Independent Diagnostic Testing Facility (IDTF) Physician and Technician Qualification Requirements

Independent Diagnostic Testing Facilities (IDTFs) must have the proper technical staff on duty with the appropriate credentials to perform tests. Each non-physician who performs IDTF diagnostic testing must be listed on the IDTF's enrollment record (CMS-855B). If the IDTF is billing for the interpretation, all the interpreting physicians need to be listed. A Supervising Physician needs to be on the enrollment record as well. The below CPT codes do not imply coverage of the procedure. All of the procedure codes are subject to Medicare rules and regulations, applicable Local Coverage Decisions (LCD's), and medical necessity. This list was compiled based on current billing patterns. Therefore, some codes may have been inadvertently omitted.

If the procedure code is not included in the table below, providers will need to send in a written request explaining the procedure they are performing. If the medical directors determine it to be an appropriate diagnostic procedure that can be safely performed in an IDTF, it will be added to the provider's file. It is the responsibility of the IDTF to obtain Contractor approval to bill each HCPCS code that it intends to bill.

Learn more about the Abbreviations on the Below Table

 
CPT/HCPCS Codes Description Supervising Physician and Interpreting Physician Qualification Requirements Technician Qualification Requirements Supervision – TC Only General, Direct, or Personal
0296T Ext ecg recording Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
0297T Ext ecg scan w/report Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
0555T Bone Strength & Fracture Rsk Retrv & Transmiss Data Board Certified (ABMS) Radiologist\ Credentialed by AART General
0556T Bone strength and fracture risk using finite element analysis of functional data and bone mineral density utilizing data from a computed tomography scan; assessment of bone strength and fracture risk and bone-mineral density ABMS, board certified radiologist or orthopedist State license, general radiographer ARRT General
0557T Bone strength and fracture risk using finite element analysis of functional data and bone mineral density utilizing data from a computed tomography scan; interpretation and report ABMS, board certified radiologist or orthopedist State license, general radiographer ARRT General
10004 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10005 Fna bx w/us gdn 1st les Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T. - S Personal
10006 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10007 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10008 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10009 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10010 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10011 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
10012 Fine needle aspiration bx Board Certified (ABMS) Radiologist Credentialed by AART Personal
19085 Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance Radiologist, General Surgeon ABMS certified As required by the state or certified by ARRT, ARDMS, ARMRIT Direct
19086 Bx breast add lesion mr imag Board Certified (ABMS) Radiologist or General Surgeon As required by the state or certified by ARRT, ARDMS, ARMRIT Direct
19100 Bx breast percut w/o image Board Certified (ABMS) Radiologist Credentialed by ARRT performed by physician
19101 Biopsy of breast open Board Certified (ABMS) Radiologist or General Surgeon Credentialed by ARRT or as required by the state performed by physician
19102 Biopsy of breast, percutaneous, needle core, not using guidance (separate procedure) Board Certified (ABMS) Radiologist Credentialed by ARRT or as required by the state performed by physician
19103 BX of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Board Certified (ABMS) Radiologist Credentialed by ARRT or as required by the state performed by physician
23350 Injection for shoulder x-ray ABMS Certified Radiologist, Orthopedic Surgeon Performed by Physician Personal
24220 Injection for elbow x-ray Board Certified ABMS Orthopedic Surgeon, Radiologist State license, general radiographer or medical physicist Personal
25246 Injection for wrist x-ray Board Certified ABMS Orthopedic Surgeon, Radiologist State license, general radiographer or medical physicist Personal
27093 Injection for hip x-ray Board Certified ABMS Orthopedic Surgeon, Radiologist State license, general radiographer or medical physicist Personal
27369 Knee arthrogaphy Board Certified (ABMS) Radiologist/ General Surgeon Credentialed by AART:CT /MR or ARMIT: MRI Direct
27648 Injection for ankle x-ray Board Certified ABMS Orthopedic Surgeon, Radiologist or Podiatrist State license, general radiographer or medical physicist Personal
36005 Injection ext venography ABMS Certified Radiology or Cardiology Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
36598 Inj w/fluor eval cv device ABMS Certified Radiology or Cardiology Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS Personal
38531 Biopsy of inguinofemoral lymph node Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART Personal
51785 Anal/Urinary muscle study Urologist, Neurologist certified by ABMS CNCT or as required by the state Personal
54240 Penis study Board Certified Urologist ARDMS: RVT or CCI: RVS Direct
62281 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62282 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal) Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62284 Injection for myelogram Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62321 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT) Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62323 Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62325 Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT) Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
62327 Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
64479 Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level Interventional Radiologist, Neurosurgeon, certified by American Board of Medical Specialties ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
64493 Inj paravert f jnt l/s 1 lev Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
64494 Inj paravert f jnt l/s 2 lev Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
64495 Inj paravert f jnt l/s 3 lev Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70010 Contrast x-ray of brain Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70015 Contrast x-ray of brain Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70030 X-ray eye for foreign body Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70100 X-ray exam of jaw <4views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70110 X-ray exam of jaw 4/> views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70120 X-ray exam of mastoids Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification] State License: General Radiographer or Medical Physicist General
70130 X-ray exam of mastoids Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70134 X-ray exam of middle ear Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70140 X-ray exam of facial bones Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70150 X-ray exam of facial bones Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70160 X-ray exam of nasal bones Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70170 X-ray exam of tear duct Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70190 X-ray exam of eye sockets Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70200 X-ray exam of eye sockets Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70210 X-ray exam of sinuses Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70220 X-ray exam of sinuses Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70240 X-ray exam pituitary saddle Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70250 X-ray exam of skull Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70260 X-ray exam of skull Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70300 X-ray exam of teeth Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
70310 X-ray exam of teeth Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
70320 Full mouth x-ray of teeth Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
70328 X-ray exam of jaw joint Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70330 X-ray exam of jaw joints Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70332 X-ray exam of jaw joint Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
70336 Magnetic image jaw joint Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
70350 X-ray head for orthodontia Board Certified (ABMS) Radiologist State License: General Radiographer General
70355 Panoramic x-ray of jaws Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer General
70360 X-ray exam of neck Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70370 Throat x-ray & fluoroscopy Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70371 Speech evaluation complex Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
70380 X-ray exam of salivary gland Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
70390 X-ray exam of salivary duct Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
70450 Ct head/brain w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
70460 Ct head/brain w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification] State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70470 Ct head/brain w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70480 Ct orbit/ear/fossa w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
70481 Ct orbit/ear/fossa w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70482 Ct orbit/ear/fossa w/o & w/ dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70486 Ct maxillofacial w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
70487 Ct maxillofacial w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70488 Ct maxillofacial w/o & w/ dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70490 Ct soft tissue neck w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
70491 Ct soft tissue neck w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70492 Ct soft tissue neck w/o & w/ dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70496 Ct angiography head Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70498 Ct angiography neck Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
70540 Mri orbit/face/neck w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
70542 Mri orbit/face/neck w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70543 Mri orbt/fac/nck w/o &w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70544 Mr angiography head w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
70545 Mr angiography head w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70546 Mr angiograph head w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70547 Mr angiography neck w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
70548 Mr angiography neck w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70549 Mr angiograph neck w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70551 Mri brain stem w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
70552 Mri brain stem w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
70553 Mri brain stem w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
71045 X-ray of chest, 1 view Board Certified (ABMS) Radiologist State License: General Radiographer General
71046 X-ray of chest, 2 views Board Certified (ABMS) Radiologist State License: General Radiographer General
71047 X-ray of chest, 3 views Board Certified (ABMS) Radiologist State License: General Radiographer General
71048 X-ray of chest, minimum of 4 views Board Certified (ABMS) Radiologist State License: General Radiographer General
71100 X-ray exam ribs uni 2 views Board Certified (ABMS) Radiologist State License: General Radiographer General
71101 X-ray exam unilat ribs/chest Board Certified (ABMS) Radiologist State License: General Radiographer General
71110 X-ray exam ribs bil 3 views Board Certified (ABMS) Radiologist State License: General Radiographer General
71111 X-ray exam ribs/chest4/> vws Board Certified (ABMS) Radiologist State License: General Radiographer General
71120 X-ray exam breastbone 2/>vws Board Certified (ABMS) Radiologist State License: General Radiographer General
71130 X-ray strenoclavic jt 3/>vws Board Certified (ABMS) Radiologist State License: General Radiographer General
71250 Ct thorax w/o dye Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
71260 Ct thorax w/dye Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
71270 Ct thorax w/o & w/dye Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
71271 CT, thorax, low dose for lung cancer screening, without contrast materials Board Certified Radiologist (ABMS) State license: general radiography tech, ARRT General
71275 Ct angiography chest Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
