WellMed: Comprehensive CPT Code List - EviCore

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WellMed: Comprehensive CPT Code ListPrograms: Radiology and CardiologyPlatform: IsaacProductCategoryCPT CodeCardiac ServicesCID33206Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrialCardiac ServicesCID33207Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricularCardiac ServicesCID33208Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricularCardiac ServicesCID33212Insertion of pacemaker pulse generator only; with existing single leadCardiac ServicesCID33213Insertion of pacemaker pulse generator only; with existing dual leadsCardiac ServicesCID33214Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includesremoval of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of newgenerator)Cardiac ServicesCID33221Insertion of pacemaker pulse generator only; with existing multiple leadsCardiac ServicesCID33224Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previouslyplaced pacemaker or pacing cardioverter-defibrillator pulse generator (including revision of pocket, removal,insertion, and/or replacement of existing generator)Cardiac ServicesCID33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacingcardioverter-defibrillator or pacemaker pulse generator (including upgrade to dual chamber system and pocketrevision) (list separately in addition to code for primary procedure)Cardiac ServicesCID33227Cardiac ServicesCID33228Cardiac ServicesCID33229Cardiac ServicesCID33230Insertion of pacing cardioverter-defibrillator pulse generator only; with existing dual leadsCardiac ServicesCID33231Insertion of pacing cardioverter-defibrillator pulse generator only; with existing multiple leadsUpdated: 12/27/2018CPT Code DescriptionRemoval of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single leadsystemRemoval of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual leadsystemRemoval of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple leadsystemV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeCardiac ServicesCID33240Cardiac ServicesCID33249Cardiac ServicesCID33262Cardiac ServicesCID33263Cardiac ServicesCID33264Cardiac ServicesCID33270Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneouselectrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmiatermination, and programming or reprogramming of sensing or therapeutic parameters, when performedCardiac ServicesCID33274Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imagingguidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg,interrogation or programming), when performedCardiac ServicesCID33275Transcatheter removal of permanent leadless pacemaker, right ventricularCardiac ServicesCID33289Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring,including deployment and calibration of the sensor, right heart catheterization, selective pulmonary catheterization,radiological supervision and interpretation, and pulmonary artery angiography, when performedRadiologyMR70336Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)RadiologyCT70450Computed tomography, head or brain; without contrast materialRadiologyCT70460RadiologyCT70470Computed tomography, head or brain; with contrast material(s)Computed tomography, head or brain; without contrast material, followed by contrast material(s) and furthersectionsRadiologyCT70480Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast materialRadiologyCT70481Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)RadiologyCT70482Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material,followed by contrast material(s) and further sectionsRadiologyCT70486Computed tomography, maxillofacial area; without contrast materialRadiologyCT70487Computed tomography, maxillofacial area; with contrast material(s)Updated: 12/27/2018CPT Code DescriptionInsertion of pacing cardioverter-defibrillator pulse generator only; with existing single leadInsertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single ordual chamberRemoval of pacing cardioverter-defibrillator pulse generator with replacement of pacing cardioverter-defibrillatorpulse generator; single lead systemRemoval of pacing cardioverter-defibrillator pulse generator with replacement of pacing cardioverter-defibrillatorpulse generator; dual lead systemRemoval of pacing cardioverter-defibrillator pulse generator with replacement of pacing cardioverter-defibrillatorpulse generator; multiple lead systemV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeCPT Code DescriptionComputed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and furthersectionsComputed tomography, soft tissue neck; without contrast 0498RadiologyMR70540Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)RadiologyMR70542Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast