X Ray CPT / Procedure code list

General X-ray  CPT CODE
AC joints bilateral	73050
Abdomen 1-view	74000
Abdomen 2- view	74020
Abdomen 3- view	74022
Ankle 1-2 view	73600
Ankle 3-view	73610
Arthogram ankle	73615, 27648
Arthogram elbow	24220
Arthrogram knee	27370
Arthrogram shoulder	23350
Arthrogram wrist	25246
Barium enema	74270
Barium enema double contrast	74280
Bone age (wrist, hand)	77077
Bone survey complete	77075
Bone survey limited	77074
Bone survey infant	77076
C-spine minimum 5 views	72052
C-spine minimum 4 views	72050
C-spine 1 view	72020
C-spine 2 -3 views	72040
Pelvis 3 views i.e. cesium implant	72190
Chest 2 views	71020
Chest lateral decubitus	71035
Chest 4 views	71030
Chest 1 view	71010
Cholangiogram	74300
Cholangiogram T-tube	74305
Clavicle	73000
Cystogram 3 views	74430
Elbow 2 views	73070
Elbow minimum 3 views	73080
Small bowel i.e. enteroclysis	74251
Esophagus	74220
Esophagus dilatation	74360
Facial bones less than 3 views	70140
Facial bones minimum 3 views	70150
Feeding tube placement	43752
Femur 2 views	73550
Fingers minimum 2 views	73140
Foot 2 views	73620
Foot minimum 3 views	73630
Forearm 2 views	73090
Cholecystogram	74290
Cholecystogram (repeat)	74291
Small bowel air contrast	74249
GI series air contrast	74247
GI single contrast; barium	74241
GI single series with small bowel	74245
GI esophagus	74240
Hand 2 views	73120
Hand minimum 3 views	73130
Hip 1 view	73500
Hip 2 views	73510
Hip intraoperative	73530
Hip bilateral minimum 2 views	73520
Humerus 2 views	73060
Pyelogram IV	74400
Infant lower extremity minimum 2 views	73592
Intrathecal injection with contrast	62284
Intrathecal chemo injection	96450
Intrathecal radioisotope injection	62311
Intrathecal bacolofen injection	62310
Kidney, ureter and bladder, ie KUB	74000
Knee 1 or 2 views	73560
Knee 3 views	73562
Knee 4 or more views	73564
Knee 1 view bilateral standing	73565
L-spine flexion and extension minimum 4 views	72120
L-spine minimum 4 views	72110
L-spine 1 view	72020
L-spine 2 or 3 views	72100
Bone length studies	77073
Loopogram	74425
Lumbar puncture; diagnostic	62270, 76005
Lumbar puncture; therapeutic for drainage of CSF by needle or catheter	62272, 76005
Mandible complete	70110
Mandible less than 4 views	70100
Mastoid less than 3 views	70120
Mastoid minimum 3 views	70130
Myelogram cervical	72240
Myelogram complete	72270
Myelogram lumbar	72265
Myelogram thoracic	72255
Nasal bones minimum 3 views	70160
OS calcis 2 views	73650
Orbits minimum 4 views	70200
Panorex	70355
Peds foreign body, nose to rectum	76010
Pelvis 1 or two views	72170
Mandible less than 4 views	70100
Mastoid less than 3 views	70120
Mastoid minimum 3 views	70130
Myelogram cervical	72240
Myelogram complete	72270
Myelogram lumbar	72265
Myelogram thoracic	72255
Nasal bones minimum 3 views	70160
OS calcis 2 views	73650
Orbits minimum 4 views	70200
Panorex	70355
Peds foreign body, nose to rectum	76010
Pelvis 1 or two views	72170
Pelvis minimum 3 views	72190
Pyelogram retrograde	74420
Ribs bilateral 3 views	71110
Ribs bilateral 3 views with chest	71111
Ribs unilateral 2 views with chest	71101
Ribs unilateral 2 views	71100
SI joint less than 3 views	72200
SI joint minimum 3 views	72202
Sacrum and/or coccyx	72220
Salpingogram	74740
Scapula	73010
Scoliosis single view	72020
Scoliosis 2 views	72069
73030
Shunt placement series, order three codes	70250, 74020 71020
Sialogram	70390, 42550
Sinogram	76080, 20501
Sinus less than 3 views	70210
Sinus minimum 3 views	70220
Skull less than 4 views	70250
Skull minimum 4 views	70260
Small bowel	74250
Soft tissue neck	70360
Spine complete 2 views	72010
Spine single view	72020
Sternoclavicular joint minimum 3 views	71130
Sternum 2 views	71120
Swallowing study	74230
TMJ bilateral	70330
TMJ unilateral	70328
Thoracic spine 2 views	72070
Thoracic spine 3 views	72072
Thoracic spine 4 views	72074
Thoracic-Lumbar 2 views	72080
Tibia-fibula 2 views	73590
Toes minimum 2 views	73660
Tomogram	76100
Urethrogram	74450
Venogram bilateral	75822
Venogram unilateral	75820
Voiding cystouretrogram	74455, 51600
Wrist 2 views	73100
Wrist minimum 3 views	73110
Zygomatic arches less than 3 views	70140

