Chest x-ray and fluoroscopy<br />
71030 Chest x-ray<br />
71034 Chest x-ray and fluoroscopy<br />
71035 Chest x-ray<br />
71100 X-ray exam of ribs<br />
71101 X-ray exam of ribs/chest<br />
71110 X-ray exam of ribs<br />
71111 X-ray exam of ribs/chest<br />
71120 X-ray exam of breastbone<br />
71130 X-ray exam of breastbone<br />
71250 Ct thorax w/o dye<br />
71260 Ct thorax w/dye<br />
71270 Ct thorax w/o & w/dye<br />
71275 Ct angiography, chest<br />
71550 Mri chest w/o dye<br />
71551 Mri chest w/dye<br />
71552 Mri chest w/o & w/dye<br />
71555 Mri angio chest w or w/o dye<br />
72010 X-ray exam of spine<br />
72020 X-ray exam of spine<br />
72040 X-ray exam of neck spine<br />
72050 X-ray exam of neck spine<br />
72052 X-ray exam of neck spine<br />
72069 X-ray exam of trunk spine<br />
72070 X-ray exam of thoracic spine<br />
72072 X-ray exam of thoracic spine<br />
72074 X-ray exam of thoracic spine<br />
72080 X-ray exam of trunk spine<br />
72090 X-ray exam of trunk spine<br />
72100 X-ray exam of lower spine<br />
72110 X-ray exam of lower spine<br />
72114 X-ray exam of lower spine<br />
1442