MR70548RadiologyMR70549RadiologyMR70551Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast materialRadiologyMR70552Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)RadiologyMR70553Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed bycontrast material(s) and further sequencesRadiologyMR70554Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive bodypart movement and/or visual stimulation, not requiring physician or psychologist etic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entireneurofunctional testingComputed tomography, thorax; without contrast materialRadiologyCT71260Computed tomography, thorax; with contrast material(s)RadiologyCT71270Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sectionsUpdated: 12/27/2018Computed tomography, soft tissue neck; with contrast material(s)Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and furthersectionsComputed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed,and image postprocessingComputed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed,and image postprocessingMagnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed bycontrast material(s) and further sequencesMagnetic resonance angiography, head; without contrast material(s)Magnetic resonance angiography, head; with contrast material(s)Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and furthersequencesMagnetic resonance angiography, neck; without contrast material(s)Magnetic resonance angiography, neck; with contrast material(s)Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and furthersequencesV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeCPT Code DescriptionRadiologyCT71275Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images,if performed, and image ologyMR71552Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy);without contrast material(s), followed by contrast material(s) and further sequencesRadiologyMR71555Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)RadiologyCT72125Computed tomography, cervical spine; without contrast T72128Computed tomography, cervical spine; with contrast materialComputed tomography, cervical spine; without contrast material, followed by contrast material(s) and furthersectionsComputed tomography, thoracic spine; without contrast 2141Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast materialRadiologyMR72142Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)RadiologyMR72146Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast materialRadiologyMR72147Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)RadiologyMR72148Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materialRadiologyMR72149Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)RadiologyMR72156Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed bycontrast material(s) and further sequences; cervicalUpdated: 12/27/2018Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy);without contrast material(s)Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); withcontrast material(s)Computed tomography, thoracic spine; with contrast materialComputed tomography, thoracic spine; without contrast material, followed by contrast material(s) and furthersectionsComputed tomography, lumbar spine; without contrast materialComputed tomography, lumbar spine; with contrast materialComputed tomography, lumbar spine; without contrast material, followed by contrast material(s) and furthersectionsV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyMR72157Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed bycontrast material(s) and further sequences; thoracicRadiologyMR72158Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed bycontrast material(s) and further sequences; lumbarRadiologyMR72159Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)RadiologyCT72191CPT Code DescriptionRadiologyCT72192Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed,and image postprocessingComputed tomography, pelvis; without contrast materialRadiologyCT72193Computed tomography, pelvis; with contrast material(s)RadiologyCT72194Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sectionsRadiologyMR72195Magnetic resonance (eg, proton) imaging, pelvis; without contrast gyMR72198Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) andfurther sequencesMagnetic resonance angiography, pelvis, with or without contrast material(s)RadiologyCT73200Computed tomography, upper extremity; without contrast materialRadiologyCT73201RadiologyCT73202Computed tomography, upper extremity; with contrast material(s)Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and furthersectionsRadiologyCT73206Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, ifperformed, and image postprocessingRadiologyMR73218Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)RadiologyMR73219Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)RadiologyMR73220Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followedby