| Package | ca.on.mi.pkg |
| Type | CodeSystem |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.mi.pkg@0.9.0-beta-3-testing&canonical=http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial |
| Url | http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial |
| Version | 0.9.0 |
| Status | active |
| Date | 2024-04-19T02:20:56.4940505+00:00 |
| Name | ProcedureTypeMiProvincial |
| Title | Provincial MI Procedure Types |
| Experimental | False |
| Realm | ca |
| Description | This code system contains all Provincial procedure type codes. For PoT, we are only providing some examples from the expansion. |
| Content | complete |
| ConceptMap | |
http://ontariohealth.ca/fhir/ConceptMap/cm-local-provincial-procedure-type  | Local to Provincial Map For Procedure Type |
| http://ontariohealth.ca/fhir/ValueSet/mi-procedure-type-provincial | Medical Imaging Provincial Procedure Type |
No resources found
FHIR{
"resourceType" : "CodeSystem",
"id" : "procedure-type-mi-provincial",
"url" : "http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial",
"version" : "0.9.0",
"name" : "ProcedureTypeMiProvincial",
"title" : "Provincial MI Procedure Types",
"status" : "active",
"experimental" : false,
"date" : "2024-04-19T02:20:56.4940505+00:00",
"description" : "This code system contains all Provincial procedure type codes. For PoT, we are only providing some examples from the expansion.",
"content" : "complete",
"count" : 2335,
"concept" : [
{
"code" : "100001",
"display" : "XA Abdomen Angiography"
},
{
"code" : "100002",
"display" : "XA Abdominal Aortography"
},
{
"code" : "100003",
"display" : "XA Angiography"
},
{
"code" : "100004",
"display" : "XA Aorta Angioplasty"
},
{
"code" : "100005",
"display" : "XA Carotid Angioplasty"
},
{
"code" : "100007",
"display" : "XA Common Femoral Angioplasty"
},
{
"code" : "100008",
"display" : "XA Iliac Angioplasty"
},
{
"code" : "100009",
"display" : "XA Angioplasty"
},
{
"code" : "100010",
"display" : "XA Renal Angioplasty Bilateral"
},
{
"code" : "100011",
"display" : "XA Renal Angioplasty Left"
},
{
"code" : "100012",
"display" : "XA Renal Angioplasty Right"
},
{
"code" : "100013",
"display" : "XA Subclavian Artery Angioplasty"
},
{
"code" : "100014",
"display" : "XA Tibial Angioplasty Bilateral"
},
{
"code" : "100015",
"display" : "XA Venous Angioplasty"
},
{
"code" : "100016",
"display" : "XA Vertebral Angioplasty"
},
{
"code" : "100017",
"display" : "RF Antegrade Pyelography Bilateral"
},
{
"code" : "100019",
"display" : "XA Abdominal Peripheral Angiography"
},
{
"code" : "100020",
"display" : "XA Thoracic Aortography"
},
{
"code" : "100022",
"display" : "XA Arch Aortography"
},
{
"code" : "100025",
"display" : "XA Aorta Stent"
},
{
"code" : "100027",
"display" : "XA Angiography AV Fistula Graft"
},
{
"code" : "100028",
"display" : "XA Carotid Angiography Bilateral"
},
{
"code" : "100029",
"display" : "XA Carotid Angiography Left"
},
{
"code" : "100030",
"display" : "XA Carotid Angiography Right"
},
{
"code" : "100031",
"display" : "XA Cerebral Angiography"
},
{
"code" : "100032",
"display" : "XA Spinal Angiography"
},
{
"code" : "100034",
"display" : "XA Vertebral Angiography Bilateral"
},
{
"code" : "100035",
"display" : "XA Vertebral Angiography Left"
},
{
"code" : "100036",
"display" : "XA Vertebral Angiography Right"
},
{
"code" : "100038",
"display" : "RF Biliary Drainage"
},
{
"code" : "100039",
"display" : "RF Biliary Stone Manipulation"
},
{
"code" : "100040",
"display" : "RF Biliary Stricture Dilatation"
},
{
"code" : "100043",
"display" : "XA Brachial Angiography"
},
{
"code" : "100044",
"display" : "XA Brachial Angiography Left"
},
{
"code" : "100045",
"display" : "XA Brachial Angiography Right"
},
{
"code" : "100046",
"display" : "XA Bronchial Angiography"
},
{
"code" : "100048",
"display" : "XA Cardiac Angiography"
},
{
"code" : "100049",
"display" : "XA Cardiac Catheterization"
},
{
"code" : "100052",
"display" : "RF Cecostomy Tube"
},
{
"code" : "100053",
"display" : "XA Central Line"
},
{
"code" : "100066",
"display" : "XA Arterial Embolization"
},
{
"code" : "100067",
"display" : "XA AVM Embolization"
},
{
"code" : "100068",
"display" : "XA Bronchial Artery Embolization"
},
{
"code" : "100069",
"display" : "XA Cerebral Artery Embolization"
},
{
"code" : "100072",
"display" : "XA Fistula Embolization"
},
{
"code" : "100073",
"display" : "XA Hepatic Artery Embolization"
},
{
"code" : "100074",
"display" : "XA Internal Iliac Artery Embolization"
},
{
"code" : "100075",
"display" : "XA Mesenteric Artery Embolization"
},
{
"code" : "100076",
"display" : "XA Pulmonary Artery Embolization"
},
{
"code" : "100077",
"display" : "XA Renal Embolization"
},
{
"code" : "100078",
"display" : "XA Spinal Embolization"
},
{
"code" : "100079",
"display" : "XA Splenic Artery Embolization"
},
{
"code" : "100080",
"display" : "XA Uterine Artery Embolization"
},
{
"code" : "100081",
"display" : "XA Venous Embolization"
},
{
"code" : "100082",
"display" : "RF Enteric Stent"
},
{
"code" : "100083",
"display" : "RF Esophageal Dilatation"
},
{
"code" : "100085",
"display" : "RF Fallopian Tube"
},
{
"code" : "100087",
"display" : "XA Femoral Angiography"
},
{
"code" : "100088",
"display" : "XA Femoral Angiography Bilateral"
},
{
"code" : "100089",
"display" : "XA Femoral Angiography Left"
},
{
"code" : "100090",
"display" : "XA Femoral Angiography Right"
},
{
"code" : "100093",
"display" : "XA Intravascular Foreign Body Removal"
},
{
"code" : "100094",
"display" : "RF Gastric Band Injection"
},
{
"code" : "100095",
"display" : "RF Gastric Dilatation"
},
{
"code" : "100098",
"display" : "RF Gastrojejunostomy Tube"
},
{
"code" : "100104",
"display" : "XA Vena Cavography"
},
{
"code" : "100109",
"display" : "RF Jejunostomy Tube"
},
{
"code" : "100113",
"display" : "XA Lower Extremity Angiography"
},
{
"code" : "100114",
"display" : "XA Lower Extremity Angiography Bilateral"
},
{
"code" : "100115",
"display" : "XA Lower Extremity Angiography Left"
},
{
"code" : "100116",
"display" : "XA Lower Extremity Angiography Right"
},
{
"code" : "100117",
"display" : "RF Lumbar Drainage"
},
{
"code" : "100119",
"display" : "RF Lymphangiography"
},
{
"code" : "100126",
"display" : "RF Esophageal Stent"
},
{
"code" : "100137",
"display" : "XA PICC Line"
},
{
"code" : "100141",
"display" : "RF Pouchography"
},
{
"code" : "100142",
"display" : "XA Pseudoaneurysm Injection"
},
{
"code" : "100143",
"display" : "XA Pulmonary Angiography"
},
{
"code" : "100145",
