|
Spine Procedures |
|
|
CT |
|
No IV Contrast |
|
-/+ IV Contrast |
|
+IV only |
|
|
|
|
|
|
|
|
|
|
|
|
Normal |
Atrophy |
LA |
Atr+LA |
Normal |
Atrophy |
LA |
Atr+LA |
Normal |
|
|
700c |
Lumbar
puncture (chemo) |
|
|
CT
Head (fast, BrainLab, GK, craniosynostosis) |
301 |
302 |
303 |
304 |
301c |
302c |
303c |
304c |
301co |
|
|
701 |
Cervical puncture |
|
|
|
(perfusion, acetazolamide) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CT Head + Pituitary |
|
311 |
|
|
|
311c |
|
|
|
311co |
|
|
706f |
Cervical
Myelogram |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
712 |
Thoracic
Myelogram |
|
|
CT
Temporal bone (cisternogram) |
321 |
|
|
|
321c |
|
|
|
321co |
|
|
718f |
Lumbar
Myelogram |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CT Orbit |
|
|
331 |
|
|
|
331c |
|
|
|
331co |
|
|
724f |
C+T Myelograms |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
730f |
T+L Myelograms |
|
|
|
CT
Sinus (limited, BrainLab, cisterngram, choanal atresia) |
341 |
|
|
|
341c |
|
|
|
341co |
|
|
736f |
C+L Myelograms |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
742f |
C+T+L
Myelograms |
|
|
CT Facial Bones |
|
345 |
|
|
|
345c |
|
|
|
345co |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
744 |
Blood Patch |
|
|
|
CTA Intracranial |
|
|
|
|
|
375c |
|
|
|
375co |
|
|
745 |
Discogram |
|
|
|
CTA Extracranial (trauma) |
|
|
|
|
|
|
|
|
|
376co |
|
|
746 |
Lumbar ESI |
|
|
|
CTA
Extracranial and Intracranial
(trauma) |
|
|
|
|
377c |
|
|
|
377co |
|
|
747 |
Facet/Pars
injection |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
748 |
SI joint injection |
|
|
|
CT Neck (4D) |
|
|
391 |
|
|
|
391c |
|
|
|
391co |
|
|
749 |
Selective
nerve block |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
750 |
Disc
aspiration/biopsy |
|
|
CT C-spine |
|
|
401 |
|
|
|
|
|
|
|
401co |
|
|
751 |
Cervical ESI |
|
|
|
CT T-spine |
|
|
403 |
|
|
|
|
|
|
|
403co |
|
|
c = "complete" f = "flex ex" |
|
|
CT L-spine |
|
|
405 |
|
|
|
|
|
|
|
405co |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CT Chest |
|
|
451 |
|
|
|
|
|
|
|
451co |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CTA Chest - PE |
|
|
|
|
|
|
|
|
|
452co |
|
|
|
Fluoro |
|
|
CTA Chest and Abdomen -
dissection |
|
|
|
|
|
|
|
|
453co |
|
|
|
|
|
|
|
|
CTA Abdomen/Pelvis,
(none) - AAA |
|
|
|
|
|
|
|
|
454co |
|
|
150 |
Cookie
swallow |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
151 |
Esophagram |
|
|
|
CT Abdomen/Pelvis,
(oral) - routine |
471 |
|
|
|
471c |
|
|
|
471co |
|
|
152 |
UGI |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
153 |
UGI + SBFT |
|
|
|
|
|
|
|
|
|
c =
"contrast" (without and with)
co = "contrast only" |
154 |
SBFT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
155 |
BE |
|
|
|
|
MRI |
|
|
No Gadolinium |
|
|
-/+ Gadolinium |
|
|
|
|
156 |
Defecogram |
|
|
|
|
|
|
|
Normal |
Atrophy |
LA |
Atr+LA |
Normal |
Atrophy |
LA |
Atr+LA |
|
|
|
157 |
DHT placement |
|
|
|
MR Brain (fast,
BrainLab, GK, GK trigeminal/mets/pituitary) |
501 |
502 |
503 |
504 |
501g |
502g |
503g |
504g |
|
|
|
158 |
ERCP |
|
|
|
|
(perfusion) |
|
|
|
|
|
|
|
|
|
|
|
|
159 |
IVP |
|
|
|
|
MR Brain + Pituitary |
|
511 |
|
|
|
511g |
|
|
|
|
|
|
160 |
Hysterosalpingogram |
|
|
MR Pituitary |
|
|
516 |
|
|
|
516g |
|
|
|
|
|
|
161 |
Arthrogram,
