IDTF Physician and Technician Qualification Requirements - JE Part B
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
