Equipment CPT Codes

CT ScansLinear AccelaratorCyberknife/Gamma KnifeLithotripterMRIPET

CT Scans

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  • 70450 - CT Scan, Head/Brain; without contrast material
  • 70460 - CT Scan, Head/Brain; with contrast material(s)
  • 70470 - CT Scan, Head/Brain; without contrast material, then with contrast material(s)
  • 70480 - CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; without contrast material
  • 70481 - CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; with contrast material(s)
  • 70482 - CT Scan, Orbit/Sella/Posterior Fossa/Outer, Middle, Inner Ear; without contrast, then with contrast material(s)
  • 70486 - CT Scan, Maxillofacial Area; without contrast material
  • 70487 - CT Scan, Maxillofacial Area; with contrast material(s)
  • 70488 - CT Scan, Maxillofacial Area; without contrast material, then with contrast material (s) & further sections
  • 70490 - CT Scan, Soft Tissue Neck; without contrast material
  • 70491 - CT Scan, Soft Tissue Neck; with contrast material(s)
  • 70492 - CT Scan, Neck Tissue; without contrast material, then with contrast material(s) & further sections
  • 70496 - CT Angiography, Head, without contrast material(s), followed by contrast material(s), with Image Post-Processing
  • 70498 - CT Angiography, Neck, without contrast material(s), followed by contrast material(s), with Image Post-Processing
  • 71250 - CT Scan, Thorax; without contrast material
  • 71260 - CT Scan, Thorax; with contrast material(s)
  • 71270 - CT Scan, Thorax; without contrast material, then with contrast material (s) & further sections
  • 71275 - CT Angiography, Chest, without contrast material(s), followed by contrast material(s), with Image Post-Processing
  • 72125 - CT Scan, Cervical Spine; without contrast material
  • 72126 - CT Scan, Cervical Spine; with contrast material
  • 72127 - CT Scan, Cervical Spine; without contrast material, then with contrast material(s) & further sections
  • 72128 - CT Scan, Thoracic Spine; without contrast material
  • 72129 - CT Scan, Thoracic Spine; with contrast material
  • 72130 - CT Scan, Thoracic Spine; without contrast material, then with contrast material(s) & further sections
  • 72131 - CT Scan, Lumbar Spine; without contrast material
  • 72132 - CT Scan, Lumbar Spine; with contrast material
  • 72133 - CT Scan, Lumbar Spine; without contrast material, then with contrast material(s) & further sections
  • 72191 - CT Angiography, Pelvis, without contrast material(s), followed by contrast material(s), with Image Post-Processing
  • 72192 - CT Scan, Pelvis; without contrast material
  • 72193 - CT Scan, Pelvis; with contrast material(s)
  • 72194 - CT Scan, Pelvis; without contrast material, then with contrast material(s) & further sections
  • 72292 - CT guidance for percutaeous vertbroplasty or augmentation
  • 73200 - CT Scan, Upper Extremity; without contrast material
  • 73201 - CT Scan, Upper Extremity; with contrast material(s)
  • 73202 - CT Scan, Upper Extremity; without contrast material, then with contrast material(s) & further sections
  • 73206 - CT Angiography, Upper Extremity, without contrast material(s), followed by contrast material(s), with Image Post-Processing
  • 73700 - CT Scan, Lower Extremity; without contrast material
  • 73701 - CT Scan, Lower Extremity; with contrast material(s)
  • 73702 - CT Scan, Lower Extremity; without contrast material, then with contrast material(s) & further sections
  • 73706 - CT Angiography, Lower Extremity, without contrast material(s), followed contrast material(s), with Image Post-Processing
  • 74150 - CT Scan, Abdomen; without contrast material
  • 74160 - CT Scan, Abdomen; with contrast material(s)
  • 74170 - CT Scan, Abdomen; without contrast material, then with contrast material(s) & further sections
  • 74175 - CT Angiography, Abdomen, without contrast material(s), followed by contrast material(s) with Image Post-Processing
  • 74261 - CT Colonography diagnostic including image postprocessing without contrast material
  • 74262 - CT Colonography diagnostic including image postprocessing with contrast material
  • 74263 - CT Colonography screening including image postprocessing
  • 75571 - CT Heart without contrast material with quantitative evaluation of coronary calcuium
  • 75572 - CT Heart with contrast material for evaluation of cardiac structure
  • 75573 - CT Heart with contrast material for evaluation of cardiac structure including 3D postprocessing
  • 75574 - CT Heart Coronary arteries and bypass grafts
  • 75635 - CT Angiography, Abdomen Aorta & Bilateral Iliofem Lower Extremity Runoff, Radiol S&I, without contrast material follow contrast
  • 76380 - CT Scan, Limited/Localized follow-up study
  • 76497 - CT - Unlisted CT procedure
  • 77011 - CT scan for localization
  • 77012 - CT scan for needle biopsy
  • 77013 - CT guide for tissue ablation
  • 77014 - CT scan for radiation therapy guide
  • 77078 - CT Bone density, axial skeleton
  • 77079 - CT Bone density, peripheral
  • 0042T - Cerebral perfusion analysis using CT with contrast