"display" : "RF Rectal Colonic Dilatation"
},
{
"code" : "100147",
"display" : "XA Renal Angiography"
},
{
"code" : "100148",
"display" : "XA Renal Angiography Bilateral"
},
{
"code" : "100149",
"display" : "XA Renal Angiography Left"
},
{
"code" : "100150",
"display" : "XA Renal Angiography Right"
},
{
"code" : "100151",
"display" : "RF Renal Cyst Puncture"
},
{
"code" : "100152",
"display" : "RF Retroperitoneal Biopsy"
},
{
"code" : "100153",
"display" : "XA Splenoportography"
},
{
"code" : "100156",
"display" : "XA Stent"
},
{
"code" : "100157",
"display" : "RF Dilatation"
},
{
"code" : "100158",
"display" : "XA Superior Vena Cavography"
},
{
"code" : "100161",
"display" : "XA Thrombolysis"
},
{
"code" : "100163",
"display" : "XA TIPS Stent"
},
{
"code" : "100167",
"display" : "XA Portovenography"
},
{
"code" : "100169",
"display" : "RF Trigeminal Rhizotomy"
},
{
"code" : "100170",
"display" : "XA Upper Extremity Angiography"
},
{
"code" : "100171",
"display" : "XA Upper Extremity Angiography Bilateral"
},
{
"code" : "100172",
"display" : "XA Upper Extremity Angiography Left"
},
{
"code" : "100173",
"display" : "XA Upper Extremity Angiography Right"
},
{
"code" : "100175",
"display" : "XA Venography"
},
{
"code" : "100176",
"display" : "XA Lower Extremity Venography"
},
{
"code" : "100177",
"display" : "XA Lower Extremity Venography Bilateral"
},
{
"code" : "100178",
"display" : "XA Lower Extremity Venography Left"
},
{
"code" : "100179",
"display" : "XA Lower Extremity Venography Right"
},
{
"code" : "100180",
"display" : "XA Renal Venography"
},
{
"code" : "100181",
"display" : "XA Renal Venography Bilateral"
},
{
"code" : "100182",
"display" : "XA Renal Venography Left"
},
{
"code" : "100183",
"display" : "XA Renal Venography Right"
},
{
"code" : "100184",
"display" : "XA Upper Extremity Venography"
},
{
"code" : "100185",
"display" : "XA Upper Extremity Venography Bilateral"
},
{
"code" : "100186",
"display" : "XA Upper Extremity Venography Left"
},
{
"code" : "100187",
"display" : "XA Upper Extremity Venography Right"
},
{
"code" : "100188",
"display" : "XA Venous Cannulation"
},
{
"code" : "100189",
"display" : "XA Adrenal Venous Sampling"
},
{
"code" : "100190",
"display" : "XA Pancreatic Venous Sampling"
},
{
"code" : "100192",
"display" : "XA Petrosal Venous Sampling"
},
{
"code" : "100193",
"display" : "XA Renal Venous Sampling"
},
{
"code" : "100194",
"display" : "RF Vertebroplasty"
},
{
"code" : "100198",
"display" : "BMD Whole Body"
},
{
"code" : "100200",
"display" : "CT Abdomen Pelvis with Contrast"
},
{
"code" : "100201",
"display" : "CT Abdomen Pelvis"
},
{
"code" : "100202",
"display" : "CT Abdomen Biopsy"
},
{
"code" : "100203",
"display" : "CT Abdomen Drainage"
},
{
"code" : "100205",
"display" : "CT Abdomen Lumbar Spine Pelvis with Contrast"
},
{
"code" : "100206",
"display" : "CT Abdomen Lumbar Spine Pelvis"
},
{
"code" : "100208",
"display" : "CT Abdomen with Contrast"
},
{
"code" : "100212",
"display" : "CT Abdomen"
},
{
"code" : "100215",
"display" : "CT Adrenals with Contrast"
},
{
"code" : "100216",
"display" : "CT Adrenals"
},
{
"code" : "100218",
"display" : "CT Abdomen Angiography"
},
{
"code" : "100219",
"display" : "CT Abdominal Aorta Angiography"
},
{
"code" : "100220",
"display" : "CT Aortic Arch Carotid Angiography"
},
{
"code" : "100221",
"display" : "CT Cardiac Angiography"
},
{
"code" : "100222",
"display" : "CT Carotid Angiography"
},
{
"code" : "100223",
"display" : "CT Cerebral Angiography"
},
{
"code" : "100224",
"display" : "CT Head Neck Angiography"
},
{
"code" : "100226",
"display" : "CT Pulmonary Angiography"
},
{
"code" : "100228",
"display" : "CT Ankle Bilateral with Contrast"
},
{
"code" : "100229",
"display" : "CT Ankle Bilateral"
},
{
"code" : "100231",
"display" : "CT Ankle Left with Contrast"
},
{
"code" : "100232",
"display" : "CT Ankle Left"
},
{
"code" : "100234",
"display" : "CT Ankle Right with Contrast"
},
{
"code" : "100235",
"display" : "CT Ankle Right"
},
{
"code" : "100237",
"display" : "CT Ankle with Contrast"
},
{
"code" : "100238",
"display" : "CT Ankle"
},
{
"code" : "100239",
"display" : "CT Biopsy"
},
{
"code" : "100240",
"display" : "CT Bone Biopsy"
},
{
"code" : "100241",
"display" : "CT Chest Biopsy"
},
{
"code" : "100242",
"display" : "CT Upper Extremity Biopsy"
},
{
"code" : "100243",
"display" : "CT Kidney Biopsy"
},
{
"code" : "100244",
"display" : "CT Kidney Biopsy Left"
},
{
"code" : "100245",
"display" : "CT Kidney Biopsy Right"
},
{
"code" : "100246",
"display" : "CT Liver Biopsy"
},
{
"code" : "100247",
"display" : "CT Lung Biopsy"
},
{
"code" : "100248",
"display" : "CT Head Biopsy"
},
{
"code" : "100249",
"display" : "CT Pancreas Biopsy"
},
{
"code" : "100250",
"display" : "CT Pelvis Biopsy"
},
{
"code" : "100251",
"display" : "CT Spine Biopsy"
},
{
"code" : "100253",
"display" : "CT Calcaneus Bilateral with Contrast"
},
{
"code" : "100254",
"display" : "CT Calcaneus Bilateral"
},
{
"code" : "100256",
"display" : "CT Calcaneus Left with Contrast"
},
{
"code" : "100257",
"display" : "CT Calcaneus Left"
},
{
"code" : "100259",
"display" : "CT Calcaneus Right with Contrast"
},
{
"code" : "100260",
"display" : "CT Calcaneus Right"
},
{
"code" : "100266",
"display" : "CT Cervical Lumbar Spine with Contrast"
},
{
"code" : "100267",
"display" : "CT Cervical Lumbar Spine"
},
{
"code" : "100269",
"display" : "CT Cervical Thoracic Spine with Contrast"
},
{
"code" : "100270",
"display" : "CT Cervical Thoracic Spine"
},
{
"code" : "100272",
"display" : "CT Cervical Spine with Contrast"
},
{
"code" : "100273",
"display" : "CT Cervical Spine"
},
{
"code" : "100275",
"display" : "CT Chest Abdomen Pelvis with Contrast"
},
{
"code" : "100276",
"display" : "CT Chest Abdomen Pelvis"
},
{
"code" : "100278",
"display" : "CT Chest Abdomen with Contrast"
},
{
"code" : "100279",
"display" : "CT Chest Abdomen"
},
{
"code" : "100281",
"display" : "CT Neck Chest with Contrast"
},
{
"code" : "100282",
"display" : "CT Neck Chest"
},
{
"code" : "100287",
"display" : "CT Chest with Contrast"
},
{
"code" : "100288",
"display" : "CT Chest"
},
{
"code" : "100291",
"display" : "CT Clavicle Left with Contrast"
},
{
"code" : "100292",
"display" : "CT Clavicle Left"
},
{
"code" : "100294",
"display" : "CT Clavicle Right with Contrast"
},
{
"code" : "100295",
"display" : "CT Clavicle Right"
},
{
"code" : "100297",
"display" : "CT Clavicle Bilateral with Contrast"
},
{
"code" : "100298",
"display" : "CT Clavicle Bilateral"
},
{
"code" : "100299",