contrast material(s) and further sequencesRadiologyMR73221Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)RadiologyMR73222Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)RadiologyMR73223Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed bycontrast material(s) and further sequencesUpdated: 12/27/2018V1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyMR73225Magnetic resonance angiography, upper extremity, with or without contrast material(s)RadiologyCT73700Computed tomography, lower extremity; without contrast materialRadiologyCT73701RadiologyCT73702Computed tomography, lower extremity; with contrast material(s)Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and furthersectionsRadiologyCT73706Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, ifperformed, and image postprocessingRadiologyMR73718Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)RadiologyMR73719Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)RadiologyMR73720Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed bycontrast material(s) and further sequencesRadiologyMR73721Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast materialRadiologyMR73722Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)RadiologyMR73723Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed bycontrast material(s) and further sequencesRadiologyMR73725Magnetic resonance angiography, lower extremity, with or without contrast material(s)CPT Code DescriptionRadiologyCT74150Computed tomography, abdomen; without contrast materialRadiologyCT74160Computed tomography, abdomen; with contrast material(s)RadiologyCT74170Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sectionsRadiologyCT74174Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images,if performed, and image uted tomographic angiography, abdomen, with contrast material(s), including noncontrast images, ifperformed, and image postprocessingComputed tomography, abdomen and pelvis; without contrast materialRadiologyCT74177Computed tomography, abdomen and pelvis; with contrast material(s)RadiologyCT74178Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed bycontrast material(s) and further sections in one or both body regionsRadiologyMR74181Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)Updated: 12/27/2018V1.2019Effective: 01/01/2019

ProductCategoryCPT 85Magnetic resonance angiography, abdomen, with or without contrast material(s)RadiologyCT74261Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast materialRadiologyCT74262Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s)including non-contrast images, if performedRadiologyCT74263Computed tomographic (CT) colonography, screening, including image postprocessingRadiologyMR74712Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed;single or first gestationRadiologyMR74713Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed;each additional gestation (List separately in addition to code for primary procedure)RadiologyMR75557Cardiac magnetic resonance imaging for morphology and function without contrast material;RadiologyMR75559Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imagingRadiologyMR75561Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed bycontrast material(s) and further sequences;RadiologyMR75563Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed bycontrast material(s) and further sequences; with stress imagingRadiologyMR75565Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primaryprocedure)RadiologyCT75571Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calciumRadiologyCT75572Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)RadiologyCT75573Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in thesetting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RVstructure and function and evaluatiRadiologyCT75574Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrastmaterial, including 3D image postprocessing (including evaluation of cardiac structure and morphology,assessment of cardiac function, and evaluatioUpdated: 12/27/2018CPT Code DescriptionMagnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrastmaterial(s) and further sequencesV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeCPT Code DescriptionRadiologyCT75635Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrastmaterial(s), including noncontrast images, if performed, and image postprocessingRadiology3D Imaging763763D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound,or other tomographic modality with image postprocessing under concurrent supervision; not requiring imagepostprocessing on an independent worksRadiology3D Imaging763773D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound,or other tomographic modality with image postprocessing under