Linear Acceleration

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  • 77401 - Radiation Treatment Delivery, Superficial &/Or Ortho Voltage
  • 77402 - Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; Up To 5 Mev
  • 77403 - Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; 6-10 Mev
  • 77404 - Radiation Treatment Delivery, Single Area, Single/Parallel Opposed Ports; 11-19 Mev
  • 77406 - Radiation Treatment Delivery, Single Treatment; 20+ Mev
  • 77407 - Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; Up To 5 Mev
  • 77408 - Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; 6-10 Mev
  • 77409 - Radiation Treatment Delivery, 2 Areas, 3+ Ports Each Area; 11-19 Mev
  • 77411 - Radiation Treatment Delivery, Two Separate; 20+ Mev
  • 77412 - Radiation Treatment Delivery, 3+ Areas; Up To 5 Mev
  • 77413 - Radiation Treatment Delivery, 3+ Areas; 6-10 Mev
  • 77414 - Radiation Treatment Delivery, 3+ Areas; 11-19 Mev
  • 77416 - Radiation Treatment Delivery, 3+ Areas; 20+ Mev
  • 77418 - IMRT Delivery/TX session
  • 77422 - Neutron beam tx, simple
  • 77423 - Neutron beam tx, complex

Same codes can be used for Gamma Knife/Cyberknife

  • 77402 - Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; up to 5 MeV
  • 77403 - 6-10 MeV
  • 77404 - 11-19 MeV
  • 77406 - 20 MeV or greater
  • 77407 - Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks; up to 5 MeV
  • 77408 - 6-10 MeV
  • 77409 - 11-19 MeV
  • 77411 - 20 MeV or greater
  • 77412 - Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, special particle beam (eg, electron or neutrons); up to 5 MeV
  • 77413 - 6-10 MeV
  • 77414 - 11-19 MeV
  • 77416 - 20 MeV or greater

Gamma Knife

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  • 61795 - Sterotactic Computer assisted volumetric procedure intracranial extracranial or spinal
  • 61796 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator) 1 simple cranial lesion
  • 61797 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator) each additional cranial lesion simple
  • 61798 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator) 1 complex cranial lesion
  • 61799 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator) each additional cranial lesion complex
  • 63620 - Sterotactic radiosurgery (particle beam, gamma ray, or linear accelerator) 1 spinal lesion
  • 63621 - Sterotactic radiosurgery (particle beam, gamma ray, or linear accelerator) additional spinal lesions
  • 77371 - Radiation therapy delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based
  • 77372 - Radiation therapy delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based
  • 77373 - Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fraction
  • 77402 - Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; up to 5 MeV
  • 77403 - 6-10 MeV
  • 77404 - 11-19 MeV
  • 77406 - 20 MeV or greater
  • 77407 - Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks; up to 5 MeV
  • 77408 - 6-10 MeV
  • 77409 - 11-19 MeV
  • 77411 - 20 MeV or greater
  • 77412 - Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, special particle beam (eg, electron or neutrons); up to 5 MeV
  • 77413 - 6-10 MeV
  • 77414 - 11-19 MeV
  • 77416 - 20 MeV or greater
  • 77435 - Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
  • G0251 - Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment

Lithotripter

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  • 50590 - Lithotripsy, Extracorporeal Shock Wave
  • 0019T - Extracorpareal shockwave involving musculoskeletal system
  • 0101T - Extracorpareal shockwave involving musculoskeletal system
  • 0102T - Extracorpareal shockwave involving musculoskeletal system
HCPCS Level II Codes
  • 43265 - Extracorporaeal shockwave lithotripsy for gall stones

MRI

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  • 70336 - MRI, Temporomandibular Joints
  • 70540 - MRI, Orbit, Face, & Neck; without contrast material(s)
  • 70542 - MRI, Orbit, Face, & Neck; with contrast material(s)
  • 70543 - MRI, Orbit, Face, & Neck; without contrast material(s), followed by contrast material(s) & further sequences
  • 70544 - MRA, Head; without contrast material(s)
  • 70545 - MRA, Head; with contrast material(s)
  • 70546 - MRA, Head; without contrast material(s), followed by contrast material(s) & further sequences
  • 70547 - MRA, Neck; without contrast material(s)
  • 70548 - MRA, Neck; with contrast material(s)
  • 70549 - MRA, Neck; without contrast material(s), followed by contrast material(s) & further sequences
  • 70551 - MRI, Brain (Including brain stem); without contrast material
  • 70552 - MRI, Brain (Including brain stem); with contrast material (s)
  • 70553 - MRI, Brain (Including brain stem); without contrast material, then with contrast material (s) & further sequences
  • 70554 - Functional MRI Brain by tech
  • 70555 - Functional MRI Brain by physcian/psych
  • 70557 - MRI OPEN Brain without contrast
  • 70558 - MRI OPEN Brain with contrast
  • 70559 - MRI OPEN Brain without and with contrast
  • 71550 - MRI, Chest; without contrast material(s)
  • 71551 - MRI, Chest; with contrast material(s)
  • 71552 - MRI, Chest; without contrast material(s), followed by contrast material(s) & further sequences
  • 71555 - MRA, Chest (Exclude Myocardium), with or without contrast material(s)
  • 72141 - MRI, Cervical Spine; without contrast material
  • 72142 - MRI, Cervical Spine; with contrast material(s)
  • 72146 - MRI, Thoracic Spine; without contrast material
  • 72147 - MRI, Thoracic Spine; with contrast material(s)
  • 72148 - MRI, Lumbar Spine; without contrast material
  • 72149 - MRI, Lumbar Spine; with contrast material(s)
  • 72156 - MRI, Spine without contrast material, then with contrast material(s); Cervical
  • 72157 - MRI, Spine without contrast material, then with contrast material(s); Thoracic
  • 72158 - MRI, Spine without contrast material, then with contrast material(s); Lumbar
  • 72159 - MRA, Spine with/without contrast material(s)
  • 72195 - MRI, Pelvis; without contrast material(s)
  • 72196 - MRI, Pelvis; with contrast material(s)
  • 72197 - MRI, Pelvis; without contrast material(s), followed by contrast material(s) & further sequences
  • 72198 - MRA, Pelvis, with/without contrast material
  • 73218 - MRI, Upper Extremity, Other Than Joint; without contrast material(s)
  • 73219 - MRI, Upper Extremity, Other Than Joint; with contrast material(s)
  • 73220 - MRI, Upper Extremity, Other Than Joint; without contrast material(s), followed by contrast material(s) & further sequences
  • 73221 - MRI, Any Joint of Upper Extremity; without contrast material(s)
  • 73222 - MRI, Any Joint of Upper Extremity; with contrast material(s)
  • 73223 - MRI, Any Joint of Upper Extremity; without contrast material(s), followed by contrast material(s) & Further Sequ
  • 73225 - MRA, Upper Extremity, with/without contrast material(s)
  • 73718 - MRI, Lower Extremity Other Than Joint; without contrast material(s)
  • 73719 - MRI, Lower Extremity Other Than Joint; with contrast material(s)
  • 73720 - MRI, Lower Extremity Other Than Joint; without contrast material(s), followed contrast material(s) & further sequences
  • 73721 - MRI, Any Joint, Lower Extremity; without contrast material