71550 Mri chest w/o dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
71551 Mri chest w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
71552 Mri chest w/o & w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
71555 Mri angio chest w or w/o dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
72020 X-ray exam of spine 1 view Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72040 X-ray exam neck spine 2-3 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72050 X-ray exam neck spine 4/5 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72052 X-ray exam neck spine 6/>views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72070 X-ray exam thorac spine 2 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72072 X-ray exam thorac spine 3 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72074 X-ray exam thorac spine 4> views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72080 X-ray exam thoracolmb 2/> vw Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72081 X-ray exam entire spi 1 view Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72082 X-ray exam entire spi 2/3 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72083 X-ray exam entire spi 4/5 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72084 X-ray exam entire spi 6/> views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72100 X-ray exam l-s spine 2/3 views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72110 X-ray exam l-2 spine 4/>views Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72114 X-ray exam l-s spine bending Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72120 X-ray bend only l-s spine Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72125 Ct neck spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
72126 Ct neck spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72127 Ct neck spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72128 Ct chest spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
72129 Ct chest spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72130 Ct chest spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72131 Ct lumbar spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
72132 Ct lumbar spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72133 Ct lumbar spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72141 Mri neck spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
72142 Mri neck spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72146 Mri chest spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
72147 Mri chest spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72148 Mri lumbar spine w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
72149 Mri lumbar spine w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72156 Mri neck spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72157 Mri chest spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72158 Mri lumbar spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72159 Mr angio spine w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72170 X-ray exam of pelvis Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72190 X-ray exam of pelvis Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72191 Ct angiograph pelv w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72192 Ct pelvis w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
72193 Ct pelvis w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
72194 Ct pelvis w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI [State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT] Direct
72195 Mri pelvis w/o dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI General
72196 Mri pelvis w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72197 Mri pelvis w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72198 Mr angio pelvis w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification Credentialed by ARRT: MR or ARMRIT: MRI Direct
72200 X-ray exam si joints Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72202 X-ray exam si joints 3/> vws Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72220 X-ray exam sacrum tailbone Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist General
72240 Myelography neck spine Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
72255 Myelography thoracic spine Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
72265 Myelography l-s spine Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
72270 Myelography 2/> spine regions Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
72285 Discography cerv/thor spine Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
72295 X-ray of lower spine disk Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist Personal
73000 X-ray exam of collar bone Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73010 X-ray exam of shoulder blade Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73010 Films taken of the scapula for a complete examination. Patient positioned supine and erect Radiologist certified by the ABR ARRT R.T.(R)(CT)(MR)(ARRT) certified as required by the state of Alaska General
73020 X-ray exam of shoulder Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73030 X-ray exam of shoulder Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73040 Contrast x-ray of shoulder Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist Personal
73050 X-ray exam of shoulders Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73060 X-ray exam of humerus Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73070 X-ray exam of elbow Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73080 X-ray exam of elbow Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73085 Contrast x-ray of elbow Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist Personal
73090 X-ray exam of forearm Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73092 X-ray exam of arm infant Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73100 X-ray exam of wrist Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73110 X-ray exam of wrist Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73115 Contrast x-ray of wrist Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist Personal
73120 X-ray exam of hand Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73130 X-ray exam of hand Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73140 X-ray exam of finger(s) Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73200 Ct upper extremity w/o dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
73201 Ct upper extremity w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73202 Ct uppr extremity w/o & w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73206 Ct angio upr extrm w/o & w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73218 Mri upper extremity w/o dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI General
73219 Mri upper extremity w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI Direct
73220 Mri uppr extremity w/o & w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI Direct
73221 Mri joint upr extrem w/o dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI General
73222 Mri joint upr extrem w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI Direct
73223 Mri joint upr extr w/o & w/dye Board Certified (ABMS) Radiologist or Orthopaedic Surgeon Credentialed by ARRT: MR or ARMRIT: MRI Direct
73225 Mr angio upr extr w/o & w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
73501 X-ray exam hip uni 1 view Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73502 X-ray exam hip uni 2-3 views Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73503 X-ray exam hip uni 4/> views Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73521 X-ray exam hips bi 2 views Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73522 X-ray exam hips bi 3-4 views Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73523 X-ray exam hips bi 5/> views Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73525 Contrast x-ray of hip Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist Personal
73551 X-ray exam of femur 1 Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73552 X-ray exam of femur 2/> Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73560 X-ray exam of knee 1 or 2 Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73562 X-ray exam of knee 3 Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73564 X-ray exam knee 4 or more Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73565 X-ray exam of knees Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73580 Contrast x-ray of knee joint Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist Personal
73590 X-ray exam of lower leg Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73592 X-ray exam of leg infant Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer or Medical Physicist General
73600 X-ray exam of ankle Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73610 X-ray exam of ankle Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73615 Contrast x-ray of ankle Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist Personal
73620 X-ray exam of foot Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73630 X-ray exam of foot Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73650 X-ray exam of heel Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73660 X-ray exam of toe(s) Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist General
73700 Ct lower extremity w/o dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT General
73701 Ct lower extremity w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73702 Ct lwr extremity w/o & w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73706 Ct angio lwr extr w/o & w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Direct
73718 Mri lower extremity w/o dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI General
73719 Mri lower extremity w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Direct
73720 Mri lwr extremity w/o & w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Direct
73721 Mri jnt of lwr extre w/o dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI General
73722 Mri joint of lwr extr w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Direct
73723 Mri joint lwr extr w/o & w/dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Direct
73725 Mr ang lwr ext w or w/o dye Board Certified (ABMS) Radiologist, Orthopaedic Surgeon or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Direct
74018 X-ray of abdomen, 1 view Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist General
74019 X-ray of abdomen, 2 views Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist General
74021 X-ray of abdomen, minimum of 3 views Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist General
74022 X-ray exam series abdomen Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
74150 Ct abdomen w/o dye Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. General
74160 Ct abdomen w/dye Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74170 Ct abdomen w/o & w/dye Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74174 Ct angio abd & pelvis w/o & w/dye Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74175 Ct angio abdom w/o & w/dye Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74176 Ct abd & pelvis w/o contrast Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. General
74177 Ct abd & pelv w/contrast Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74178 Ct abd & pelv 1/> regns Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74181 Mri abdomen w/o dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
74182 Mri abdomen w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
74183 Mri abdomen w/o & w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
74185 Mri angio abdom w/o & w/ dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
74190 X-ray exam of peritoneum Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Personal
74210 Contrst x-ray exam of throat Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74220 Contrast x-ray esophagus Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74221 Double contrast x-ray esophagus Radiologist Board Certified (ABMS) State License: General Radiographer Direct
74230 Cine/vid x-ray throat/esoph Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74240 X-ray xm upr gi trc 1cntrst Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74246 X-ray XM UPR GI TRC 2CNTRST Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74248 X-ray SM INT F-THRU STD Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74250 X-ray exam of small bowel Board Certified (ABMS) Radiologist State License: General Radiographer Direct
74251 X-ray XM SM INT 2CNTRST STD Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74261 Ct colonography dx Board Certified (ABMS) Gastroenterologist or Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74262 Ct colonography dx w/dye Board Certified (ABMS) Gastroenterologist or Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