X Ray CPT CODES another list

72010 x-ray spine entire
72020 x-ray spine, 1 view
72040 xray spine cervical 2-3 views
72050 x-ray, spine cervical 4+ views
72052 x-ray spine cervical complete,
72069 x-ray spine standing for thoracolumbar
72070 x-ray spine thoracic 2 views
72072 x-ray spine thoracic 3 views
72074 x-ray, spine thoracic 4+ views
72080 x-ray spine thoracolumbar 2 views
72090 x-ray spine thoracolumbar supine and standing
72100 x-ray spine lumbosacral 2-3 views
72110 x-ray spine lumbosacral 4+ views
72114 x-ray spine lumbosacral complete
72120 x-ray spine lumbosacral bending only
72170 x-ray pelvis, 1-2 views
72190 x-ray pelvis complete
72200 x-ray sacroiliac joints, up to 3 views
72202 x-sacroiliac joints 3+ views
72220 x-ray sacrum and coccyx 2+ views
73000 x-ray clavicle complete
73010 x-ray scapula compete
73020 x-ray shoulder 1 view
73030 x-ray shoulder 2+ views
73050 x-ray acromioclavicular joint, bilateral
73060 x-ray humerus, 2+ views
73070 x-ray elbow 2 views
73080 x-ray elbow 3+ views
73090 x-ray forearm 2 views
73100 x-ray wrist, 2 views
73110 x-ray wrist, 3+ views
73120 x-ray hand 2 views
73130 x-ray hand 3+ views
73140 x-ray finger(s) 2+ views
73500 x-ray hip unilateral 1 view
73510 x-ray hip unilateral 2+ views
73520 x-ray hip bilateral 2+ views
73550 x-ray femur 2 views
73560 x-ray knee 1-2 views
73562 x-ray knee 3 views
73564 x-ray knee 4+ views
73565 x-ray bilateral knees standing
73590 x-ray tibia fibula 2 views
73600 x-ray ankle 2 views
73610 x-ray ankle 3+ views
73620 x-ray foot, two views
73630 x-ray foot, 3+ views
73650 x-ray heel 2+ views
73660 x-ray toe--2 or more views
71100 xray ribs, unilateral; 2 views
71110 x-ray ribs, bilateral 3 views
71120 x-ray sternum, 2+ views

71130 x-ray, sternum+sc joint


72141 MRI MR Cervical without contrast with Flexion & Extension
• Neck pain/upper extremity radicular symptoms, especially when position dependent
• Neck pain w/ upper extremity radicular symptoms w/ suspected cervical instability
• Disc herniation
• Fracture
• Soft tissue damage
• Spinal stenosis
• Trauma

72141* MRI MR Thoracic without contrast
72146 MRI MR Lumbar without contrast
72148 MRI MR Lumbar without contrast with Flexion & Extension
• Back pain/lower extremity radicular symptoms, especially when position dependent
• Back pain/lower extremity radicular symptoms w/ suspected low back instability
• Disc bulge
• Disc herniation
• Incontinence
• Spinal stenosis
• Trauma

72148* MRI MR Lumbar withoutand with contrast
• Cauda Equina syndrome
• Mass/lesion
• Postoperative back pain or radiculopathy
• Suspected disc space infection/osteomyelitis

72158 MRI MR Lumbar Weight Bearing without and with contrast
• Cauda Equina syndrome
• Mass/lesion
• Suspected disc space infection/osteomyelitis
• When the above symptoms change significantly w/ versus w/out weight bearing

73721 MRI MR Sacrum/Coccyx without contrast
• Injury
• Pain

72195 X-RAY XR Cervical 2-3 Views • Neck pain
• Suspected lesion
• Upper extremity pain

72040 X-RAY XR Cervical 4-5 Views • Neck pain
• Suspected lesion
• Upper extremity pain

72050 X-RAY XR Cervical 6+ Views (Davis Series)
• Neck pain
• Suspected lesion
• Upper extremity pain

72052 X-RAY XR Thoracic 2 Views • Back pain
• Suspected lesion

72070 X-RAY XR Thoracic 4+ Views • Back pain with thoracic cage pain
• Suspected lesion

72074 X-RAY XR Lumbar 2-3 Views • Back pain
• Suspected lesion
• Leg pain

72100 X-RAY XR Lumbar 4 +Views • Back pain
• Suspected lesion
• Leg pain

72110 X-RAY XR Lumbar Complete with Bending
• Back pain with or without leg pain, especially if symptoms increase with bending
• Suspected lesion
• Suspected lumbar instability