"display" : "CT Colonoscopy"
},
{
"code" : "100302",
"display" : "CT Drainage"
},
{
"code" : "100304",
"display" : "CT Elbow Bilateral with Contrast"
},
{
"code" : "100305",
"display" : "CT Elbow Bilateral"
},
{
"code" : "100307",
"display" : "CT Elbow Left with Contrast"
},
{
"code" : "100308",
"display" : "CT Elbow Left"
},
{
"code" : "100310",
"display" : "CT Elbow Right with Contrast"
},
{
"code" : "100311",
"display" : "CT Elbow Right"
},
{
"code" : "100314",
"display" : "CT Elbow"
},
{
"code" : "100319",
"display" : "CT Facial Bones Neck with Contrast"
},
{
"code" : "100320",
"display" : "CT Facial Bones Neck"
},
{
"code" : "100322",
"display" : "CT Facial Bones with Contrast"
},
{
"code" : "100323",
"display" : "CT Facial Bones"
},
{
"code" : "100325",
"display" : "CT Femur Bilateral with Contrast"
},
{
"code" : "100326",
"display" : "CT Femur Bilateral"
},
{
"code" : "100328",
"display" : "CT Femur Left with Contrast"
},
{
"code" : "100329",
"display" : "CT Femur Left"
},
{
"code" : "100331",
"display" : "CT Femur Right with Contrast"
},
{
"code" : "100332",
"display" : "CT Femur Right"
},
{
"code" : "100335",
"display" : "CT Femur"
},
{
"code" : "100337",
"display" : "CT Foot Bilateral with Contrast"
},
{
"code" : "100338",
"display" : "CT Foot Bilateral"
},
{
"code" : "100340",
"display" : "CT Foot Left with Contrast"
},
{
"code" : "100341",
"display" : "CT Foot Left"
},
{
"code" : "100343",
"display" : "CT Foot Right with Contrast"
},
{
"code" : "100344",
"display" : "CT Foot Right"
},
{
"code" : "100346",
"display" : "CT Foot with Contrast"
},
{
"code" : "100347",
"display" : "CT Foot"
},
{
"code" : "100349",
"display" : "CT Forearm Bilateral with Contrast"
},
{
"code" : "100350",
"display" : "CT Forearm Bilateral"
},
{
"code" : "100352",
"display" : "CT Forearm Left with Contrast"
},
{
"code" : "100353",
"display" : "CT Forearm Left"
},
{
"code" : "100355",
"display" : "CT Forearm Right with Contrast"
},
{
"code" : "100356",
"display" : "CT Forearm Right"
},
{
"code" : "100358",
"display" : "CT Forearm with Contrast"
},
{
"code" : "100359",
"display" : "CT Forearm"
},
{
"code" : "100360",
"display" : "CT Ablation"
},
{
"code" : "100362",
"display" : "CT Hand Bilateral with Contrast"
},
{
"code" : "100363",
"display" : "CT Hand Bilateral"
},
{
"code" : "100365",
"display" : "CT Hand Left with Contrast"
},
{
"code" : "100366",
"display" : "CT Hand Left"
},
{
"code" : "100368",
"display" : "CT Hand Right with Contrast"
},
{
"code" : "100369",
"display" : "CT Hand Right"
},
{
"code" : "100371",
"display" : "CT Hand with Contrast"
},
{
"code" : "100372",
"display" : "CT Hand"
},
{
"code" : "100374",
"display" : "CT Head Facial Bones with Contrast"
},
{
"code" : "100375",
"display" : "CT Head Facial Bones"
},
{
"code" : "100377",
"display" : "CT Head Neck with Contrast"
},
{
"code" : "100378",
"display" : "CT Head Neck"
},
{
"code" : "100381",
"display" : "CT Head Orbits"
},
{
"code" : "100384",
"display" : "CT Head Sella Turcica"
},
{
"code" : "100392",
"display" : "CT Head with Contrast"
},
{
"code" : "100393",
"display" : "CT Head"
},
{
"code" : "100395",
"display" : "CT Hip Bilateral with Contrast"
},
{
"code" : "100396",
"display" : "CT Hip Bilateral"
},
{
"code" : "100398",
"display" : "CT Hip Left with Contrast"
},
{
"code" : "100399",
"display" : "CT Hip Left"
},
{
"code" : "100401",
"display" : "CT Hip Right with Contrast"
},
{
"code" : "100402",
"display" : "CT Hip Right"
},
{
"code" : "100405",
"display" : "CT Hip"
},
{
"code" : "100407",
"display" : "CT Humerus Bilateral with Contrast"
},
{
"code" : "100408",
"display" : "CT Humerus Bilateral"
},
{
"code" : "100410",
"display" : "CT Humerus Left with Contrast"
},
{
"code" : "100411",
"display" : "CT Humerus Left"
},
{
"code" : "100413",
"display" : "CT Humerus Right with Contrast"
},
{
"code" : "100414",
"display" : "CT Humerus Right"
},
{
"code" : "100418",
"display" : "CT Internal Auditory Canal"
},
{
"code" : "100423",
"display" : "CT Kidneys with Contrast"
},
{
"code" : "100424",
"display" : "CT Kidneys"
},
{
"code" : "100426",
"display" : "CT Knee Bilateral with Contrast"
},
{
"code" : "100427",
"display" : "CT Knee Bilateral"
},
{
"code" : "100429",
"display" : "CT Knee Left with Contrast"
},
{
"code" : "100430",
"display" : "CT Knee Left"
},
{
"code" : "100432",
"display" : "CT Knee Right with Contrast"
},
{
"code" : "100433",
"display" : "CT Knee Right"
},
{
"code" : "100442",
"display" : "CT Liver with Contrast"
},
{
"code" : "100443",
"display" : "CT Liver"
},
{
"code" : "100445",
"display" : "CT Lower Extremity Bilateral with Contrast"
},
{
"code" : "100446",
"display" : "CT Lower Extremity Bilateral"
},
{
"code" : "100448",
"display" : "CT Lumbar Spine Pelvis with Contrast"
},
{
"code" : "100449",
"display" : "CT Lumbar Spine Pelvis"
},
{
"code" : "100452",
"display" : "CT Lumbar Spine Sacroiliac Joint"
},
{
"code" : "100454",
"display" : "CT Lumbar Spine with Contrast"
},
{
"code" : "100455",
"display" : "CT Lumbar Spine"
},
{
"code" : "100457",
"display" : "CT Mandible with Contrast"
},
{
"code" : "100458",
"display" : "CT Mandible"
},
{
"code" : "100464",
"display" : "CT Mastoid"
},
{
"code" : "100466",
"display" : "CT Neck Chest Abdomen Pelvis with Contrast"
},
{
"code" : "100467",
"display" : "CT Neck Chest Abdomen Pelvis"
},
{
"code" : "100469",
"display" : "CT Neck Chest Abdomen with Contrast"
},
{
"code" : "100470",
"display" : "CT Neck Chest Abdomen"
},
{
"code" : "100472",
"display" : "CT Neck with Contrast"
},
{
"code" : "100473",
"display" : "CT Neck"
},
{
"code" : "100475",
"display" : "CT Orbits with Contrast"
},
{
"code" : "100476",
"display" : "CT Orbits"
},
{
"code" : "100477",
"display" : "CT Osteoplasty"
},
{
"code" : "100482",
"display" : "CT Pancreas with Contrast"
},
{
"code" : "100483",
"display" : "CT Pancreas"
},
{
"code" : "100484",
"display" : "CT Pelvis Drainage"
},
{
"code" : "100486",
"display" : "CT Pelvis with Contrast"
},
{
"code" : "100487",
"display" : "CT Pelvis"
},
{
"code" : "100490",
"display" : "CT Posterior Fossa with Contrast"
},
{
"code" : "100491",
"display" : "CT Sacroiliac Joint Injection"
},
{
"code" : "100493",
"display" : "CT Sacroiliac Joint with Contrast"
},
{
"code" : "100494",
"display" : "CT Sacroiliac Joint"
},
{
"code" : "100499",
"display" : "CT Sacrum with Contrast"
},
{
"code" : "100500",
"display" : "CT Sacrum"
},
{
"code" : "100501",
"display" : "CT Procedure"
},
{
"code" : "100502",
"display" : "CT Lower Extremity Scanography"
},
{
"code" : "100504",