74270 Contrast x-ray exam of colon Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74280 Contrast x-ray exam of colon Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74290 Contrast x-ray gallbladder Board Certified (ABMS) Radiologist State License: General Radiographer General
74328 X-ray bile duct endoscopy Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74329 X-ray for pancreas endoscopy Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74330 X-ray bile/panc endoscopy Board Certified (ABMS) Radiologist State License: General Radiographer Personal
74400 Contrst x-ray urinary tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Direct
74410 Contrst x-ray urinary tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Direct
74415 Contrst x-ray urinary tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Direct
74420 Contrst x-ray urinary tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74425 Contrst x-ray urinary tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74430 Contrast x-ray bladder Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74440 X-ray male genital tract Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74445 X-ray exam of penis Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74450 X-ray urethra/bladder Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74455 X-ray urethra/bladder Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74470 X-ray exam of kidney lesion Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer Personal
74712 Mri fetal sngl/1st gestation Board Certified (ABMS) Radiologist or Gynecologist State License: General Radiographer or Medical Physicist Direct
74713 Mri fetal ea addl gestation Board Certified (ABMS) Radiologist or Gynecologist State License: General Radiographer or Medical Physicist Direct
74740 X-ray female genital tract Board Certified (ABMS) Radiologist or Gynecologist State License: General Radiographer or Medical Physicist Personal
74742 X-ray fallopian tube Board Certified (ABMS) Radiologist or Gynecologist State License: General Radiographer or Medical Physicist Personal
74775 X-ray exam of perineum Board Certified (ABMS) Radiologist or Gynecologist State License: General Radiographer Personal
75557 Cardiac mri for morph Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
75559 Cardiac mri w/stress img Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
75561 Cardiac mri for morph w/dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
75563 Card mri w/stress img & dye Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
75565 Card mri veloc flow mapping Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
75572 Ct hrt w/3d image Board Certified (ABMS) Cardiologist or Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
75573 Ct hrt w/3d image congen Board Certified (ABMS) Cardiologist or Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
75574 Ct angio hrt w/3d image Board Certified (ABMS) Cardiologist or Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. - C.T. Direct
75600 Contrast exam thoracic aorta Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75605 Contrast exam thoracic aorta Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75625 Contrast exam abdominl aorta Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75630 X-ray aorta leg arteries Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75635 Ct angio abdominal arteries Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist and ARRT: R.T. – C.T. Direct
75705 Artery x-rays spine Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75710 Artery x-rays arm/leg Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon State License: General Radiographer Personal
75716 Artery x-rays arms/legs Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon State License: General Radiographer Personal
75726 Artery x-rays abdomen Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75731 Artery x-rays adrenal gland Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75733 Artery x-rays adrenals Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75736 Artery x-rays pelvis Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75741 Artery x-rays lung Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75743 Artery x-rays lungs Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75746 Artery x-rays lung Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75756 Artery x-rays chest Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75774 Artery x-ray each vessel Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75801 Lymph vessel x-ray arm/leg Board Certified (ABMS) Radiologist State License: General Radiographer Personal
75803 Lymph vessel x-ray arms/legs Board Certified (ABMS) Radiologist State License: General Radiographer Personal
75805 Lymph vessel x-ray trunk Board Certified (ABMS) Radiologist State License: General Radiographer Personal
75807 Lymph vessel x-ray trunk Board Certified (ABMS) Radiologist State License: General Radiographer Personal
75809 Nonvascular shunt x-ray Board Certified (ABMS) Radiologist State License: General Radiographer Personal
75810 Vein x-ray spleen/liver Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75820 Vein x-ray arm/leg Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75822 Vein x-ray arms/legs Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75825 Vein x-ray trunk Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75827 Vein x-ray chest Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75831 Vein x-ray kidney Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75833 Vein x-ray kidneys Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75840 Vein x-ray adrenal gland Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75842 Vein x-ray adrenal glands Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75860 Vein x-ray neck Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75870 Vein x-ray skull Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75872 Vein x-ray skull epidural Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75880 Vein x-ray eye socket Board Certified (ABMS) Radiologist or Vascular Surgeon OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
75885 Vein x-ray liver w/hemodynam Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75887 Vein x-ray liver w/o hemodyn Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75889 Vein x-ray liver w/hemodynam Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
75891 Vein x-ray liver Board Certified (ABMS) Radiologist or Vascular Surgeon State License: General Radiographer Personal
76000 Fluoroscope examination Board Certified (ABMS) Radiologist or Urologist or in the field related to the Primary Procedure State License: General Radiographer Personal
76010 X-ray nose to rectum Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
76080 X-ray exam of fistula Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer Personal
76098 X-ray exam breast specimen Board Certified (ABMS) Radiologist State License: General Radiographer General
76100 X-ray exam of body section Board Certified (ABMS) Radiologist State License: General Radiographer General
76120 Cine/video x-rays Board Certified (ABMS) Radiologist State License: General Radiographer Direct
76125 Cine/video x-rays add-on Board Certified (ABMS) Radiologist State License: General Radiographer Direct
76376 3d render w/intrp postproces Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T., C.T. or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S (as applicable) General
76377 3d render w/intrp postproces Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T., CT or ARRT: MR or ARMRIT: MRI or ARDMS: RDMS or ARRT: R.T.-S (as applicable) Personal
76380 Cat scan follow-up study Board Certified (ABMS) Radiologist OR ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification State License: General Radiographer or Medical Physicist and ARRT: R.T. – C.T. General
76391 Magnetic Resonance elastography Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART:CT /MR or ARMIT: MRI Direct
76506 Echo exam of head Board Certified (ABMS) Radiologist or Neurologist Credentialed by ARDMS: RDMS-NE, RDMS-PS or ARRT: R.T.-S General
76510 Ophth us b & quant a Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT Direct
76511 Ophth us quant a only Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT Direct
76512 Ophth us b w/non-quant a Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT Direct
76513 Echo exam of eye water bath Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT Direct
76514 Echo exam of eye thickness Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: RDMS-OP or JCAHPO: COT or COMT General
76516 Echo exam of eye Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: ROUB or RDMS-OP or JCAHPO: COT or COMT General
76519 Echo exam of eye Board Certified (ABMS) Ophthalmologist, Radiologist or Optometrist Credentialed by ARDMS: ROUB or RDMS-OP or JCAHPO: COT or COMT General
76529 Echo exam of eye Board Certified (ABMS) Ophthalmologist or Radiologist Credentialed by ARDMS: ROUB or RDMS-OP or JCAHPO: COT or COMT General
76536 Us exam of head and neck Board Certified (ABMS) Radiologist or Neurologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76604 Us exam chest Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or RRT:R.T.-S General
76641 Ultrasound breast complete Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-BS General
76642 Ultrasound breast limited Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-BS General
76700 Us exam abdom complete Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS RDMS or ARRT: R.T.-S General
76705 Echo exam of abdomen Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76706 Ultrasound abd aorta Board Certified (ABMS) Cardiologist or Radiologist, Vascular Surgeon (ABMS) Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76770 Us exam abdo back wall comp Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76775 Us exam abdo back wall lim Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76776 Us exam k transpl w/doppler Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76800 Us exam spinal canal Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or RRT:R.T.-S General
76801 Ob us < 14 wks single fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76802 Ob us < 14 wks addl fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76805 Ob us >/= 14 wks sngl fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76810 Ob us >/= 14 wks addl fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76811 Ob us detailed sngl fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76812 Ob us detailed addl fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76813 Ob us nuchal meas 1 gest Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76814 Ob us nuchal meas add-on Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76815 Ob us limited fetus(s) Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76816 Ob us follow-up per fetus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76817 Transvaginal us obstetric Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76818 Fetal biophys profile w/nst Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76819 Fetal biophys profile w/o nst Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76820 Umbilical artery echo Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76821 Middle cerebral artery echo Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76825 Echo exam of fetal heart Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76826 Echo exam of fetal heart Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76827 Echo exam of fetal heart Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76828 Echo exam of fetal heart Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76830 Transvaginal us non-ob Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76831 Echo exam uterus Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S Personal
76856 Us exam pelvic complete Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76857 Us exam pelvic limited Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T.-S General
76870 Us exam scrotum Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76872 Us transrectal Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76873 Echograph trans r pros study Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S Direct
76881 Us xtr non-vasc complete Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76882 Us xtr non-vasc lmtd Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76885 Us exam infant hips dynamic Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76886 Us exam infant hips static Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76942 Echo guide for biopsy Board Certified (ABMS) Radiologist , Podiatrist, or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T. - S Personal
76946 Echo guide for amniocentesis Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS-OB/GYN or ARRT: R.T. - S Personal
76970 Ultrasound exam follow-up Board Certified (ABMS) Radiologist or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S General
76975 Gi endoscopic ultrasound Board Certified (ABMS) Radiologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S Personal
