Commonly Used CPT Codes for CT
(Computed Tomography)
Harrison Imaging Centers
Procedure CPT Code Indications
CT Abdomen Pelvis with and
74178 IVP, Hematuria-Kidneys, Ureter, Bladder
without IV Contrast
CT Abdomen Pelvis with IV
74177 Emergent Appendicitis
Contrast
CT Abdomen Pelvis without
74176 KUB Renal Colic - Kidney Stones, Ureters, Bladder
IV Contrast
CT Abdomen with and
74170 Pancreas, Liver, Adrenal
without IV Contrast
CT Angiogram Abdomen
CT Angiography - Aorta, Bifurcation, Mesenteric,
Pelvis with and or without IV 74174
Internal/Ext Iliac Arteries, Aneurysm, Dissection
Contrast
CT Angiogram Abdomen
CT Angiography- Visualization of Abdominal Aorta,
with and or without IV 74175
Splenic, Celiac and Renal Arteries
Contrast
CT Angiogram Abdominal
Aorta and Iliofemoral Runoff CT Angiography. Visualization Abdominal , Pelvic
75635
with and or without IV and Bilateral Lower Extremity Arteries
Contrast
CT Angiogram Chest
71275
Abdomen Pelvis with and Combined CT Angiogram Chest/Abdomen/Pelvis
72174
without IV Contrast
CT Chest Angiography- Visualization Chest Great
CT Angiogram Chest with Vessels, Pulmonary Arteries, Thoracic Aorta.
71275
and without IV Contrast Pulmonary Embolism, Aneurysm, Dissection,
Widen Mediastinum
Commonly Used CPT Codes for CT | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
CT Cervical Spine with IV
72126 Abscess , Infection, Discitis
Contrast
CT Cervical Spine without IV Trauma, Fracture, Neck Pain, Degenerative Disc
72125
Contrast Disease , HNP
CT Chest High Resolution 71250 Follow up on Pulmonary Nodule
Most common, Lung, Chest Mass, Nodule, Tumor,
CT Chest with IV Contrast 71260 Pneumonia, Abscess, abnormal Chest X-ray, SOB,
Chest Pain
CT Chest without IV Contrast 71250 Follow up on Pulmonary Nodule
CT Enterography Abdomen
74177 Bowel Disease, Crohn’s Disease
and Pelvis with IV Contrast
Tumor or Mass, Metastatic Disease, Abscess,
CT Head with IV Contrast 70460
Infection, Follow-up
Most common, Acute Headaches , Trauma Bony
CT Head without IV Contrast 70450 Abnormality, Fracture, Dizziness, CVA, TIA,
Dementia, Altered Mental Status (AMS)
CT Heart Calcium Score
75571 Calcium Score Quantification
without IV Contrast
CT Landmark Sinus without
70486 Pre-Surgical Scan- Sinus
IV Contrast
Commonly Used CPT Codes for CT | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure Name CPT Code Indications
Soft Tissue, Mass, Tumor, Cellulites, Abscess.
CT Lower Extremity with IV
73701 Infection, Osteomyelitis. Limit scan area to area of
Contrast
interest *Not CT Angiogram
Trauma, Fracture, Bone Detail, Erosion, Post Op
CT Lower Extremity without
73700 Fracture Status, Non-Union Limit scan area to area
IV Contrast
of interest
CT Lumbar Spine with IV
72132 After myelogram, Abscess, Infection, Discitis
Contrast
CT Lumbar Spine without IV Trauma, Fracture, Low Back Pain, Degenerative
72131
Contrast Disc Disease , HNP
CT Maxillofacial without IV
70486 Trauma, Fracture
Contrast
Evaluate organs of the Pelvis- Bladder, Ovaries,
Uterus, Prostate. LLQ or RLQ Pain, Mass, Pelvic
CT Pelvis with IV Contrast 72193
Tumor, Inguinal Hernia, Abscess *Not usually
ordered without CT Abdomen.