"display" : "CT Sella Turcica with Contrast"
},
{
"code" : "100505",
"display" : "CT Sella Turcica"
},
{
"code" : "100507",
"display" : "CT Shoulder Bilateral with Contrast"
},
{
"code" : "100508",
"display" : "CT Shoulder Bilateral"
},
{
"code" : "100510",
"display" : "CT Shoulder Left with Contrast"
},
{
"code" : "100511",
"display" : "CT Shoulder Left"
},
{
"code" : "100513",
"display" : "CT Shoulder Right with Contrast"
},
{
"code" : "100514",
"display" : "CT Shoulder Right"
},
{
"code" : "100518",
"display" : "CT Sialography"
},
{
"code" : "100520",
"display" : "CT Sinuses with Contrast"
},
{
"code" : "100521",
"display" : "CT Sinuses"
},
{
"code" : "100523",
"display" : "CT Spine with Contrast"
},
{
"code" : "100524",
"display" : "CT Spine"
},
{
"code" : "100526",
"display" : "CT Sternoclavicular Joint with Contrast"
},
{
"code" : "100527",
"display" : "CT Sternoclavicular Joint"
},
{
"code" : "100529",
"display" : "CT Sternum with Contrast"
},
{
"code" : "100530",
"display" : "CT Sternum"
},
{
"code" : "100532",
"display" : "CT Temporal Bones with Contrast"
},
{
"code" : "100533",
"display" : "CT Temporal Bones"
},
{
"code" : "100535",
"display" : "CT Temporomandibular Joints with Contrast"
},
{
"code" : "100536",
"display" : "CT Temporomandibular Joints"
},
{
"code" : "100538",
"display" : "CT Thoracic Lumbar Spine with Contrast"
},
{
"code" : "100539",
"display" : "CT Thoracic Lumbar Spine"
},
{
"code" : "100541",
"display" : "CT Thoracic Spine with Contrast"
},
{
"code" : "100542",
"display" : "CT Thoracic Spine"
},
{
"code" : "100544",
"display" : "CT Thyroid with Contrast"
},
{
"code" : "100545",
"display" : "CT Thyroid"
},
{
"code" : "100547",
"display" : "CT Tibia Fibula Bilateral with Contrast"
},
{
"code" : "100548",
"display" : "CT Tibia Fibula Bilateral"
},
{
"code" : "100550",
"display" : "CT Tibia Fibula Left with Contrast"
},
{
"code" : "100551",
"display" : "CT Tibia Fibula Left"
},
{
"code" : "100553",
"display" : "CT Tibia Fibula Right with Contrast"
},
{
"code" : "100554",
"display" : "CT Tibia Fibula Right"
},
{
"code" : "100556",
"display" : "CT Tibia Fibula with Contrast"
},
{
"code" : "100557",
"display" : "CT Tibia Fibula"
},
{
"code" : "100559",
"display" : "CT Upper Extremity with Contrast"
},
{
"code" : "100560",
"display" : "CT Upper Extremity"
},
{
"code" : "100561",
"display" : "CT Urography"
},
{
"code" : "100563",
"display" : "CT Wrist Bilateral with Contrast"
},
{
"code" : "100564",
"display" : "CT Wrist Bilateral"
},
{
"code" : "100566",
"display" : "CT Wrist Left with Contrast"
},
{
"code" : "100567",
"display" : "CT Wrist Left"
},
{
"code" : "100569",
"display" : "CT Wrist Right with Contrast"
},
{
"code" : "100570",
"display" : "CT Wrist Right"
},
{
"code" : "100572",
"display" : "CT Wrist with Contrast"
},
{
"code" : "100573",
"display" : "CT Wrist"
},
{
"code" : "100583",
"display" : "Mammo Aspiration Left"
},
{
"code" : "100584",
"display" : "Mammo Aspiration Right"
},
{
"code" : "100585",
"display" : "Mammo Bilateral"
},
{
"code" : "100587",
"display" : "Mammo Left"
},
{
"code" : "100588",
"display" : "Mammo Right"
},
{
"code" : "100589",
"display" : "Mammo Ductography"
},
{
"code" : "100590",
"display" : "Mammo Ductography Left"
},
{
"code" : "100591",
"display" : "Mammo Ductography Right"
},
{
"code" : "100595",
"display" : "Mammo Localization Bilateral"
},
{
"code" : "100596",
"display" : "Mammo Localization Left"
},
{
"code" : "100597",
"display" : "Mammo Localization Right"
},
{
"code" : "100604",
"display" : "Mammo Specimen"
},
{
"code" : "100605",
"display" : "Mammo Specimen Left"
},
{
"code" : "100606",
"display" : "Mammo Specimen Right"
},
{
"code" : "100607",
"display" : "Mammo Biopsy"
},
{
"code" : "100608",
"display" : "Mammo Biopsy Left"
},
{
"code" : "100610",
"display" : "Mammo Biopsy Right"
},
{
"code" : "100611",
"display" : "Mammo Biopsy Bilateral"
},
{
"code" : "100622",
"display" : "MR Abdomen"
},
{
"code" : "100623",
"display" : "MR Abdomen Pelvis"
},
{
"code" : "100625",
"display" : "MR Abdomen with Contrast"
},
{
"code" : "100628",
"display" : "MR Ankle"
},
{
"code" : "100629",
"display" : "MR Ankle Bilateral"
},
{
"code" : "100631",
"display" : "MR Ankle Left"
},
{
"code" : "100632",
"display" : "MR Ankle Left with Contrast"
},
{
"code" : "100633",
"display" : "MR Ankle Right"
},
{
"code" : "100634",
"display" : "MR Ankle Right with Contrast"
},
{
"code" : "100635",
"display" : "MR Ankle with Contrast"
},
{
"code" : "100638",
"display" : "MR Brachial Plexus"
},
{
"code" : "100639",
"display" : "MR Brachial Plexus Bilateral"
},
{
"code" : "100640",
"display" : "MR Brachial Plexus Bilateral with Contrast"
},
{
"code" : "100641",
"display" : "MR Brachial Plexus Left"
},
{
"code" : "100642",
"display" : "MR Brachial Plexus Left with Contrast"
},
{
"code" : "100643",
"display" : "MR Brachial Plexus Right"
},
{
"code" : "100644",
"display" : "MR Brachial Plexus Right with Contrast"
},
{
"code" : "100645",
"display" : "MR Brachial Plexus with Contrast"
},
{
"code" : "100646",
"display" : "MR Breast"
},
{
"code" : "100647",
"display" : "MR Breast Bilateral"
},
{
"code" : "100648",
"display" : "MR Breast Bilateral with Contrast"
},
{
"code" : "100649",
"display" : "MR Breast Left"
},
{
"code" : "100650",
"display" : "MR Breast Left with Contrast"
},
{
"code" : "100651",
"display" : "MR Breast Right"
},
{
"code" : "100652",
"display" : "MR Breast Right with Contrast"
},
{
"code" : "100661",
"display" : "MR Breast with Contrast"
},
{
"code" : "100663",
"display" : "MR Cardiac"
},
{
"code" : "100665",
"display" : "MR Cardiac Angiography"
},
{
"code" : "100667",
"display" : "MR Cervical Lumbar Spine"
},
{
"code" : "100668",
"display" : "MR Cervical Lumbar Spine with Contrast"
},
{
"code" : "100669",
"display" : "MR Cervical Thoracic Spine"
},
{
"code" : "100670",
"display" : "MR Cervical Thoracic Spine with Contrast"
},
{
"code" : "100671",
"display" : "MR Cervical Spine"
},
{
"code" : "100672",
"display" : "MR Cervical Spine with Contrast"
},
{
"code" : "100673",
"display" : "MR Chest"
},
{
"code" : "100674",
"display" : "MR Chest with Contrast"
},
{
"code" : "100681",
"display" : "MR Elbow"
},
{
"code" : "100682",
"display" : "MR Elbow Bilateral"
},
{
"code" : "100684",
"display" : "MR Elbow Left"
},
{
"code" : "100685",
"display" : "MR Elbow Left with Contrast"
},
{
"code" : "100686",
"display" : "MR Elbow Right"
},
{
"code" : "100687",
"display" : "MR Elbow Right with Contrast"
},
{
"code" : "100688",