76977 Us bone density measure Board Certified (ABMS) Radiologist , Podiatrist, or Urologist Credentialed by ARDMS: RDMS or ARRT: R.T.-S or- BD General
76978 Contrast Enhanced Ultrasound Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART or ARDMS Direct
76979 Contrast Enhanced Ultrasound Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART or ARDMS Direct
76981 Ultrasound Elastography Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART or ARDMS Direct
76982 Ultrasound Elastography Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART or ARDMS Direct
76983 Ultrasound Elastography Board Certified Gastroenterologist (ABIM)/ Hepatologist or Board Certified (ABMS) Radiologist with elastography experience Credentialed by AART or ARDMS Direct
77002 Needle localization by xray Board Certified (ABMS) Radiologist or in the field related to the Primary Procedure State License: General Radiographer Personal
77003 Fluoroguide for spine inject Board Certified (ABMS) Radiologist or in the field related to the Primary Procedure State License: General Radiographer Personal
77012 Ct scan for needle biopsy Board Certified (ABMS) Radiologist, Podiatrist, or Urologist State License: General Radiographer or Medical Physicist and ARRT: R.T.-CT Personal
77021 Mr guidance for needle place Board Certified (ABMS) Radiologist or Podiatrist Credentialed by ARRT: MR or ARMRIT: MRI Personal
77046 MRI Breast, w/o contrast, unilateral Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
77047 MRI breast, w/o contrast, bilateral Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
77048 MRI Breast, w CAD, w and w/o contrast, unilateral Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
77049 MRI Breast, w CAD, w and w/o contrast, bilateral Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
77053 mammary ductogram, single Board Certified Radiologist General Radiographer or ARRT: R.T.-M Personal
77054 mammary ductogram, multiple Board Certified Radiologist General Radiographer or ARRT: R.T.-M Personal
77063 Breast tomosynthesis bi Board Certified (ABMS) Radiologist State License: General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography General
77065 Dx mammo incl cad uni Board Certified (ABMS) Radiologist State License: General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography General
77066 Dx mammo incl cad bi Board Certified (ABMS) Radiologist State License: General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography General
77067 Scr mammo bi incl cad Board Certified (ABMS) Radiologist State License: General Radiographer or ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography General
77071 X-ray stress view Board Certified (ABMS) Radiologist or Podiatrist Physician Service Code - Must be performed by a physician Personal
77072 X-rays for bone age Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
77073 X-rays bone length studies Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
77074 X-rays bone survey limited Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
77075 X-rays bone survey complete Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
77076 X-rays bone survey infant Board Certified (ABMS) Radiologist State License: General Radiographer or Medical Physicist General
77077 Joint survey single view Board Certified (ABMS) Radiologist or Podiatrist State License: General Radiographer or Medical Physicist General
77078 Ct bone density axial Board Certified (ABMS) Radiologist or Urologist State License: General Radiographer and ARRT: R.T.-CT General
77080 Dxa bone density axial Board Certified (ABMS) Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon State License: General Radiographer and Credentialed by ARRT: R.T.-BD or ISCD: CBDT General
77081 Dxa bone density/peripheral Board Certified (ABMS) Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon State License: General Radiographer and Credentialed by ARRT: R.T.-BD or ISCD: CBDT General
77084 Magnetic image bone marrow Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI General
77085 Dxa bone density study Board Certified (ABMS) Radiologist, Internal Medicine Specialist, Urologist or Orthopaedic Surgeon State License: General Radiographer and Credentialed by ARRT: R.T.-BD or ISCD: CBDT General
77086 Fracture assessment via dxa Board Certified (ABMS) Radiologist, Internal Medicine Specialist or Orthopaedic Surgeon State License: General Radiographer and Credentialed by ARRT: R.T.-BD or ISCD: CBDT General
77089 Tbs dxa cal w/i&r fx risk Board Certified Cardiologist, Internal Medicine specialist, Urologist, or Orthopaedic Surgeon State license: General Radiographer and credentialed by ARRT;R.T-BD or ISCD:CBDT General
77090 Tbs techl prep & transmis data Board Certified Radiologist, Internal Medicine specialist, Urologist or Orthopaedic Surgeon State license: General Radiographer and credentialed by ARRT;R.T-BD or ISCD:CBDT: credentials as required by the state General
77091 TBS techl calculation only Board Certified Radiologist, Internal Medicine specialist, Urologist, or Orthopaedic Surgeon State license: General Radiographer and credentialed by ARRT;R.T-BD or ISCD: CBDT: credentials as required by the state General
77092 TBS i&r fx rsk qhp Board Certified Radiologist, Internal Medicine specialist, Urologist, or Orthopaedic Surgeon State license: General Radiographer and credentialed by ARRT;R.T-BD or ISCD: CBDT: credentials as required by the state General
78012 Thyroid uptake measurement Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Personal
78013 Thyroid imaging w/blood flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Personal
78014 Thyroid imaging w/blood flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Personal
78015 Thyroid met imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78016 Thyroid met imaging/studies Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78018 Thyroid met imaging body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78020 Thyroid met uptake Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Direct
78070 Parathyroid planar imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78071 Parathyrd planar w/wo subtrj Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Direct
78072 Parathyrd planar w/spect & ct Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Direct
78075 Adrenal cortex & medulla img Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78102 Bone marrow imaging ltd Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78103 Bone marrow imaging mult Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78104 Bone marrow imaging body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78110 Plasma volume single Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78111 Plasma volume multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78120 Red cell mass single Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78121 Red cell mass multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78122 Blood volume Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78130 Red cell survival study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78135 Red cell survival kinetics Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78140 Red cell sequestration Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78185 Spleen imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78191 Platelet survival Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78195 Lymph system imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78201 Liver imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78202 Liver imaging with flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78215 Liver and spleen imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78216 Liver & spleen image/flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78226 Hepatobiliary system imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78227 Hepatobil syst image w/drug Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78230 Salivary gland imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78231 Serial salivary imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78232 Salivary gland function exam Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78258 Esophageal motility study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78261 Gastric mucosa imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78262 Gastroesophageal reflux exam Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78264 Gastric emptying imag study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78265 Gastric emptying imag study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78266 Gastric emptying imag study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78267 Breath tst attain/anal c-14 Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Direct
78268 Breath test analysis c-14 Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT Direct
78278 Acute gi blood loss imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78282 Gi protein loss exam Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78290 Meckels divert exam Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78291 Leveen/shunt patency exam Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78300 Bone imaging limited area Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or Podiatrist ARRT: N or NMTCB: CNMT General
78305 Bone imaging multiple areas Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or Podiatrist ARRT: N or NMTCB: CNMT General
78306 Bone imaging whole body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78315 Bone imaging 3 phase Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78350 Bone mineral single photon Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78414 Non-imaging heart function Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78428 Cardiac shunt imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78429 Myocrd img pet 1 std w/ct Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78430 Myocrd img pet rst/strs w/ct Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78431 Myocrd img pet rst&strs ct Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78432 Myocrd img pet 2rtracer Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78433 Myocrd img pet 2rtracer ct Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78434 Aqmbf pet rest & rx stress Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78445 Vascular flow imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78451 Ht muscle image spect sing Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78452 Ht muscle image spect mult Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78453 Ht muscle image planar sing Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78454 Ht musc image planar mult Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78456 Acute venous thrombus image Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT Direct
78457 Venous thrombosis imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78458 Ven thrombosis images bilat Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78459 Heart muscle imaging (pet) Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT Direct
78466 Heart infarct image Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78468 Heart infarct image (ef) Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78469 Heart infarct image (3d) Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78472 Gated heart planar single Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78473 Gated heart multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78481 Heart first pass single Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78483 Heart first pass multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78491 Heart image (pet) single Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78492 Heart image (pet) multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78494 Heart image spect Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78496 Heart first pass add-on Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78579 Lung ventilation imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78580 Lung perfusion imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78582 Lung ventilat & perfus imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78597 Lung perfusion differential Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78598 Lung perf & ventilat differentl Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78600 Brain image < 4 views Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78601 Brain image w/flow < 4 views Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78605 Brain image 4+ views Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78606 Brain image w/flow 4 + views Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78608 Brain imaging (pet) Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78610 Brain flow imaging only Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78630 Cerebrospinal fluid scan Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78635 Csf ventriculography Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78645 Csf shunt evaluation Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78650 Csf leakage imaging Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78660 Nuclear exam of tear flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78700 Kidney imaging morphol Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78701 Kidney imaging with flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78707 K flow/funct image w/o drug Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78708 K flow/funct image w/drug Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78709 K flow/funct image multiple Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78725 Kidney function study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78730 Urinary bladder retention Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78740 Ureteral reflux study Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78761 Testicular imaging w/flow Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78800 RP LPCLZJ TUM SPECT 1 Area Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78801 Tumor imaging mult areas Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78802 Tumor imaging whole body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78803 RP LPCLZJ TUM SPECT 1 Area Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78804 Tumor imaging whole body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78811 Pet image ltd area Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78812 Pet image skull-thigh Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78813 Pet image full body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78814 Pet image w/ct lmtd Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification ARRT: N or NMTCB: CNMT General