Evaluate Bony structures of the Pelvis-Trauma,
CT Pelvis without IV Contrast 72192
Fracture, Lesions
Soft Tissue Structures, Thyroid, Lymph Nodes,
CT Soft Tissue Neck with IV Larynx, Salivary Glands- Tumor or Mass, Difficulty
70491
Contrast Swallowing, Enlarged Lymph Nodes, Lymphoma,
Abscess
Commonly Used CPT Codes for CT | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Epic Procedure Name CPT Code Indications
CT Thoracic Spine with IV
72129 After myelogram, Abscess, Infection, Discitis
Contrast
CT Thoracic Spine without IV Trauma, Fracture, Mid Back Pain, Degenerative
72128
Contrast Disc Disease , HNP
Soft Tissue, Mass, Tumor, Cellulites, Abscess,
CT Upper Extremity with IV
73201 Infection, Osteomyelitis. Limit scan area to area of
Contrast
interest only *Not CT Angiogram
Trauma, Fracture, Bone Detail, Erosion. Post Op
CT Upper Extremity without
73200 Fracture status, Non-Union Limit scan area to area
IV Contrast
of interest only
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness,
consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in
making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these
guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology.
http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be
requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.
Commonly Used CPT Codes for CT | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Commonly Used CPT Codes for MRI
Harrison Imaging Centers
Procedure CPT Code Indications
MRI Abdomen with and Liver, Spleen, Kidneys, Adrenal glands, Pancreas,
74183
without IV Contrast Tumor, Mass, Cysts
MRI Abdomen without IV Evaluate Gallbladder, Common Bile Duct,
74181
Contrast Pancreatic Duct, Stones
MR Angiogram-Abdominal Aorta to include
MRI Angiogram Abdomen with
74185 bifurcation-Renal, Celiac, Super/Inferior
and without IV Contrast
Mesenteric Arteries
MRI Angiogram Chest with and
71555 MR Angiogram- Great Vessels
without IV Contrast
MRI Angiogram Head with and
70546 MR Angiogram- Brain, Aneurysm, Stroke
without IV Contrast
MR Angiogram -Carotid, Subclavian and
MRI Angiogram Neck with and
70549 Vertebral Arteries-Include Aortic Arch to Circle
without IV Contrast
of Willis
MRI Ankle with and without IV Inflammation, Infection, Osteomyelitis, Tumor,
73723
Contrast Mass
Most Common. Ligament/Tendon Tears,
MRI Ankle without IV Contrast 73721
Avascular Necrosis, Trauma, FX
MRI Brachial Plexus 71552 Chest Mass, Tumor
MRI Brain with and without IV
70553 MS, Cancer History, IAC
Contrast
MRI Brain without IV Contrast 70551 Routine, Headache
MRI Breast with and without
77059 New Cancer Diagnosis, History
IV Contrast
Commonly Used CPT Codes for MRI | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
MRI Cervical Spine with and
72156 MS, Cancer History, Cord lesion, Discitis
without IV Contrast
MRI Cervical Spine without IV Most Common - Neck Pain, Suspected HNP,
72141
Contrast Trauma
MRI Elbow with and without IV Inflammation, Infection, Osteomyelitis,
73223
Contrast Tumor, Mass
MRI Elbow with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament or Tendon Tear,
MRI Elbow without IV Contrast 73221
Trauma, FX, Avascular Necrosis
MRI Foot with and without IV Inflammation, Infection, Osteomyelitis,
73720
Contrast Tumor, Mass
Most Common - Ligament or tendon Tear,
MRI Foot without IV Contrast 73718
Trauma, FX
MRI Hip with and without IV Inflammation, Infection, Osteomyelitis,
73723
Contrast Tumor, Mass
MRI Hip with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery
MRI Knee with and without IV Inflammation, Infection, Osteomyelitis,
73723
Contrast Tumor, Mass
MRI Knee with IV Contrast 73722 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament/Tendon Tears,
MRI Knee without IV Contrast 73721
Meniscal Tears, Avascular Necrosis, Trauma, FX
Commonly Used CPT Codes for MRI | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
MRI Lumbar Spine with and MS, Cancer History, Cord Lesion, Discitis, Tumor,
72158
without IV Contrast Post-operative
MRI Lumbar Spine without IV Most Common - Back Pain, Suspected HNP,
72148
Contrast Trauma
Evaluate Gallbladder, Common Bile duct,
MRI MRCP without IV Contrast 74181
Pancreatic Duct, Stones
MRI Orbit Face and or Neck Inflammation, Infection, Osteomyelitis,
70543
with and without IV Contrast Tumor, Mass
MRI Orbit Face and or Neck
70540 Larynx, Lymph Nodes
without IV Contrast
MRI Pelvis with and without IV Inflammation, Infection, Osteomyelitis,
72197
Contrast Pelvic organs- Uterus, Bladder, Prostate, Ovaries
MRI Pelvis without IV Contrast 72195 Bony Pelvis, Uterus, Defecogram
MRI Prostate with and without Prostate Specific Protocol
72197
IV Contrast *Schedule at Bremerton Prostate Coil only
MRI Shoulder with and Inflammation, Infection, Osteomyelitis,
73223
without IV Contrast Tumor, Mass
MRI Shoulder with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
MRI Shoulder without IV Most Common - Rotator cuff Tear, Ligament or
73221
Contrast Tendon Tear, Trauma, FX, Avascular Necrosis
MRI Temporomandibular
70336 TMJ, Dental
Joints
Commonly Used CPT Codes for MRI | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Commonly Used CPT Codes for MRI
Harrison Imaging Centers
Procedure CPT Code Indications
MRI Thoracic Spine with and MS, Cancer History, Spinal Surgery History,
72157
without IV Contrast Discitis
MRI Thoracic Spine without IV Most Common - Mid Back Pain, Suspected HNP,
72146
Contrast Trauma
MRI Wrist with and without IV Inflammation, Infection, Osteomyelitis,
73223
Contrast tumor, Mass
MRI Wrist with IV Contrast 73222 Arthrogram – Tear, Ligament Injury, Surgery
Most Common - Ligament or Tendon Tear,
MRI Wrist without IV Contrast 73221
Trauma, FX, Avascular Necrosis
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness,
consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in
making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these
guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology.
http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
For patients requiring IV contrast for either CT or MRI: Recent (30 days) creatinine and BUN lab results will be
requested for patients over age 60 or with a history of kidney disease, hypertension and/or diabetes.
Commonly Used CPT Codes for MRI | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Commonly Used CPT Codes for
Ultrasound
Harrison Imaging Centers
Procedure CPT Code Indications
Abdominal Pain, Nausea and/or Vomiting,
US Abdomen Complete 76700
Abnormal Liver Function Test
Specific Organ or Region - Hernia, Pyloric Stenosis,
US Abdomen Limited 76705 Appendix, RUQ, Abdominal Wall Evaluation ,
Gallstones, Hepatitis
US Abdominal Aorta Limited 76775 Diagnostic Aorta Evaluation
US Breast Biopsy Initial
19083 Mass, Lesion
Lesion
US Breast Complete 76641 Screening - Complete Breast and Axilla
US Breast Limited 76642 Diagnostic - Specific Targeted Area
US Chest 76604 Pleural Effusion, Mass
US Extremity Non Vascular Joint Pain, Tendon/Ligament Pain, Fluid Collection,
76882
Limited Mass