"display" : "MR Elbow with Contrast"
},
{
"code" : "100689",
"display" : "MR Enterography"
},
{
"code" : "100691",
"display" : "MR Lower Extremity"
},
{
"code" : "100698",
"display" : "MR Upper Extremity"
},
{
"code" : "100700",
"display" : "MR Femur"
},
{
"code" : "100701",
"display" : "MR Femur Bilateral"
},
{
"code" : "100702",
"display" : "MR Femur Bilateral with Contrast"
},
{
"code" : "100703",
"display" : "MR Femur Left"
},
{
"code" : "100704",
"display" : "MR Femur Left with Contrast"
},
{
"code" : "100705",
"display" : "MR Femur Right"
},
{
"code" : "100706",
"display" : "MR Femur Right with Contrast"
},
{
"code" : "100707",
"display" : "MR Femur with Contrast"
},
{
"code" : "100708",
"display" : "MR Foot"
},
{
"code" : "100709",
"display" : "MR Foot Bilateral"
},
{
"code" : "100711",
"display" : "MR Foot Left"
},
{
"code" : "100712",
"display" : "MR Foot Left with Contrast"
},
{
"code" : "100713",
"display" : "MR Foot Right"
},
{
"code" : "100714",
"display" : "MR Foot Right with Contrast"
},
{
"code" : "100715",
"display" : "MR Foot with Contrast"
},
{
"code" : "100716",
"display" : "MR Forearm"
},
{
"code" : "100717",
"display" : "MR Forearm Bilateral"
},
{
"code" : "100719",
"display" : "MR Forearm Left"
},
{
"code" : "100720",
"display" : "MR Forearm Left with Contrast"
},
{
"code" : "100721",
"display" : "MR Forearm Right"
},
{
"code" : "100722",
"display" : "MR Forearm Right with Contrast"
},
{
"code" : "100723",
"display" : "MR Forearm with Contrast"
},
{
"code" : "100724",
"display" : "MR Hand"
},
{
"code" : "100725",
"display" : "MR Hand Bilateral"
},
{
"code" : "100727",
"display" : "MR Hand Left"
},
{
"code" : "100728",
"display" : "MR Hand Left with Contrast"
},
{
"code" : "100729",
"display" : "MR Hand Right"
},
{
"code" : "100730",
"display" : "MR Hand Right with Contrast"
},
{
"code" : "100731",
"display" : "MR Hand with Contrast"
},
{
"code" : "100732",
"display" : "MR Head"
},
{
"code" : "100733",
"display" : "MR Head Angiography"
},
{
"code" : "100734",
"display" : "MR Head Angiography with Contrast"
},
{
"code" : "100735",
"display" : "MR Head Cervical Spine"
},
{
"code" : "100736",
"display" : "MR Head Cervical Spine with Contrast"
},
{
"code" : "100737",
"display" : "MR Head Neck Angiography"
},
{
"code" : "100738",
"display" : "MR Head Neck Angiography with Contrast"
},
{
"code" : "100740",
"display" : "MR Head with Contrast"
},
{
"code" : "100742",
"display" : "MR Cardiac with Contrast"
},
{
"code" : "100743",
"display" : "MR Hip"
},
{
"code" : "100744",
"display" : "MR Hip Bilateral"
},
{
"code" : "100745",
"display" : "MR Hip Bilateral with Contrast"
},
{
"code" : "100746",
"display" : "MR Hip Left"
},
{
"code" : "100747",
"display" : "MR Hip Left with Contrast"
},
{
"code" : "100748",
"display" : "MR Hip Right"
},
{
"code" : "100749",
"display" : "MR Hip Right with Contrast"
},
{
"code" : "100750",
"display" : "MR Hip with Contrast"
},
{
"code" : "100751",
"display" : "MR Humerus"
},
{
"code" : "100752",
"display" : "MR Humerus Bilateral"
},
{
"code" : "100753",
"display" : "MR Humerus Bilateral with Contrast"
},
{
"code" : "100754",
"display" : "MR Humerus Left"
},
{
"code" : "100755",
"display" : "MR Humerus Right"
},
{
"code" : "100756",
"display" : "MR Humerus Left with Contrast"
},
{
"code" : "100757",
"display" : "MR Humerus Right with Contrast"
},
{
"code" : "100758",
"display" : "MR Humerus with Contrast"
},
{
"code" : "100759",
"display" : "MR Internal Auditory Canal"
},
{
"code" : "100760",
"display" : "MR Kidneys"
},
{
"code" : "100761",
"display" : "MR Kidneys with Contrast"
},
{
"code" : "100762",
"display" : "MR Knee"
},
{
"code" : "100763",
"display" : "MR Knee Bilateral"
},
{
"code" : "100764",
"display" : "MR Knee Bilateral with Contrast"
},
{
"code" : "100765",
"display" : "MR Knee Left"
},
{
"code" : "100766",
"display" : "MR Knee Left with Contrast"
},
{
"code" : "100767",
"display" : "MR Knee Right"
},
{
"code" : "100768",
"display" : "MR Knee Right with Contrast"
},
{
"code" : "100769",
"display" : "MR Knee with Contrast"
},
{
"code" : "100770",
"display" : "MR Liver"
},
{
"code" : "100771",
"display" : "MR Liver with Contrast"
},
{
"code" : "100772",
"display" : "MR Lumbar Sacral Spine"
},
{
"code" : "100773",
"display" : "MR Lumbar Spine"
},
{
"code" : "100774",
"display" : "MR Lumbar Spine Sacroiliac Joints"
},
{
"code" : "100775",
"display" : "MR Lumbar Sacral Spine with Contrast"
},
{
"code" : "100776",
"display" : "MR Lumbar Spine with Contrast"
},
{
"code" : "100779",
"display" : "MR Cholangiopancreatography"
},
{
"code" : "100780",
"display" : "MR Neck"
},
{
"code" : "100781",
"display" : "MR Neck Angiography"
},
{
"code" : "100782",
"display" : "MR Neck Angiography with Contrast"
},
{
"code" : "100783",
"display" : "MR Neck with Contrast"
},
{
"code" : "100784",
"display" : "MR Orbits"
},
{
"code" : "100785",
"display" : "MR Orbits with Contrast"
},
{
"code" : "100788",
"display" : "MR Pelvis"
},
{
"code" : "100789",
"display" : "MR Pelvis with Contrast"
},
{
"code" : "100792",
"display" : "MR Sacroiliac Joint"
},
{
"code" : "100793",
"display" : "MR Sacroiliac Joint with Contrast"
},
{
"code" : "100794",
"display" : "MR Procedure"
},
{
"code" : "100795",
"display" : "MR Scapula"
},
{
"code" : "100796",
"display" : "MR Scapula Left"
},
{
"code" : "100797",
"display" : "MR Scapula Left with Contrast"
},
{
"code" : "100798",
"display" : "MR Scapula Right"
},
{
"code" : "100799",
"display" : "MR Scapula Right with Contrast"
},
{
"code" : "100800",
"display" : "MR Scapula with Contrast"
},
{
"code" : "100801",
"display" : "MR Sella Turcica"
},
{
"code" : "100802",
"display" : "MR Sella Turcica with Contrast"
},
{
"code" : "100803",
"display" : "MR Shoulder"
},
{
"code" : "100804",
"display" : "MR Shoulder Bilateral"
},
{
"code" : "100805",
"display" : "MR Shoulder Bilateral with Contrast"
},
{
"code" : "100806",
"display" : "MR Shoulder Left"
},
{
"code" : "100807",
"display" : "MR Shoulder Left with Contrast"
},
{
"code" : "100808",
"display" : "MR Shoulder Right"
},
{
"code" : "100809",
"display" : "MR Shoulder Right with Contrast"
},
{
"code" : "100810",
"display" : "MR Shoulder with Contrast"
},
{
"code" : "100811",
"display" : "MR Spine"
},
{
"code" : "100814",
"display" : "MR Sternoclavicular Joints"
},
{
"code" : "100815",
"display" : "MR Sternoclavicular Joints with Contrast"
},
{
"code" : "100816",
"display" : "MR Temporomandibular Joints"
},
{
"code" : "100817",
"display" : "MR Temporomandibular Joints with Contrast"
},
{