78815 Pet image w/ct skull-thigh Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78816 Pet image w/ct full body Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology ARRT: N or NMTCB: CNMT General
78830 RP LPCLZJ TUM SPECT W/CT 1 Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Cardiology or Radiology ARRT: N or NMTCB: CNMT General
78831 Rp loclzj tum spect 2 areas ABNM, ABR certified MD ARRT: N or NMTCB: CNMT General
78832 Rp loclzj tum spect w/ct 2 ABNM, ABR ARRT: N or NMTCB: CNMT General
78835 Rp quan meas single area Radiologist ABR, ABNM Certified ARRT: N or NMTCB: CNMT General
91010 Esophagus motility study Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91020 Gastric motility studies Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91022 Duodenal motility study Board certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91030 Acid perfusion of esophagus Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91034 Gastroesophageal reflux test Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91035 G-esoph reflx tst w/electrod Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91037 Esoph imped function test Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91038 Esoph imped funct test > 1hr Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91040 Esoph balloon distension tst Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91065 Breath hydrogen/methane test Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Direct
91120 Rectal sensation test Board Certified (ABMS) Gastroenterologist Colorectal Surgeon Registered Nurse (RN) Direct
91122 Anal pressure record Board Certified (ABMS) Gastroenterologist Colorectal Surgeon Registered Nurse (RN) Direct
91132 Electrogastrography Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) General
91133 Electrogastrography w/test Board Certified (ABMS) Gastroenterologist Registered Nurse (RN) Personal
92060 Special eye evaluation Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92081 Visual field examination(s) Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92082 Visual field examination(s) Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92083 Visual field examination(s) Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92100 Serial tonometry exam(s) Board Certified (ABMS) Ophthalmologist or Optometrist/Physician Supervision concept does not apply Physician Service Code - Must be performed by a physician Personal
92132 Cmptr ophth dx img ant segmt Board Certified (ABMS) Ophthalmologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92133 Cmptr ophth img optic nerve Board Certified (ABMS) Ophthalmologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92134 Cptr ophth dx img post segmt Board Certified (ABMS) Ophthalmologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92136 Ophthalmic biometry Board Certified (ABMS) Ophthalmologist or Optometrist Credentialed by JCAHPO: COT or COMT Direct
92235 Eye exam with photos Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT Direct
92240 Icg angiography Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT Direct
92250 Eye exam with photos Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92265 Eye muscle evaluation Board Certified (ABMS) Ophthalmologist, Neurologist, Physiatrist or Optometrist Credentialed by JCAHPO: COT or COMT Personal
92270 Electro-oculography Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92283 Color vision examination Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92284 Dark adaptation eye exam Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92285 Eye photography Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92286 Internal eye photography Board Certified (ABMS) Ophthalmologist, Neurologist or Optometrist Credentialed by JCAHPO: COT or COMT General
92537 Caloric vstblr test w/rec Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92538 Caloric vstblr test w/rec Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92540 Basic vestibular evaluation Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92541 Spontaneous nystagmus test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92542 Positional nystagmus test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92544 Optokinetic nystagmus test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92545 Oscillating tracking test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92546 Sinusoidal rotational test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92547 Supplemental electrical test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92548 Posturography Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92550 Tympanometry & reflex thresh Board Certified (ABMS) Neurologist or Otolaryngologist/Concept of physician supervision does not apply Physician service code – must be performed by a physician Personal
92552 Pure tone audiometry air Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92553 Audiometry air & bone Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92555 Speech threshold audiometry Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92556 Speech audiometry complete Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92557 Comprehensive hearing test Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician Direct
92562 Loudness balance test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92563 Tone decay hearing test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92564 Sisi hearing test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92565 Stenger test pure tone Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92567 Tympanometry Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician Direct
92568 Acoustic refl threshold tst Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician Direct
92570 Acoustic immitance testing Board Certified (ABMS) Neurologist or Otolaryngologist/Concept of physician supervision does not apply Physician service code – must be performed by a physician Direct
92571 Filtered speech hearing test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92572 Staggered spondaic word test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92575 Sensorineural acuity test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92576 Synthetic sentence test Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92577 Stenger test speech Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92579 Visual audiometry (vra) Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code – must be performed by a physician Personal
92582 Conditioning play audiometry Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92583 Select picture audiometry Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92584 Electrocochleography Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92587 Evoked auditory test limited Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92588 Evoked auditory tst complete Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92596 Ear protector evaluation Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Personal
92597 Oral speech device eval Board Certified (ABMS) Neurologist or Otolaryngologist Physician service code - must be performed by a physician Personal
92601 Cochlear implt f/up exam <7 Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code - must be performed by a physician Direct
92602 Reprogram cochlear implt 7/> Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code - must be performed by a physician Direct
92603 Cochlear implt f/up exam 7/> Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code - must be performed by a physician Direct
92604 Reprogram cochlear implt 7/> Board Certified (ABMS) Neurologist or Otolaryngologist Physician Service Code - must be performed by a physician Direct
92620 Auditory function 60 min Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92621 Auditory function + 15 min Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92625 Tinnitus assessment Board Certified (ABMS) Neurologist or Otolaryngologist Licensed Audiologist Direct
92650 Screening evaluation of brain response to sound with automated analysis Board Certified (ABMS) Neurologist, Physiatrist or Otolaryngologist/Concept of physician supervision does not apply Licensed Audiologist Direct
92651 Evaluation of brain response to sound for determination of hearing status with interpretation and report Board Certified (ABMS) Neurologist, Physiatrist or Otolaryngologist/Concept of physician supervision does not apply Licensed Audiologist Direct
92652 Evaluation of brain response to sound for determination of hearing threshold with interpretation and report Board Certified (ABMS) Neurologist, Physiatrist or Otolaryngologist Licensed Audiologist Direct
92653 Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report Board Certified (ABMS) Neurologist, Physiatrist or Otolaryngologist Licensed Audiologist Direct
93000 Electrocardiogram complete Board Certified (ABMS) Internist or Cardiologist RN, LPN, or State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93005 Electrocardiogram tracing Board Certified (ABMS) Internist or Cardiologist RN, LPN, or State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93010 Electrocardiogram report Board Certified (ABMS) Internist or Cardiologist/Concept of physician supervision does not apply Professional component only code - must be performed by a physician Personal
93015 Cardiovascular stress test Board Certified (ABMS) Internist or Cardiologist - ACLS certified RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET Direct
93016 Cardiovascular stress test Board Certified (ABMS) Internist or Cardiologist - ACLS certified RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET Direct
93017 Cardiovascular stress test Board Certified (ABMS) Internist or Cardiologist - ACLS certified RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET Direct
93018 Cardiovascular stress test Board Certified (ABMS) Cardiologist/ Physician Supervision concept does not apply Professional component only code - must be performed by a physician Personal
93024 Cardiac drug stress test Board Certified (ABMS) Internist or Cardiologist - ACLS certified RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET Personal
93025 Microvolt t-wave assess Board Certified (ABMS) Internist or Cardiologist - ACLS certified RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93040 Rhythm ecg with report Board Certified (ABMS) Internist or Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93041 Rhythm ecg tracing Board Certified (ABMS) Internist or Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93042 Rhythm ecg report Board Certified (ABMS) Cardiologist/ Physician Supervision concept does not apply Professional component code - must be performed by a physician Personal
93224 Ecg monit/reprt up to 48 hrs Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93225 Ecg monit/reprt up to 48 hrs Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93226 Ecg monit/reprt up to 48 hrs Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93227 Ecg monit/reprt up to 48 hrs Board Certified (ABMS) Cardiologist/ Physician Supervision concept does not apply Professional component only code - must be performed by physician Personal
93228 Remote 30 day ecg rev/report Board Certified (ABMS) Cardiologist Professional component only code – service must be performed by physician Personal