US Fetal Biophysical Profile Biophysical Profile Only. Add OB Limited if
76819
without Non Stress Testing Additional Needed
Uterine Abnormalities, Infertility, Multiple
US Hysterosonogram 76831
Miscarriage
US Infant Hips with Dysplasia, Breech Birth, Hip Click, Family History of
76885
Manipulation DDH
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
US Medicare AAA Screen G0389 Medicare Abdominal Aorta Screening
US OB Detail Fetal Anatomy
76811 Fetal Survey Only, Gestational Age of 18-20 Weeks
Single or First Gestation
Cervical Length, Pre-Term Labor, Cramping,
US OB Greater than 14
76805 Spotting, History of Cervical Incompetence,
Weeks and OB Transvaginal
Placenta Previa or Placenta Location
US OB Less than 14 Weeks
Early OB study with Transvaginal to Visualize
Single or First Gestation and 76801
Anatomy
OB Transvaginal
US OB Less than 14 Weeks
Transabdominal Single 76801 Early OB study, no TV
Gestation
US OB Limited 76815 AFI, HR, Placenta or Position
AFI, HR, Placenta or Position with Transvaginal
US OB Transvaginal 76817
Imaging to Visualize Anatomy
US Pelvis Complete Pain, Ovarian Cyst, Ovarian Torsion
76856
(Transabdominal Only) Fibroid Uterus, Post-Menopausal Bleeding
Pain, Ovarian Cyst, Ovarian Torsion
US Pelvis Complete and US
76856 Fibroid Uterus, Post-Menopausal Bleeding, with TV
Non-OB Transvaginal
to Visualize Anatomy
Urinary Retention, Post Void Residual, Enlarged
US Pelvis Limited 76857
Prostate, Bladder Outlet Obstruction
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
US Retroperitoneal Kidney Stone, Hematuria, ARF, CRI, Follow-up
76770
Complete Hydronephrosis
Flank Pain, Renal Failure, Trauma, Hydronephrosis,
US Retroperitoneal Limited 76775
Renal Stone
US Scrotum and Testicles 76870 Pain, Mass, Torsion
US Thyroid Parathyroid Mass, Enlarged Thyroid or Parathyroid, Hyper- or
76536
Neck Hypothyroidism, History of Thyroid Cancer
Vascular AAA Duplex
93979 Diagnostic Aorta Evaluation
Limited
Vascular Arterial Lower
93925 Aneurysm, Arterial Embolus, Graft Evaluation
Extremity Duplex Bilateral
Vascular Arterial Lower
93926 Aneurysm, Arterial Embolus, Graft Evaluation
Extremity Duplex
Vascular Carotid Duplex Syncope, Hemiplegia, Difference in Arm Blood
93880
Bilateral Pressure, Aphasia, Ataxia
Vascular Inferior Vena Cava
93979
Duplex Limited
Vascular Portal Hepatic Cirrhosis or Hepatic Disease, Ascites, Varices, Portal
93976
Venous Duplex Limited Vein Thrombosis
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
Procedure CPT Code Indications
Vascular Renal Duplex Renal Artery Stenosis, Uncontrolled Hypertension,
93975
Bilateral Renal Bruit, Stent Follow-Up
Vascular Veins Lower
93970 DVT, Postphlebetic Ulcer, Varicose Veins with Pain
Extremity Duplex Bilateral
Vascular Veins Lower
93971 DVT, Postphlebetic Ulcer, Varicose Veins with Pain
Extremity Duplex
Indications and exams provided as a general guideline. Should you have questions about exam appropriateness,
consult a radiologist or the ACR Appropriateness Criteria®.
ACR Appropriateness Criteria® are evidence-based guidelines to assist referring physicians and other providers in
making the most appropriate imaging or treatment decision for a specific clinical condition. By employing these
guidelines, providers enhance quality of care and contribute to the most efficacious use of radiology.
http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
Commonly Used CPT Codes for Ultrasound | Harrison Imaging Centers
Silverdale/Port Orchard/Breast Imaging: (360) 377-6500
Bremerton/Poulsbo: (360) 479-6555