  • 73722 - MRI, Any Joint, Lower Extremity; with contrast material(s)
  • 73723 - MRI, Any Joint, Lower Extremity; without contrast material(s), followed by contrast material(s) & further sequences
  • 73725 - MRA, Lower Extremity, with/without contrast material(s)
  • 74181 - MRI, Abdomen; without contrast material(s)
  • 74182 - MRI, Abdomen; with contrast material(s)
  • 74183 - MRI, Abdomen; without contrast material(s) followed by contrast material(s) & further sequences
  • 74185 - MRA, Abdomen, with/without contrast material(s)
  • 75557 - Cardiac MRI for morphology & function without contrast
  • 75558 - Cardiac MRI for morphology & function without contrast with flow/velocity quantification
  • 75559 - Cardiac MRI for morphology & function without contrast with stress imaging
  • 75560 - Cardiac MRI for morphology & function without contrast with flow/velocity quantification and stress imaging
  • 75561 - Cardiac MRI for morphology & function without contrast followed by contrast materials & further sequences
  • 75562 - Cardiac MRI for morphology & function without contrast followed by contrast materials & further sequences with flow/velocity quantification
  • 75563 - Cardiac MRI for morphology & function without contrast followed by contrast materials & further sequences with stress imaging
  • 75564 - Cardiac MRI for morphology & function without contrast followed by contrast materials & further sequences with flow/velocity quantification and stress imaging
  • 75565 - Cardiac MRI for velocity flow mapping
  • 76390 - MR Spectroscopy
  • 76498 - MRI unlisted procedure (diagnostic, interventional)
  • 77021 - MR guidance for needle placement
  • 77022 - MR for tissue ablation
  • 77058 - MR one breast with or without contrast
  • 77059 - MR both breasts with or without contrast
  • 77084 - MR bone marrow
HCPCS Level II
  • C8900 - MRA with contrast, abdomen
  • C8901 - MRA without contrast, abdomen
  • C8902 - MRA without contrast followed by contrast, abdomen
  • C8903 - MRI with contrast, breast unilateral
  • C8904 - MRI without contrast, breast unilateral
  • C8905 - MRI without contrast followed by with contrast, breast unilateral
  • C8906 - MRI with contrast, breast bilateral
  • C8907 - MRI without contrast, breast bilateral
  • C8908 - MRI without contrast followed by with contrast, breast bilateral
  • C8909 - MRA with contrast, chest (excluding myocardium)
  • C8910 - MRA without contrast, chest (excluding myocardium)
  • C8911 - MRA without contrast followed by contrast, chest (excluding myocardium)
  • C8912 - MRA with contrast, lower extremity
  • C8913 - MRA without contrast, lower extremity
  • C8914 - MRA without contrast followed by contrast, lower extremity
  • C8918 - MRA with contrast, pelvis
  • C8919 - MRA without contrast, pelvis
  • C8920 - MRA withou contrast followed by contrast, pelvis

PET

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  • 78459 - Myocardial Imaging, PET, Metabolic Evaluation
  • 78491 - CARD PET Perfusion; single
  • 78492 - Myocardial PET; Multiple Studies, Rest and/or Stress
  • 78608 - Brain Imaging, Positron Emission Tomography (PET); Metabolic Evaluation
  • 78609 - Brain Imaging, Positron Emission Tomography (PET); Perfusion Evaluation
  • 78811 - Tumor imaging, positron emission tomography (PET); limited area (eg, chest, head/neck)
  • 78812 - Tumor imaging, positron emission tomography (PET); skull base to mid-thigh
  • 78813 - Tumor imaging, positron emission tomography (PET); whole body
  • 78814 - Attenuation PET with CT, Limited Area
  • 78815 - Tumor image PET/CT Skull-Mid Thigh
  • 78816 - Tumor image PET/CT Full Body
HCPCS Level II
  • G0219 - PET Imaging Whole Body, Melanoma for non-covered indications
  • G0235 - PET Imaging, any site, not otherwise specified
  • G0252 - PET INIT DX Breast Cancer and/or surgical planning for breast cancer
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