72114
X-RAY XR Sacrum & Coccyx 2+ Views • Fracture
• Pain or tenderness
• Tumor

72220
MODALITY PROCEDURE REASON FOR STUDY CPT
CT CT Cervical without contrast • Arthritis
• Disc herniation
• Failed fusion
• Infection

72125
CT CT Lumbar without contrast • Arthritis
• Disc herniation
• Failed fusion
• Infection 72131


 PROCEDURE DESCRIPTION CPT CODE
• Chest 1 View 71010
• Chest 2 Views 71020
• Chest Minimum 4 Views 71030
• Chest Special Views 71035
• Ribs Unilateral 2 Views 71100
• Ribs Unilateral 2 Views with PA CXR 71101
• Ribs Bilateral 3 Views 71110
• Sternum Minimum 2 Views 71120
• Sternoclavicular Joints 3 Views 71130
• Abdomen or KUB or 1 View 74000
• Abdomen 2 View Complete or Flat and Upright 74020
• Acute Abdomen Series + PA CXR 3 Views 74022
• Pelvis 1 or 2 Views 72170
• Pelvis Minimum 3 Views 72190
• Sacrum & Coccyx Minimum 2 Views 72220
• Sacroiliac Joints 3+ Views 72202
• Finger(s) Minimum 2 Views 73140
• Hand 2 Views 73120
• Hand Minimum 3 Views 73130
• Wrist 2 Views 73100
• Wrist Minimum 3 Views 73110
• Forearm 2 Views 73090
• Upper Extremity Infant (up to 364 days old) Minimum 2 Views 73092
• Elbow 2 Views 73070
• Elbow Minimum 3 Views 73080
• Humerus Minimum 2 Views 73060
• Shoulder 1 View 73020
• Shoulder Minimum 2 Views 73030
• Acromioclavicular Joints Bilateral 73050
• Clavicle Complete 73000
• Scapula Complete 73010
• Toe(s) Minimum 2 Views 73660
• Foot 2 Views 73620
• Foot Minimum 3 Views 73630
• Calcaneus (Heel) Minimum 2 Views 73650
• Ankle 2 Views 73600
• Ankle Minimum 3 Views 73610
• Tibia & Fibula 2 Views 73590
• Lower Extremity Infant (up to 364 days old) 2+ Views 73592
• Knee 1 or 2 Views 73560
• Knee 3 Views 73562
• Knee 4 or More Views 73564
• Both Knees Standing AP 73565
• Bone Age Studies 77072
• Bone Length Studies 77073
• Osseous Complete (Bone Survey) 77075
• Mandible < 4 Views 70100
• Mandible 4 Views 70110
• Screening Orbit (Pre MRI) 70030
• Facial Bones < 3 Views 70140
• Facial Bones Minimum 3 Views 70150
• Nasal Bones Minimum 3 Views 70160
• Orbits Minimum 4 Views 70200
• Sinuses Paranasal < 3 Views 70210
• Sinuses Paranasal Minimum 3 Views 70220
• Skull < 4 Views 70250
• Skull Minimum 4 Views 70260
• Neck Soft Tissue (Not for Cervical Spine) 70360
• C-Spine 2 or 3 Views 72040
• C-Spine Minimum 4-5 Views 72050
• C-Spine Complete 6 or More Views 72052
• T-Spine 2 Views 72070
• T-Spine 3 Views 72072
• T-Spine 4 Views 72074
• L/S Spine 2 or 3 Views 72100
• L/S Spine Minimum 4 Views 72110
• L/S Spine Complete with Bending Views (Minimum 6 Views) 72114
• L/S Spine Bending Views (Only 2-3 Views) 72120
• Thoracolumbar Junction (Minimum 2 Views) 72080
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 1 View 72081
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 2 or 3 Views 72082
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); 4 or 5 Views 72083
• Spine, Entire Thoracic and Lumbar, Including Skull, Cervical and Sacral Spine If Performed (eg, Scoliosis Evaluation); Min. 6 Views 72084
• Hip, Unilateral, with Pelvis When Performed; 1 View 73501
• Hip, Unilateral, with Pelvis When Performed; 2 or 3 Views 73502
• Hip, Unilateral, with Pelvis When Performed; Minimum 4 Views 73503
• Hips, Bilateral, with Pelvis When Performed; 2 Views 73521
• Hips, Bilateral, with Pelvis When Performed; 3-4 Views 73522
• Hips, Bilateral, with Pelvis When Performed; Minimum 5 Views 73523
• Femur; 1 View 73551
• Femur; Minimum 2 Views 73552 74020 complete, including decubitus and/or erect views