concurrent supervision; requiring imagepostprocessing on an independent workstatiRadiologyCT76380Computed tomography, limited or localized follow-up studyRadiologyMR76390Magnetic resonance spectroscopyMRI76391Magnetic resonance (eg, vibration) elastographyRadiologyCT76497Unlisted computed tomography procedure (eg, diagnostic, interventional)RadiologyMR76498Unlisted magnetic resonance procedure (eg, diagnostic, interventional)RadiologyCT77011Computed tomography guidance for stereotactic localizationRadiologyCT77012Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device),radiological supervision and interpretationRadiologyCT77013Computed tomography guidance for, and monitoring of, parenchymal tissue ablationRadiologyMR77021Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, orplacement of localization device) radiological supervision and interpretationRadiologyMR77022Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablationRadiologyBMRI77046Magnetic resonance imaging, breast, without contrast material; unilateralRadiologyBMRI77047Magnetic resonance imaging, breast, without contrast material; bilateralRadiologyBMRI77048Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection(CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateralRadiologyBMRI77049Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection(CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateralRadiologyCT77078Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)RadiologyMR77084Magnetic resonance (eg, proton) imaging, bone marrow blood supplyUpdated: 12/27/2018V1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyNUC MED78012RadiologyNUC MED78013RadiologyNUC MED78014CPT Code DescriptionThyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge,when performed)Thyroid imaging (including vascular flow, when performed)Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitativemeasurement(s) (including stimulation, suppression, or discharge, when performed)RadiologyNUC MED78015Thyroid Met ImagingRadiologyNUC MED78016Thyroid Met Imaging With Additional StudiesRadiologyNUC MED78018Thyroid Scan Whole BodyRadiologyNUC MED78020Thyroid Carcinoma Metastases UptakeRadiologyNUC MED78070Parathyroid planar imaging (including subtraction, when performed)RadiologyNUC MED78071Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT)RadiologyNUC MED78072Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrentlyacquired computed tomography (CT) for anatomical localizationRadiologyNUC MED78075Adrenal Nuclear ImagingRadiologyNUC MED78102Bone Marrow Imaging, LimitedRadiologyNUC MED78103Bone Marrow Imaging, MultipleRadiologyNUC MED78104Bone Marrow Imaging, Whole BodyRadiologyNUC MED78140Labeled Red Cell SequestrationRadiologyNUC MED78185Spleen Imaging With & Without Vascular FlowRadiologyNUC MED78195Lymph System ImagingRadiologyNUC MED78201Liver ImagingRadiologyNUC MED78202Liver Imaging With FlowRadiologyNUC MED78205Liver Imaging SPECT (3D)RadiologyNUC MED78206Liver Imaging SPECT With Vasulcar FlowRadiologyNUC MED78215Liver & Spleen ImagingRadiologyNUC MED78216Liver & Spleen Imaging With FlowRadiologyNUC MED78226Hepatobiliary system imaging, including gallbladder when present;RadiologyNUC MED78227Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, includingquantitative measurement(s) when performedRadiologyNUC MED78230Salivary Gland ImagingRadiologyNUC MED78231Serial Salivary GlandRadiologyNUC MED78232Salivary Gland Function ExamUpdated: 12/27/2018V1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyNUC MED78258Esophogus Motility StudyRadiologyNUC MED78261Gastric Mucosa ImagingRadiologyNUC MED78262Gastroesophageal Reflux ExamRadiologyNUC MED78264Gastric Emptying StudyRadiologyNUC MED78265Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transitRadiologyNUC MED78266Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple daysRadiologyNUC MED78278GI Bleeder ScanRadiologyNUC MED78290Meckels Diverticulum ImagingRadiologyNUC MED78291Leveen Shunt Patency ExamRadiologyNUC MED78300Bone Or Joint Imaging LimitedRadiologyNUC MED78305Bone Or Joint Imaging MultipleRadiologyNUC MED78306Bone Scan Whole BodyRadiologyNUC MED78315Bone Scan 3 Phase StudyRadiologyNUC MED78320Bone Joint Imaging Tomo Test SPECTNuclear MedicineNUC CARD78414Non-Imaging Heart FunctionNuclear MedicineNUC CARD78428Cardiac Shunt ImagingRadiologyNUC MED78445Radionuclide Venogram Non-CardiacNuclear MedicineNUC CARD7845178451 myocardial perfusion imaging, tomographic (spect) including attenuation correction, qualitative orquantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, whenperformed); single study, at rest or stress (exercise or pharmacologic)Nuclear MedicineNUC CARD78452Myocardial perfusion imaging, tomographic (spect) (including attenuation correction, qualitative or quantitative