93229 Remote 30 day ecg tech supp Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic or credentialed by CCI: CCT or NHA: CET General
93241 Ext ecg>48hr<7d rec scan a/r Board Certified (ABMS) Cardiologist As required by the state or RN, State licensed Paramedic or credentialed by CCI: CCT General
93242 Heart rhythm recording continuous external EKG over more than 48 hours up to 7 days Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93243 Heart rhythm analysis and report of continuous external EKG over more than 48 hours up to 7 days Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93245 Ext ecg>7d<15d rec scan a/r Board Certified (ABMS) Cardiologist As required by the state or RN, State licensed Paramedic or credentialed by CCI: CCT General
93246 Heart rhythm recording of continuous external EKG over 8-15 days Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93247 Heart rhythm recording of continuous external EKG over 8-15 days Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93260 Prgrmg dev eval impltbl sys Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93261 Interrogate subq defib Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93268 Ecg record/review Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93270 Remote 30 day ecg rev/report Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93271 Ecg/monitoring and analysis Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93272 Ecg/review interpret only Board Certified (ABMS) Cardiologist/ Physician Supervision concept does not apply Professional component only code - must be performed by physician Personal
93278 Ecg/signal-averaged Board Certified (ABMS) Cardiologist RN, State licensed Paramedic or credentialed by CCI: CCT or NHA: CET General
93279 Pm device progr eval sngl Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93280 Pm device progr eval dual Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93281 Pm device progr eval multi Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93282 Prgrmg eval implantable dfb Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93283 Prgrmg eval implantable dfb Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93284 Prgrmg eval implantable dfb Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93285 Ilr device eval progr Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93286 Peri-px pacemaker device evl Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93287 Peri-px device eval & prgr Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93288 Pm device eval in person Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93289 Interrog device eval heart Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93290 Icm device eval Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93291 Ilr device interrogate Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93292 Wcd device interrogate Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET Direct
93293 Pm phone r-strip device eval Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET General
93294 Pm device interrogate remote Board Certified (ABMS) Cardiologist Professional component only code – service must be performed by a physician Personal
93295 Dev interrog remote 1/2/mlt Board Certified (ABMS) Cardiologist Professional component only code – service must be performed by a physician Personal
93296 Pm/icd remote tech serv Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT or NHA: CET General
93297 Icm device interrogat remote Board Certified (ABMS) Cardiologist Professional component only code – service must be performed by a physician Personal
93298 Ilr device interrogat remote Board Certified (ABMS) Cardiologist Professional component only code – service must be performed by a physician Personal
93303 Echo transthoracic Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93304 Echo transthoracic Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93306 Tte w/doppler complete Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93307 Tte w/o doppler complete Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93308 Tte f-up or lmtd Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93312 Echo transesophageal Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS Personal
93313 Echo transesophageal Board Certified (ABMS) Cardiologist Physician Service Code - must be performed by a physician Personal
93314 Echo transesophageal Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS Personal
93315 Echo transesophageal Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS Personal
93316 Echo transesophageal Board Certified (ABMS) Cardiologist Physician Service Code - must be performed by a physician Personal
93317 Echo transesophageal Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS Personal
93320 Doppler echo exam heart Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93321 Doppler echo exam heart Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93325 Doppler color flow add-on Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS General
93350 Stress tte only Board Certified (ABMS) Cardiologist Credentialed by ARDMS: RDCS or CCI: RCS, RN or State licensed Paramedic Direct
93351 Stress tte complete Board Certified (ABMS) Cardiologist State Licensed RN or Paramedic, or Credentialed by ARDMS: RDCS or CCI: RCS Direct
93352 Admin ecg contrast agent Board Certified (ABMS) Cardiologist Physician service code – service must be performed by a physician Personal
93356 Echo Strain Board Certified (ABMS)Cardiology, Diagnostic Radiology Credentialed by ABDMS; RDMS or ARRT; R.T.S Direct
93660 Tilt table evaluation Board Certified (ABMS) Cardiologist Credentialed by CCI: CCT, RCIS, RCS or ARDMS: RDCS or RN or NHA: CET Direct
93701 Bioimpedance cv analysis Board Certified (ABMS) Cardiologist Demonstrates Proficiency Direct
93740 Temperature gradient studies Board Certified (ABMS) Cardiologist Credentialed by CCI: CCT or NHA: CET, State licensed Paramedic or RN Direct
93770 Measure venous pressure Board Certified (ABMS) Cardiologist Credentialed by CCI: CCT or NHA: CET, State licensed Paramedic or RN Direct
93784 Ambulatory bp monitoring Board Certified (ABMS) Cardiologist, Internal Medicine or Family Practice Credentialed by CCI: CCT or NHA: CET, State licensed Paramedic or RN General
93786 Ambulatory bp recording Board Certified (ABMS) Cardiologist, Internal Medicine or Family Practice Credentialed by CCI: CCT or NHA: CET, State licensed Paramedic or RN General
93788 Ambulatory bp analysis Board Certified (ABMS) Cardiologist, Internal Medicine or Family Practice Credentialed by CCI: CCT or NHA: CET, State licensed Paramedic or RN Direct
93790 Review/report bp recording Board Certified (ABMS) Cardiologist, Internal Medicine or Family Practice/ Physician supervision concept does not apply Professional component only code - must be performed by physician Personal
93880 Extracranial bilat study Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification - refer to LCD Non- invasive Extracranial Arterial Studies for additional training requirements Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93882 Extracranial uni/ltd study Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Or ABPN: Neurologist with ASN or UCNS: Neuroimaging Subspecialty Certification - refer to LCD Non- invasive Extracranial Arterial Studies for additional training requirements Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93886 Intracranial complete study Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93888 Intracranial limited study Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93890 Tcd vasoreactivity study Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93892 Tcd emboli detect w/o inj Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93893 Tcd emboli detect w/inj Board Certified (ABMS) Radiologist, Neurologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93922 Upr/l xtremity art 2 levels Board Certified (ABMS) Radiologist, Cardiologist, Podiatrist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93923 Upr/lxtr art stdy 3+ lvls Board Certified (ABMS) Radiologist, Cardiologist, Podiatrist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93924 Lwr xtr vasc stdy bilat Board Certified (ABMS) Radiologist, Cardiologist, Podiatrist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93925 Lower extremity study Board Certified (ABMS) Radiologist, Cardiologist, Podiatrist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93926 Lower extremity study Board Certified (ABMS) Radiologist, Cardiologist, Podiatrist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93930 Upper extremity study Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93931 Upper extremity study Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93970 Extremity study Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93971 Extremity study Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93975 Vascular study Board Certified (ABMS) Radiologist, Vascular Surgeon or Urologist Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93976 Vascular study Board Certified (ABMS) Radiologist , Vascular Surgeon or Urologist Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93978 Vascular study Board Certified (ABMS) Radiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93979 Vascular study Board Certified (ABMS) Radiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93980 Penile vascular study Board Certified (ABMS) Radiologist, Urologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93981 Penile doppler Board Certified (ABMS) Radiologist, Urologist RN/LPN/MTA with licensure per the state, Ultrasonographer, Credentialed by ADRMS, RDMS or ARRT Direct
93985 Duplex scan arterial inflow venous outflow Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93986 Duplex scan arterial inflow venous outflow Board Certified (ABMS) Radiologist, Cardiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
93990 Doppler flow testing Board Certified (ABMS) Radiologist or Vascular Surgeon Credentialed by ARDMS: RVT, ARRT: VS or CCI: RVS General
94010 Breathing capacity test Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN General
94014 Patient recorded spirometry Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN General
94015 Patient recorded spirometry Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN General
94016 Review patient spirometry Board Certified (ABMS) Pulmonologist/ Physician supervision concept does not apply Professional component only code - must be performed by a physician Personal
94060 Evaluation of wheezing Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94070 Evaluation of wheezing Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94150 Vital capacity test Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94200 Lung function test (mbc/mvv) Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94250 Expired gas collection Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94375 Respiratory flow volume loop Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94400 Co2 breathing response curve Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist Direct
94450 Hypoxia response curve Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist Direct
94452 Hast w/report Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94453 Hast w/oxygen titrate Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94618 Pulm Stress Test/6-minute walk Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN General
94621 Pulm stress test/complex Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94664 Evaluate pt use of inhaler Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist or RN Direct
94680 Exhaled air analysis o2 Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist Direct
94681 Exhaled air analysis o2/co2 Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist Direct
94690 Exhaled air analysis Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94726 Pulm funct tst plethysmograp Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94727 Pulm function test by gas Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94728 Pulm funct test oscillometry Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94729 Co/membane diffuse capacity Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94750 Pulmonary compliance study Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94760 Measure blood oxygen level Board Certified (ABMS) Pulmonologist Demonstrates proficiency General
94761 Measure blood oxygen level Board Certified (ABMS) Pulmonologist Demonstrates proficiency General
94762 Measure blood oxygen level Board Certified (ABMS) Pulmonologist Demonstrates proficiency General
94770 Exhaled carbon dioxide test Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
94772 Breath recording infant Board Certified (ABMS) Pulmonologist State License: Respiratory Therapist General