"code" : "100818",
"display" : "MR Thoracic Lumbar Spine"
},
{
"code" : "100819",
"display" : "MR Thoracic Lumbar Spine with Contrast"
},
{
"code" : "100820",
"display" : "MR Thoracic Spine"
},
{
"code" : "100821",
"display" : "MR Thoracic Spine with Contrast"
},
{
"code" : "100824",
"display" : "MR Tibia Fibula"
},
{
"code" : "100825",
"display" : "MR Tibia Fibula Bilateral"
},
{
"code" : "100826",
"display" : "MR Tibia Fibula Bilateral with Contrast"
},
{
"code" : "100827",
"display" : "MR Tibia Fibula Left"
},
{
"code" : "100828",
"display" : "MR Tibia Fibula Left with Contrast"
},
{
"code" : "100829",
"display" : "MR Tibia Fibula Right"
},
{
"code" : "100830",
"display" : "MR Tibia Fibula Right with Contrast"
},
{
"code" : "100831",
"display" : "MR Tibia Fibula with Contrast"
},
{
"code" : "100832",
"display" : "MR Wrist"
},
{
"code" : "100841",
"display" : "MR Wrist Bilateral"
},
{
"code" : "100843",
"display" : "MR Wrist Left"
},
{
"code" : "100844",
"display" : "MR Wrist Left with Contrast"
},
{
"code" : "100845",
"display" : "MR Wrist Right"
},
{
"code" : "100846",
"display" : "MR Wrist Right with Contrast"
},
{
"code" : "100847",
"display" : "MR Wrist with Contrast"
},
{
"code" : "100851",
"display" : "NM Adrenal Scintigraphy"
},
{
"code" : "100853",
"display" : "NM Aspiration"
},
{
"code" : "100854",
"display" : "NM Biliary Scintigraphy"
},
{
"code" : "100859",
"display" : "NM Blood Volume"
},
{
"code" : "100862",
"display" : "NM Bone Marrow Scan"
},
{
"code" : "100864",
"display" : "NM Bone Scan"
},
{
"code" : "100872",
"display" : "NM Brain Scan"
},
{
"code" : "100873",
"display" : "NM Breath Test"
},
{
"code" : "100878",
"display" : "NM CSF Study"
},
{
"code" : "100882",
"display" : "NM Cystography"
},
{
"code" : "100887",
"display" : "NM Gallium Scan"
},
{
"code" : "100890",
"display" : "NM Gastric Emptying"
},
{
"code" : "100894",
"display" : "NM GI Bleed Study"
},
{
"code" : "100897",
"display" : "NM Lacrimal Duct Scan"
},
{
"code" : "100898",
"display" : "NM Leveen Shunt Patency"
},
{
"code" : "100899",
"display" : "NM Liver Spleen Scan"
},
{
"code" : "100903",
"display" : "NM Ventilation Perfusion Lung Scan"
},
{
"code" : "100905",
"display" : "NM Lymphangiography"
},
{
"code" : "100906",
"display" : "NM Meckels Diverticulum Scan"
},
{
"code" : "100907",
"display" : "NM Metastatic Survey 111ln Octreotide"
},
{
"code" : "100913",
"display" : "NM Metastatic Survey MIBG"
},
{
"code" : "100914",
"display" : "NM Myocardial Infarction Study"
},
{
"code" : "100916",
"display" : "NM Myocardial Perfusion Study"
},
{
"code" : "100935",
"display" : "NM Myocardial Viability Study"
},
{
"code" : "100937",
"display" : "NM Parathyroid Scan"
},
{
"code" : "100938",
"display" : "NM RBC Liver Scan"
},
{
"code" : "100940",
"display" : "NM Red Cell Mass and Plasma Volume"
},
{
"code" : "100947",
"display" : "NM Renal Study"
},
{
"code" : "100951",
"display" : "NM Salivary Gland Scan"
},
{
"code" : "100952",
"display" : "NM Schillings Test"
},
{
"code" : "100953",
"display" : "NM Scintimammography"
},
{
"code" : "100955",
"display" : "NM Sentinel Node Imaging"
},
{
"code" : "100958",
"display" : "NM Spleen Scan"
},
{
"code" : "100960",
"display" : "NM Testicular Scan"
},
{
"code" : "100967",
"display" : "NM Hyperthyroid Therapy"
},
{
"code" : "100973",
"display" : "NM Thyroid Scan"
},
{
"code" : "100975",
"display" : "NM Thyroid Uptake"
},
{
"code" : "100976",
"display" : "NM Venography"
},
{
"code" : "100977",
"display" : "NM Wall Motion Study"
},
{
"code" : "100981",
"display" : "NM WBC Scan"
},
{
"code" : "100986",
"display" : "PET Cardiac Imaging"
},
{
"code" : "100988",
"display" : "PET Procedure"
},
{
"code" : "100989",
"display" : "PET Whole Body"
},
{
"code" : "100993",
"display" : "XR Abdomen"
},
{
"code" : "101003",
"display" : "XR Acromioclavicular Joint"
},
{
"code" : "101004",
"display" : "XR Acromioclavicular Joint Left"
},
{
"code" : "101005",
"display" : "XR Acromioclavicular Joint Right"
},
{
"code" : "101007",
"display" : "XR Ankle Bilateral"
},
{
"code" : "101008",
"display" : "XR Ankle Left"
},
{
"code" : "101009",
"display" : "XR Ankle Right"
},
{
"code" : "101010",
"display" : "RF Ankle Arthrography"
},
{
"code" : "101011",
"display" : "RF Ankle Arthrography Left"
},
{
"code" : "101012",
"display" : "RF Ankle Arthrography Right"
},
{
"code" : "101013",
"display" : "RF Elbow Arthrography"
},
{
"code" : "101014",
"display" : "RF Elbow Arthrography Left"
},
{
"code" : "101015",
"display" : "RF Elbow Arthrography Right"
},
{
"code" : "101016",
"display" : "RF Hip Arthrography"
},
{
"code" : "101017",
"display" : "RF Hip Arthrography Left"
},
{
"code" : "101018",
"display" : "RF Hip Arthrography Right"
},
{
"code" : "101019",
"display" : "RF Knee Arthrography"
},
{
"code" : "101020",
"display" : "RF Knee Arthrography Left"
},
{
"code" : "101021",
"display" : "RF Knee Arthrography Right"
},
{
"code" : "101022",
"display" : "RF Lower Extremity Arthrography"
},
{
"code" : "101023",
"display" : "RF Shoulder Arthrography"
},
{
"code" : "101024",
"display" : "RF Shoulder Arthrography Left"
},
{
"code" : "101025",
"display" : "RF Shoulder Arthrography Right"
},
{
"code" : "101026",
"display" : "RF Temporomandibular Joint Arthrography"
},
{
"code" : "101027",
"display" : "RF Temporomandibular Joint Arthrography Left"
},
{
"code" : "101028",
"display" : "RF Temporomandibular Joint Arthrography Right"
},
{
"code" : "101029",
"display" : "RF Upper Extremity Arthrography"
},
{
"code" : "101030",
"display" : "RF Wrist Arthrography"
},
{
"code" : "101031",
"display" : "RF Wrist Arthrography Left"
},
{
"code" : "101032",
"display" : "RF Wrist Arthrography Right"
},
{
"code" : "101035",
"display" : "RF Colon with Contrast"
},
{
"code" : "101039",
"display" : "RF Swallow with Contrast"
},
{
"code" : "101041",
"display" : "RF Bronchography"
},
{
"code" : "101042",
"display" : "RF Bronchography Bilateral"
},
{
"code" : "101045",
"display" : "XR Calcaneus"
},
{
"code" : "101046",
"display" : "XR Calcaneus Bilateral"
},
{
"code" : "101047",
"display" : "XR Calcaneus Left"
},
{
"code" : "101048",
"display" : "XR Calcaneus Right"
},
{
"code" : "101055",
"display" : "XR Cervical Spine"
},
{
"code" : "101056",
"display" : "XR Chest"
},
{
"code" : "101057",
"display" : "XR Chest Abdomen"
},
{
"code" : "101058",
"display" : "XR Clavicle"
},
{
"code" : "101059",
"display" : "XR Clavicle Bilateral"
},
{
"code" : "101060",
"display" : "XR Clavicle Left"
},
{
"code" : "101061",
"display" : "XR Clavicle Right"