Shoulder |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
162 |
Injection,
shoulder gad |
|
|
MR Brain + Temp Bone |
|
521 |
|
|
|
521g |
|
|
|
|
|
|
163 |
Injection,
hip steroids |
|
|
MR IAC |
|
|
526 |
|
|
|
526g |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MR Brain + Orbits |
|
531 |
|
|
|
531g |
|
|
|
|
|
|
|
US |
|
|
|
MR Orbits |
|
|
532 |
|
|
|
532g |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
200r |
Abdomen
(RUQ, Appendix, Pyloric Stenosis) |
|
|
MR Brain + Sinonasal |
|
541 |
|
|
|
541g |
|
|
|
|
|
|
201 |
Renal |
|
|
|
|
MR Face/Sinonasal |
|
546 |
|
|
|
546g |
|
|
|
|
|
|
|
|
|
|
|
|
MR TMJ |
|
|
547 |
|
|
|
547g |
|
|
|
|
|
|
210r,l,b |
Leg,
DVT (right, left, bilateral) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
211r,l,b |
Arm,
DVT (right, left, bilateral) |
|
|
MR Brain + MRA COW |
|
551 |
552 |
553 |
554 |
551g |
552g |
553g |
554g |
|
|
|
212r,l |
Groin,
pseudoaneurysm |
|
|
MR Brain + MRA COW + MRA
Neck |
561 |
562 |
563 |
564 |
561g |
562g |
563g |
564g |
|
|
|
213 |
Carotid,
Duplex |
|
|
MR Brain + MRA COW + MRA
Gd |
|
|
|
|
571g |
572g |
573g |
574g |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
220 |
Scrotum |
|
|
|
MRA COW |
|
|
575 |
|
|
|
|
|
|
|
|
|
|
221 |
Thyroid |
|
|
|
MRA Neck |
|
|
576 |
|
|
|
576g |
|
|
|
|
|
|
|
|
|
|
|
|
MRA COW + MRA Neck |
|
577 |
|
|
|
577g |
|
|
|
|
|
|
271 |
Pelvis |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
272 |
Pelvis,
r/o ectopic - no IUP |
|
|
MR Brain + MRV (Dural
sinuses) |
|
|
|
|
581g |
582g |
583g |
584g |
|
|
|
273 |
Pelvis,
r/o ectopic - IUP |
|
|
MRV (Dural sinuses) |
|
586 |
|
|
|
|
|
|
|
|
|
|
274 |
Obstetric |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MR Brain + Spectroscopy |
|
|
|
|
|
587g |
|
|
|
|
|
|
235 |
Paracentesis |
|
|
|
Spectroscopy |
|
|
588 |
|
|
|
|
|
|
|
|
|
|
236 |
Thoracentesis |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
r = "right" l = "left" b =
"bilateral" |
|
|
MR Neck |
|
|
591 |
|
|
|
591g |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MR C spine |
|
|
601 |
|
|
|
601g |
|
|
|
|
|
|
|
NUCS |
|
|
MR T spine |
|
|
603 |
|
|
|
603g |
|
|
|
|
|
|
|
|
|
|
|
|
MR L spine |
|
|
605 |
|
|
|
605g |
|
|
|
|
|
|
250 |
V/Q |
|
|
|
|
MRA spinal cord |
|
|
|
|
|
612g |
|
|
|
|
|
|
251 |
GI Bleed |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
252 |
HIDA |
|
|
|
|
MR Brachial plexus |
|
615 |
|
|
|
615g |
|
|
|
|
|
|
253 |
HIDA with EF |
|
|
|
MR Sacral plexus |
|
617 |
|
|
|
617g |
|
|
|
|
|
|
254 |
Liver-Spleen |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
255 |
Meckel's |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
256 |
Gastric
Emptying |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
257 |
Renal |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
258 |
Renal
with lasix |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
259 |
Testicular |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
261 |
Cisternography |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
262 |
Brain
Perfusion |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
263 |
Bone, 3 phase |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
264 |
Bone,
whole body |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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