95700 EEG by tech cont rec w/vid eeg tech setup Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95705 EEG w/o vid 2-12 hr, unmntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95706 Technical EEG w/o vid 2-12 hr, intmt mntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95706 Eeg monitoring/computer Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95707 EEG w/o vid 2-12hr cont mntr Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95708 EEG w/o vid ea 12-26hr unmntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95709 EEG w/o vid ea 12-26hr intmt Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95710 EEG w/o vid ea 12-26hr cont by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95711 VEEG 2-12 hr unmonitored by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95712 VEEG 2-12 hr intmt mntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95712 Long term EEG monitoring/computer Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95713 VEEG 2-12 hr cont mntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95714 VEEG ea 12-26 hr unmntrby tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95715 Long term EEG monitoring/computer Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95716 VEEG ea 12-26hr cont mntr by tech Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95717 EEG phys/qhp 2-12 hr w/o vid Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95718 EEG phys/qhp 2-12 hr w/VEEG Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95719 EEG phys/qhp ea incr w/o vid Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95720 Long term EEG monitoring/computer Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95721 EEG phy/qhp>36<60 hr w/o vid Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95722 EEG phy/qhp>36<60 hr w/VEEG Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95723 EEG phy/qhp>60<84 hr w/o vid Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95724 Long term EEG monitoring/computer Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95724 EEG phy/qhp>60<84 hr w/VEEG Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95725 EEG phy/qhp>84 hr w/o vid Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95726 EEG phy/qhp>84 hr w/VEEG Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95782 Polysom <6 yrs 4/> paramtrs ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, CRT: SDS or RRT: SDS General
95783 Polysom <6 yrs cpap/bilvl ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, CRT: SDS or RRT: SDS General
95800 Slp stdy unattended ABMS, ABMS, ABFM, or ABIM certified Credentialed by BRPT, RPSGT, ABRET, CRT or SDS General
95801 Slp study unatnd w/ anal ABMS, ABSM, ABFM, or ABIM certified Credentialed by BRPT, RPSGT, ABRET, ,CRT or SDS General
95805 Multiple sleep latency test ABMS Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOto, or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS General
95806 Sleep Study Unatt&resp efft ABMS, ABSM, ABFM, or ABIM certified Credentialed by BRPT, RPSGT, ABRET, ,CRT or SDS General
95807 Sleep study attended ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS General
95808 Polysom any age 1-3> param ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS General
95810 Polysom 6/> yrs 4/> param ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS General
95811 Polysom 6/>yrs cpap 4/> parm ABMS Physician Certified by ABSM or ABMS: Sleep Medicine, ABFM, ABIM, ABOto or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, ABRET: R. EEG T. (Polysomnography), CRT: SDS or RRT: SDS General
95812 Eeg 41-60 minutes Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95813 Eeg over 1 hour Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95816 Eeg awake and drowsy Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95819 Eeg awake and asleep Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95822 Eeg coma or sleep only Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95824 Eeg cerebral death only Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95830 Insert electrodes for eeg Board Certified (ABMS) Neurologist/ Physician Supervision concept does not apply Physician service code - must be performed by a physician Personal
95860 Muscle test one limb Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c)American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified electrophysiologic clinical electrophysiology specialist and is permitted to provide the service under state law. Must be performed by the qualified interpreting physician. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95861 Muscle test 2 limbs Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95863 Muscle test 3 limbs Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. EMG procedures may be personally Personal
95864 Muscle test 4 limbs Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95867 Muscle test cran nerv unilat Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical [electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95868 Muscle test cran nerve bilat Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical [electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification.] Personal
95869 Muscle test thor paraspinal Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95870 Muscle test nonparaspinal Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified eclinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95872 Muscle test one fiber Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95875 Limb exercise test Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EP T. Personal
95885 Musc tst done w/nerv tst lim Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95886 Musc test done w/n test comp Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95887 Musc tst done w/n tst nonext Board Certified (ABMS) Neurologist; or Board Certified (ABMS) Physical Medicine and Rehabilitation (PMR) specialist with additional certification by: a) American Board of Electrodiagnostic Medicine, b) Clinical Neurophysiology, or c) American Board of Neurophysiology; or a Physical therapist who is certified by the American Board of Physical Therapy Specialties (ABPTS) as a qualified clinical electrophysiology specialist and is permitted to provide the service under state law. Procedure must be personally performed by a qualified physician who may or may not be the supervising physician. The qualified performing physician when assisted must provide personal supervision during the performance of EMG test(s) to the IDTF technician providing assistance*. In addition, EMG procedures may be personally performed by a Physical Therapist (PT) with ABPTS certification and certification in this specific procedure. *The following are considered appropriate credentials to assist a physician performing an EMG: ABEM: CNCT or State Licensed Physical Therapist with ABPTS certification. Personal
95905 Motor &/ sens nrve cndj test Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT General
95907 Nvr cndj tst 1-2 studies Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist - General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95908 Nrv cndj tst 3-4 studies Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95909 Nrv cndj tst 5-6 studies Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95910 Nrv cndj test 7-8 studies Board Certified (ABMS) Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95911 Nrv cndj test 9-10 studies Board Certified (ABMS) Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95912 Nrv cndj test 11-12 studies Board Certified (ABMS) Neurologist or Physiatrist or Podiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95913 Nrv cndj test 13/> studies Board Certified (ABMS) Neurologist or Physiatrist- General supervision level applies if PT not certified Credentialed by ABRET: R. EP T. or State Licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95925 Somatosensory testing Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95926 Somatosensory testing Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95927 Somatosensory testing Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95928 C motor evoked uppr limbs Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95929 C motor evoked lwr limbs Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95930 Visual evoked potential test Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95933 Blink reflex test Board Certified (ABMS) Neurologist or Physiatrist - General supervision level applies if PT not certified Credentialed by State licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95937 Neuromuscular junction test Board Certified (ABMS) Neurologist, Physiatrist or Podiatrist - General supervision level applies if PT not certified Credentialed by State licensed Physical Therapist with ABPTS certification or Qualified Physical Therapist or ABEM: CNCT Direct
95938 Somatosensory testing Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95939 C motor evoked upper & lower limbs Board Certified (ABMS) Neurologist or Physiatrist Credentialed by ABRET: R. EPT or R. EEG T. Direct
95954 Eeg monitoring/giving drugs Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T Personal
95957 Eeg digital analysis Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T General
95958 Eeg monitoring/function test Board Certified (ABMS) Neurologist Credentialed by ABRET: R. EEG T Personal
96105 Assessment of aphasia Psychiatrist, Clinical psychologist or qualified independent psychologist Physician service code - must be performed by a physician Direct
96110 Developmental screen w/score Psychiatrist, Clinical psychologist or qualified independent psychologist Physician service code - must be performed by a physician Direct
96374 Ther/proph/diag inj iv push Certified by ABMS RN, State licensed Paramedic or credentialed by CCI: CCT Direct
A9520 Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS; Radiology State License: General Radiographer and Credentialed by ARRT: R.T-BD or ISCD: CBDT: NMTCB; credentials as required by the state Direct
C8912 Magnetic resonance angiography with contrast, lower extremity Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
C8913 Magnetic resonance angiography without contrast, lower extremity  Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
C8914 Magnetic resonance angiography without contrast followed by with contrast, lower extremity Board Certified (ABMS) Radiologist Credentialed by ARRT: MR or ARMRIT: MRI Direct
G0106 Colon ca screen; barium enema Board Certified Gastroenterologist State License: General Radiographer and Credentialed by ARRT: R.T.-N or NMTCB: CNMT Direct
G0130 Single energy x-ray study Board Certified (ABMS) Radiologist or Orthopaedic Surgeon State License: General Radiographer and Credentialed by ARRT: R.T.-BD General
G0248 Demonstrate use home inr mon Board Certified (ABMS) Cardiologist Registered Nurse (RN) General
G0249 Provide inr test mater/equip Board Certified (ABMS) Cardiologist Demonstrates Proficiency General
G0279 Tomosynthesis, mammo Board Certified (ABMS) Radiologist State License: General Radiographer and ARRT: R.T.-M and Facility Must be FDA Certified to Perform Mammography Direct
G0398 Home sleep test/type 2 porta ABMS Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOto, or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, CRT: SDS, or RRT: SDS General
G0399 Home sleep test/type 3 porta ABMS Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOto, or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, CRT: SDS, or RRT: SDS General
G0400 Home sleep test/type 4 porta ABMS Physician Certified by ABSM or ABMS: Sleep Medicine OR ABFM, ABIM, ABOto, or ABPN: Sleep Medicine Subspecialty Certification Credentialed by BRPT: RPSGT, CRT: SDS, or RRT: SDS General
G1000 Applied Pathways, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1001 eviCore, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1002 MedCurrent, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1003 Medicalis, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1004 National Decision Support Company, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1005 National Imaging Associates, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1006 Test Appropriate, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1007 AIM Specialty Health, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1008 Cranberry Peak, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1009 Sage Health Management Solutions, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1010 Stanson, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G1011 qualified tool not otherwise specified, as defined by the Medicare Appropriate Use Criteria Program Board Certified (ABMS or ABNM) Nuclear Medicine or ABMS: Radiology As required by State or ARRT or NMTCB General
G2066 Inter DEVC Remote 30D Board Certified (ABMS) Cardiologist State Licensed: RN or Paramedic, or credentialed by CCI: CCT General
J7050 IV normal saline 250 cc ABMS Radiology Cardiology RN, State licensed Paramedic or credentialed by CCI: CCT Direct
J0280 IV aminophyliine, up to 250 mg ABMS Radiology Cardiology RN, State licensed Paramedic or credentialed by CCI: CCT Personal
Q0092 Get-up Portable X-Ray Equipment Board certified by ABMS board As required by state, or ARRT General

