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CMS-1403-FC 73090 X-ray exam of forearm 73092 X-ray exam of arm, infant 73100 X-ray exam of wrist 73110 X-ray exam of wrist 73120 X-ray exam of hand 73130 X-ray exam of hand 73140 X-ray exam of finger(s) 73200 Ct upper extremity w/o dye 73201 Ct upper extremity w/dye 73202 Ct uppr extremity w/o&w/dye 73206 Ct angio upr extrm w/o&w/dye 73218 Mri upper extremity w/o dye 73219 Mri upper extremity w/dye 73220 Mri uppr extremity w/o&w/dye 73221 Mri joint upr extrem w/o dye 73222 Mri joint upr extrem w/dye 73223 Mri joint upr extr w/o&w/dye 73500 X-ray exam of hip 73510 X-ray exam of hip 73520 X-ray exam of hips 73540 X-ray exam of pelvis & hips 73550 X-ray exam of thigh 73560 X-ray exam of knee, 1 or 2 73562 X-ray exam of knee, 3 73564 X-ray exam, knee, 4 or more 73565 X-ray exam of knees 73590 X-ray exam of lower leg 73592 X-ray exam of leg, infant 73600 X-ray exam of ankle 73610 X-ray exam of ankle 73620 X-ray exam of foot 73630 X-ray exam of foot 73650 X-ray exam of heel 73660 X-ray exam of toe(s) 73700 Ct lower extremity w/o dye 73701 Ct lower extremity w/dye 73702 Ct lwr extremity w/o&w/dye 73706 Ct angio lwr extr w/o&w/dye 73718 Mri lower extremity w/o dye 73719 Mri lower extremity w/dye 1444
CMS-1403-FC 73720 Mri lwr extremity w/o&w/dye 73721 Mri jnt of lwr extre w/o dye 73722 Mri joint of lwr extr w/dye 73723 Mri joint lwr extr w/o&w/dye 73725 Mr ang lwr ext w or w/o dye 74000 X-ray exam of abdomen 74010 X-ray exam of abdomen 74020 X-ray exam of abdomen 74022 X-ray exam series, abdomen 74150 Ct abdomen w/o dye 74160 Ct abdomen w/dye 74170 Ct abdomen w/o & w/dye 74175 Ct angio abdom w/o & w/dye 74181 Mri abdomen w/o dye 74182 Mri abdomen w/dye 74183 Mri abdomen w/o & w/dye 74185 Mri angio, abdom w orw/o dye 74210 Contrst x-ray exam of throat 74220 Contrast x-ray, esophagus 74230 Cine/vid x-ray, throat/esoph 74240 X-ray exam, upper gi tract 74241 X-ray exam, upper gi tract 74245 X-ray exam, upper gi tract 74246 Contrst x-ray uppr gi tract 74247 Contrst x-ray uppr gi tract 74249 Contrst x-ray uppr gi tract 74250 X-ray exam of small bowel 74290 Contrast x-ray, gallbladder 74291 Contrast x-rays, gallbladder 74710 X-ray measurement of pelvis 75557 Cardiac MRI for morph 75559 Cardiac MRI w/stress img 75561 Cardiac MRI for morph w/dye 75563 Card MRI w/stress img & dye 75635 Ct angio abdominal arteries 76000 Fluoroscope examination 76010 X-ray, nose to rectum 76100 X-ray exam of body section 76101 Complex body section x-ray 76102 Complex body section x-rays 1445
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<strong>CMS</strong>-1403-FC<br />
73720 Mri lwr extremity w/o&w/dye<br />
73721 Mri jnt of lwr extre w/o dye<br />
73722 Mri joint of lwr extr w/dye<br />
73723 Mri joint lwr extr w/o&w/dye<br />
73725 Mr ang lwr ext w or w/o dye<br />
74000 X-ray exam of abdomen<br />
74010 X-ray exam of abdomen<br />
74020 X-ray exam of abdomen<br />
74022 X-ray exam series, abdomen<br />
74150 Ct abdomen w/o dye<br />
74160 Ct abdomen w/dye<br />
74170 Ct abdomen w/o & w/dye<br />
74175 Ct angio abdom w/o & w/dye<br />
74181 Mri abdomen w/o dye<br />
74182 Mri abdomen w/dye<br />
74183 Mri abdomen w/o & w/dye<br />
74185 Mri angio, abdom w orw/o dye<br />
74210 Contrst x-ray exam of throat<br />
74220 Contrast x-ray, esophagus<br />
74230 Cine/vid x-ray, throat/esoph<br />
74240 X-ray exam, upper gi tract<br />
74241 X-ray exam, upper gi tract<br />
74245 X-ray exam, upper gi tract<br />
74246 Contrst x-ray uppr gi tract<br />
74247 Contrst x-ray uppr gi tract<br />
74249 Contrst x-ray uppr gi tract<br />
74250 X-ray exam of small bowel<br />
74290 Contrast x-ray, gallbladder<br />
74291 Contrast x-rays, gallbladder<br />
74710 X-ray measurement of pelvis<br />
75557 Cardiac MRI for morph<br />
75559 Cardiac MRI w/stress img<br />
75561 Cardiac MRI for morph w/dye<br />
75563 Card MRI w/stress img & dye<br />
75635 Ct angio abdominal arteries<br />
76000 Fluoroscope examination<br />
76010 X-ray, nose to rectum<br />
76100 X-ray exam of body section<br />
76101 Complex body section x-ray<br />
76102 Complex body section x-rays<br />
1445
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