},
{
"code" : "101062",
"display" : "XR Coccyx"
},
{
"code" : "101066",
"display" : "RF Joint Injection"
},
{
"code" : "101067",
"display" : "RF Cystography"
},
{
"code" : "101069",
"display" : "RF Dacrocystography"
},
{
"code" : "101070",
"display" : "XR Teeth"
},
{
"code" : "101072",
"display" : "RF Discography"
},
{
"code" : "101074",
"display" : "XR Elbow"
},
{
"code" : "101075",
"display" : "XR Elbow Bilateral"
},
{
"code" : "101076",
"display" : "XR Elbow Left"
},
{
"code" : "101077",
"display" : "XR Elbow Right"
},
{
"code" : "101078",
"display" : "RF ERCP"
},
{
"code" : "101083",
"display" : "RF Facet Joint Injection"
},
{
"code" : "101084",
"display" : "XR Facial Bones"
},
{
"code" : "101085",
"display" : "RF Feeding Tube"
},
{
"code" : "101086",
"display" : "XR Femur"
},
{
"code" : "101087",
"display" : "XR Femur Bilateral"
},
{
"code" : "101088",
"display" : "XR Femur Left"
},
{
"code" : "101089",
"display" : "XR Femur Right"
},
{
"code" : "101090",
"display" : "XR Finger"
},
{
"code" : "101092",
"display" : "XR Finger Left"
},
{
"code" : "101093",
"display" : "XR Finger Right"
},
{
"code" : "101094",
"display" : "RF Fistulography"
},
{
"code" : "101099",
"display" : "RF Biopsy"
},
{
"code" : "101100",
"display" : "RF Abdomen Biopsy"
},
{
"code" : "101101",
"display" : "RF Kidney Biopsy"
},
{
"code" : "101105",
"display" : "RF Lower Extremity Biopsy"
},
{
"code" : "101106",
"display" : "RF Lower Extremity Biopsy Left"
},
{
"code" : "101107",
"display" : "RF Lower Extremity Biopsy Right"
},
{
"code" : "101108",
"display" : "RF Lung Biopsy"
},
{
"code" : "101109",
"display" : "RF Chest Biopsy Left"
},
{
"code" : "101110",
"display" : "RF Chest Biopsy Right"
},
{
"code" : "101112",
"display" : "RF Pelvis Biopsy"
},
{
"code" : "101119",
"display" : "RF Chest Biopsy"
},
{
"code" : "101122",
"display" : "RF Upper Extremity Biopsy"
},
{
"code" : "101123",
"display" : "RF Upper Extremity Biopsy Left"
},
{
"code" : "101124",
"display" : "RF Upper Extremity Biopsy Right"
},
{
"code" : "101125",
"display" : "RF Drainage"
},
{
"code" : "101130",
"display" : "RF Lumbar Puncture"
},
{
"code" : "101131",
"display" : "RF Nerve Root Block"
},
{
"code" : "101133",
"display" : "RF Sacroiliac Joint Injection"
},
{
"code" : "101135",
"display" : "RF Fluoroscopy"
},
{
"code" : "101136",
"display" : "RF Abdomen"
},
{
"code" : "101137",
"display" : "RF Chest"
},
{
"code" : "101141",
"display" : "RF Lower Extremity Bilateral"
},
{
"code" : "101144",
"display" : "RF Pelvis"
},
{
"code" : "101145",
"display" : "RF Musculoskeletal"
},
{
"code" : "101146",
"display" : "RF Skull"
},
{
"code" : "101147",
"display" : "RF Spine"
},
{
"code" : "101148",
"display" : "RF Upper Extremity Bilateral"
},
{
"code" : "101151",
"display" : "XR Foot"
},
{
"code" : "101156",
"display" : "XR Foot Bilateral"
},
{
"code" : "101157",
"display" : "XR Foot Left"
},
{
"code" : "101158",
"display" : "XR Foot Right"
},
{
"code" : "101159",
"display" : "XR Forearm"
},
{
"code" : "101160",
"display" : "XR Forearm Bilateral"
},
{
"code" : "101161",
"display" : "XR Forearm Left"
},
{
"code" : "101162",
"display" : "XR Forearm Right"
},
{
"code" : "101163",
"display" : "XR Foreign Body Survey"
},
{
"code" : "101165",
"display" : "XR Gallbladder"
},
{
"code" : "101167",
"display" : "XR Hand"
},
{
"code" : "101173",
"display" : "XR Hand Bilateral"
},
{
"code" : "101174",
"display" : "XR Hand Left"
},
{
"code" : "101175",
"display" : "XR Hand Right"
},
{
"code" : "101176",
"display" : "XR Hip"
},
{
"code" : "101177",
"display" : "XR Hip Bilateral"
},
{
"code" : "101178",
"display" : "XR Hip Left"
},
{
"code" : "101179",
"display" : "XR Hip Right"
},
{
"code" : "101180",
"display" : "XR Humerus"
},
{
"code" : "101181",
"display" : "XR Humerus Bilateral"
},
{
"code" : "101182",
"display" : "XR Humerus Left"
},
{
"code" : "101183",
"display" : "XR Humerus Right"
},
{
"code" : "101184",
"display" : "RF Hypotonic Duodenography"
},
{
"code" : "101185",
"display" : "RF Hysterosalpingography"
},
{
"code" : "101186",
"display" : "RF Ileostomy Enema"
},
{
"code" : "101187",
"display" : "XR Internal Auditory Canal"
},
{
"code" : "101188",
"display" : "RF Intestinal Conduit"
},
{
"code" : "101192",
"display" : "XR Pyelography"
},
{
"code" : "101193",
"display" : "XR Knee"
},
{
"code" : "101194",
"display" : "XR Knee Bilateral"
},
{
"code" : "101195",
"display" : "XR Knee Left"
},
{
"code" : "101196",
"display" : "XR Knee Right"
},
{
"code" : "101197",
"display" : "RF Laryngography"
},
{
"code" : "101198",
"display" : "XR Larynx"
},
{
"code" : "101199",
"display" : "XR Leg Length Study"
},
{
"code" : "101201",
"display" : "RF Lithotripsy"
},
{
"code" : "101202",
"display" : "RF Lithotripsy Left"
},
{
"code" : "101203",
"display" : "RF Lithotripsy Right"
},
{
"code" : "101204",
"display" : "RF Loopography"
},
{
"code" : "101205",
"display" : "XR Lumbar Spine"
},
{
"code" : "101206",
"display" : "XR Mandible"
},
{
"code" : "101207",
"display" : "XR Mastoid"
},
{
"code" : "101210",
"display" : "XR Nasal Bones"
},
{
"code" : "101212",
"display" : "RF Nasojejunal Tube"
},
{
"code" : "101213",
"display" : "XR Nasopharynx"
},
{
"code" : "101214",
"display" : "XR Neck Soft Tissue"
},
{
"code" : "101215",
"display" : "RF Nephrostography"
},
{
"code" : "101216",
"display" : "RF Nephrostography Bilateral"
},
{
"code" : "101217",
"display" : "RF Nephrostography Left"
},
{
"code" : "101218",
"display" : "RF Nephrostography Right"
},
{
"code" : "101223",
"display" : "RF Nephrostomy Drainage"
},
{
"code" : "101224",
"display" : "RF Nephrostomy Drainage Bilateral"
},
{
"code" : "101225",
"display" : "RF Nephrostomy Drainage Left"
},
{
"code" : "101226",
"display" : "RF Nephrostomy Drainage Right"
},
{
"code" : "101229",
"display" : "RF Cholangiography"
},
{
"code" : "101230",
"display" : "XR Optic Foramina"
},
{
"code" : "101234",
"display" : "XR Orbits"
},
{
"code" : "101235",
"display" : "XR Orthoroentgenography"
},
{
"code" : "101236",
"display" : "XA Cardiac Pacemaker"
},
{
"code" : "101237",
"display" : "RF Pancreatography"
},
{
"code" : "101240",
"display" : "XR Patella"
},
{
"code" : "101241",
"display" : "XR Patella Bilateral"
},
{
"code" : "101242",
"display" : "XR Patella Left"
},
{
"code" : "101243",
"display" : "XR Patella Right"
},
{
"code" : "101244",
"display" : "XR Pelvimetry"
},
{
"code" : "101245",
"display" : "XR Pelvis"
},
{
"code" : "101246",
"display" : "XR Pelvis Hip"
},
{
"code" : "101247",
"display" : "XR Pelvis Hip Bilateral"
},
{