IDTF Table Abbreviations

American Board of Electrodiagnostic Medicine (ABEM)
Certified Nerve Conduction Technologist (CNCT)

American Board of Family Medicine (ABFM)
ABFM: Sleep Medicine Subspecialty Certification

American Board of Internal Medicine (ABIM)
ABIM: Sleep Medicine Subspecialty Certification

American Board of Nuclear Medicine (ABNM)

American Board of Otolaryngology (ABOto)
ABOto: Sleep Medicine Subspecialty Certification

American Board of Psychiatry and Neurology (ABPN)
ABPN: Sleep Medicine Subspecialty Certification

American Board of Medical Specialties (ABMS)

American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET)
Registered Electroencephalographic technologist (R. EEG T.)
Registered Evoked Potential Technologist (R.EP T.)

American Board of Sleep Medicine (ABSM)

American Registry of Diagnostic Medical Sonographers (ARDMS)
Registered Diagnostic Cardiac Sonographer (RDCS)
Registered Diagnostic Medical Sonographer (RDMS) Registered Vascular Technologist (RVT)

American Registry of Magnetic Resonance Imaging Technologists (ARMRIT)
Certified Magnetic Resonance Imaging Technologist

American Society of Neuroimaging (ASN)
ASN: Neuroimaging Subspecialty Certification

The American Registry of Radiologic Technologists (ARRT)
Certified Magnetic Resonance Imaging Technologist (ARRT: MR) Certified and Registered Technologist - Bone Densitometry (R.T-BD)
Certified and Registered Technologist - Breast Sonography (R.T.-BS)
Certified and Registered Technologist - Cardiac Interventional Radiography (ARRT: CI)
Certified and Registered Technologist - Computed Tomography (R.T.-CT)
Certified and Registered Technologist - Magnetic Resonance Imaging (R.T.-MR)
Certified and Registered Technologist - Mammography (R.T.-M)
Certified and Registered Technologist - Nuclear Medicine Technology (R.T.-N)
Certified and Registered Technologist - Radiography (R.T.-R)
Certified and Registered Technologist - Sonography (R.T.-S)
Certified and Registered Technologist - Vascular Sonography (R.T.-VS)

Board of Registered Polysomnographic Technologists (BRPT)
Registered Polysomnographic Technologist (RPSGT)

Cardiovascular Credentialing International (CCI)
Certified Cardiographic Technician (CCT)
Registered Cardiac Sonographer (RCS)
Registered Cardiovascular Invasive Specialist (RCIS) Registered Vascular Specialist (RVS)

The International Society for Clinical Densitometry (ISCD)
Certified Bone Densitometry Technologist (CBDT)

Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO)
JCAHPO offers three levels of certification: Certified Ophthalmic Assistant (COA)
Certified Ophthalmic Technician (COT) (Intermediate Level)
Certified Ophthalmic Medical Technologist (COMT) (Advanced Level)

National Board for Respiratory Care (NBRC)
Certified Pulmonary Function Technologist (CPFT) Registered Pulmonary Function Technologist (RPFT)
Certified Respiratory Therapist (CRT): Sleep Disorder Specialist (SDS) Registered Respiratory Therapist (RRT): Sleep Disorder Specialist (SDS)

Nuclear Medicine Technology Certification Board (NMTCB)
Certified Nuclear Medicine Technologist (CNMT)

United Council for Neurologic Subspecialties (UCNS)
UCNS: Neuroimaging Subspecialty Certification

Last Updated Sep 05 , 2024