wallmotion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiplestudies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjectionNuclear MedicineNUC CARD78453Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first passor gated technique, additional quantification, when performed); single study, at rest or stress (exercise orpharmacologic)Nuclear MedicineNUC CARD78454Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first passor gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise orpharmacologic) and/or redistribution and/or rest reinjectionRadiologyNUC MED78457Venous Thrombosis Imaging UnilateralUpdated: 12/27/2018CPT Code DescriptionV1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyNUC MED78458Venous Thrombosis Images, BilateralRadiologyPET78459Myocardial imaging, positron emission tomography (PET), metabolic evaluationNuclear MedicineNUC CARD78466Myocardial Infarction ScanNuclear MedicineNUC CARD78468Heart Infarct Image Ejection FractionNuclear MedicineNUC CARD78469Heart Infarct Image 3D SPECTCPT Code DescriptionNuclear MedicineNUC CARD78472Cardiac Bloodpool Img, SingleNuclear MedicineNUC CARD78473Cardiac Bloodpool Img, MultiNuclear MedicineNUC CARD78481Heart First Pass SingleNuclear MedicineNUC CARD78483Cardiac Blood Pool Imaging -- MultipleRadiologyPET78491Myocardial imaging, positron emission tomography (PET), perfusion; single study at rest or stressRadiologyPET78492Myocardial imaging, positron emission tomography (PET), perfusion; multiple studies at rest and/or stressNuclear MedicineNUC CARD78494Cardiac Blood Pool Imaging , SPECTNuclear MedicineNUC CARD78496Cardiac Blood Pool Imaging - Single Study @ RestNuclear MedicineNUC CARD78499Unlisted Cardiovascular ProcedureRadiologyNUC MED78579Pulmonary ventilation imaging (eg, aerosol or gas)RadiologyNUC MED78580Pulmonary perfusion imaging (eg, particulate)RadiologyNUC MED78582Pulmonary ventilation (eg, aerosol or gas) and perfusion imagingRadiologyNUC MED78597Quantitative differential pulmonary perfusion, including imaging when performedRadiologyNUC MED78598RadiologyNUC MED78600Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging whenperformedBrain Imaging Limited StaticRadiologyNUC MED78601Brain Limited Imaging And FlowRadiologyNUC MED78605Brain Imaging CompleteRadiologyNUC MED78606Brain Imaging Complete With FlowRadiologyNUC MED78607Brain Imaging 3DRadiologyPET78608Brain imaging, positron emission tomography (PET); metabolic evaluationRadiologyPET78609Brain imaging, positron emission tomography (PET); perfusion evaluationRadiologyNUC MED78610Brain Flow Imaging OnlyRadiologyNUC MED78630Cisternogram (Cerebrospinal Fluid Flow)RadiologyNUC MED78635Cerebrospinal VentriculographyRadiologyNUC MED78645CSF Shunt EvaluationUpdated: 12/27/2018V1.2019Effective: 01/01/2019

ProductCategoryCPT CodeRadiologyNUC MED78647Cerebrospinal Fluid Scan (Tomographic) SPECTRadiologyNUC MED78650C S F Leakage Detection And LocalizationRadiologyNUC MED78660Radiopharmaceutical DacryocystographyRadiologyNUC MED78700Kidney Imaging MorphologyRadiologyNUC MED78701Kidney Imaging With Vascular FlowRadiologyNUC MED78707Kidney Imaging With Vascular Flow & Function Single Study Without Pharmacological InterventionRadiologyNUC MED78708Kidney Imaging Single Study With Pharmacological InterventionRadiologyNUC MED78709Kidney Imaging - Multiple Studies Without & With Pharmacological InterventionRadiologyNUC MED78710Kidney Imaging - Tomographic (SPECT)RadiologyNUC MED78725Kidney Function Study - Non-Imaging RadioisotopicRadiologyNUC MED78730Urinary Bladder Residual StudyRadiologyNUC MED78740Ureteral Reflux StudyRadiologyNUC MED78761Testicular Imaging With Vascular FlowRadiologyNUC MED78800Radiopharm Localization Of Tumor, Limited AreaCPT Code DescriptionRadiologyNUC MED78801Radiopharm Localization Of Tumor, Multiple AreasRadiologyNUC MED78802Radiopharm Localization Of Tumor, Whole Body Single Day StudyRadiologyNUC MED78803Radiopharm Localization Of Tumor Tomographic (SPECT)RadiologyNUC MED78804Radiopharm Localization Of Tumor, Whole Body Two or More DaysRadiologyNUC MED78805Radiopharm Localization Of Abscess, Limited AreaRadiologyNUC MED78806Radiopharm Localization Of Abscess, Whole BodyRadiologyNUC MED78807Radiopharm Localization Of Abscess, Tomographic SPECTRadiologyPET78811Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)RadiologyPET78812Positron emission tomography (PET) imaging; skull base to mid-thighRadiologyPET78813Positron emission tomography (PET) imaging; whole bodyRadiologyPET78814Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuationc

WellMed: Comprehensive CPT Code List. Updated: 12/27/2018 V1.2019 Effective: 01/01/2019. Product Category CPT Code CPT Code Description. Cardiac Services. CID. 33240 Insertion of pacing cardioverter-defibrillator pulse generator only; with existing single lead. Cardiac Services CID. 33249