"code" : "101248",
"display" : "XR Pelvis Hip Left"
},
{
"code" : "101249",
"display" : "XR Pelvis Hip Right"
},
{
"code" : "101250",
"display" : "XR Penis"
},
{
"code" : "101252",
"display" : "RF Peritoneal Dialysis Catheter"
},
{
"code" : "101258",
"display" : "XR Procedure"
},
{
"code" : "101259",
"display" : "RF Proctography"
},
{
"code" : "101265",
"display" : "RF Retrograde Pyelography"
},
{
"code" : "101266",
"display" : "RF Retrograde Pyelography Bilateral"
},
{
"code" : "101270",
"display" : "XR Ribs"
},
{
"code" : "101271",
"display" : "XR Ribs Bilateral"
},
{
"code" : "101272",
"display" : "XR Ribs Left"
},
{
"code" : "101273",
"display" : "XR Ribs Right"
},
{
"code" : "101274",
"display" : "XR Sacroiliac Joint"
},
{
"code" : "101277",
"display" : "XR Salivary Glands"
},
{
"code" : "101278",
"display" : "XR Scaphoid"
},
{
"code" : "101279",
"display" : "XR Scaphoid Bilateral"
},
{
"code" : "101280",
"display" : "XR Scaphoid Left"
},
{
"code" : "101281",
"display" : "XR Scaphoid Right"
},
{
"code" : "101282",
"display" : "XR Scapula"
},
{
"code" : "101283",
"display" : "XR Scapula Bilateral"
},
{
"code" : "101284",
"display" : "XR Scapula Left"
},
{
"code" : "101285",
"display" : "XR Scapula Right"
},
{
"code" : "101287",
"display" : "XR Sella Turcica"
},
{
"code" : "101288",
"display" : "XR Shoulder"
},
{
"code" : "101289",
"display" : "XR Shoulder Bilateral"
},
{
"code" : "101290",
"display" : "XR Shoulder Left"
},
{
"code" : "101291",
"display" : "XR Shoulder Right"
},
{
"code" : "101293",
"display" : "RF Sialography"
},
{
"code" : "101294",
"display" : "RF Sinography"
},
{
"code" : "101295",
"display" : "XR Sinuses"
},
{
"code" : "101296",
"display" : "XR Skeletal Survey"
},
{
"code" : "101297",
"display" : "XR Skull"
},
{
"code" : "101299",
"display" : "RF Small Bowel Enema"
},
{
"code" : "101300",
"display" : "RF Small Bowel Follow Through"
},
{
"code" : "101307",
"display" : "XR Sternoclavicular Joint"
},
{
"code" : "101308",
"display" : "XR Sternum"
},
{
"code" : "101314",
"display" : "XR Temporomandibular Joints"
},
{
"code" : "101315",
"display" : "RF Thoracentesis"
},
{
"code" : "101317",
"display" : "XR Thoracic Inlet"
},
{
"code" : "101320",
"display" : "XR Thoracic Spine"
},
{
"code" : "101321",
"display" : "XR Thumb"
},
{
"code" : "101322",
"display" : "XR Thumb Bilateral"
},
{
"code" : "101323",
"display" : "XR Thumb Left"
},
{
"code" : "101324",
"display" : "XR Thumb Right"
},
{
"code" : "101325",
"display" : "XR Tibia Fibula Bilateral"
},
{
"code" : "101326",
"display" : "XR Tibia Fibula"
},
{
"code" : "101327",
"display" : "XR Tibia Fibula Left"
},
{
"code" : "101328",
"display" : "XR Tibia Fibula Right"
},
{
"code" : "101329",
"display" : "XR Toe"
},
{
"code" : "101331",
"display" : "XR Toe Left"
},
{
"code" : "101332",
"display" : "XR Toe Right"
},
{
"code" : "101333",
"display" : "RF Upper GI"
},
{
"code" : "101334",
"display" : "RF Upper GI and Small Bowel Follow Through"
},
{
"code" : "101344",
"display" : "RF Ureterography"
},
{
"code" : "101347",
"display" : "RF Urethrography"
},
{
"code" : "101348",
"display" : "RF Vaginography"
},
{
"code" : "101349",
"display" : "RF Vasography"
},
{
"code" : "101362",
"display" : "XR Wrist"
},
{
"code" : "101363",
"display" : "XR Wrist Scaphoid"
},
{
"code" : "101364",
"display" : "XR Wrist Scaphoid Bilateral"
},
{
"code" : "101365",
"display" : "XR Wrist Scaphoid Left"
},
{
"code" : "101366",
"display" : "XR Wrist Scaphoid Right"
},
{
"code" : "101367",
"display" : "XR Wrist Bilateral"
},
{
"code" : "101368",
"display" : "XR Wrist Left"
},
{
"code" : "101369",
"display" : "XR Wrist Right"
},
{
"code" : "101370",
"display" : "XR Zygomatic Arch"
},
{
"code" : "101371",
"display" : "US Abdomen"
},
{
"code" : "101373",
"display" : "US Abdomen Pelvis"
},
{
"code" : "101374",
"display" : "US Abdomen Drainage"
},
{
"code" : "101375",
"display" : "US Abdomen Pelvis Transvaginal"
},
{
"code" : "101377",
"display" : "US Achilles Tendon"
},
{
"code" : "101378",
"display" : "US Achilles Tendon Bilateral"
},
{
"code" : "101379",
"display" : "US Achilles Tendon Left"
},
{
"code" : "101380",
"display" : "US Achilles Tendon Right"
},
{
"code" : "101381",
"display" : "US Amniocentesis"
},
{
"code" : "101382",
"display" : "US Ankle"
},
{
"code" : "101384",
"display" : "US Ankle Bilateral"
},
{
"code" : "101385",
"display" : "US Ankle Left"
},
{
"code" : "101387",
"display" : "US Ankle Right"
},
{
"code" : "101390",
"display" : "US Aspiration"
},
{
"code" : "101391",
"display" : "US Axilla"
},
{
"code" : "101392",
"display" : "US Axilla Bilateral"
},
{
"code" : "101393",
"display" : "US Axilla Left"
},
{
"code" : "101394",
"display" : "US Axilla Right"
},
{
"code" : "101395",
"display" : "US Biophysical Profile"
},
{
"code" : "101399",
"display" : "US Biopsy"
},
{
"code" : "101400",
"display" : "US Bladder"
},
{
"code" : "101403",
"display" : "US Brain"
},
{
"code" : "101404",
"display" : "US Breast"
},
{
"code" : "101405",
"display" : "US Breast Aspiration Bilateral"
},
{
"code" : "101407",
"display" : "US Breast Axilla Bilateral"
},
{
"code" : "101408",
"display" : "US Breast Bilateral"
},
{
"code" : "101410",
"display" : "US Breast Biopsy"
},
{
"code" : "101411",
"display" : "US Breast Biopsy Bilateral"
},
{
"code" : "101412",
"display" : "US Breast Biopsy Left"
},
{
"code" : "101413",
"display" : "US Breast Biopsy Right"
},
{
"code" : "101418",
"display" : "US Breast Left"
},
{
"code" : "101419",
"display" : "US Breast Aspiration Left"
},
{
"code" : "101420",
"display" : "US Breast Axilla Left"
},
{
"code" : "101422",
"display" : "US Breast Localization Bilateral"
},
{
"code" : "101423",
"display" : "US Breast Localization Left"
},
{
"code" : "101424",
"display" : "US Breast Localization Right"
},
{
"code" : "101425",
"display" : "US Breast Right"
},
{
"code" : "101426",
"display" : "US Breast Aspiration Right"
},
{
"code" : "101427",
"display" : "US Breast Axilla Right"
},
{
"code" : "101429",
"display" : "US Breast Surgical Specimen Left"
},
{
"code" : "101430",
"display" : "US Breast Surgical Specimen Right"
},
{
"code" : "101431",
"display" : "US Calf"
},
{
"code" : "101432",
"display" : "US Calf Bilateral"
},
{
"code" : "101437",
"display" : "US Chest"
},
{
"code" : "101438",
"display" : "US Chest Biopsy"
},
{
"code" : "101441",
"display" : "US Chorionic Villus Sampling"
},
{
"code" : "101445",
"display" : "US Dialysis Shunt"
},
{
"code" : "101452",
"display" : "US Aorta Doppler"
},
{
"code" : "101453",
"display" : "US Lower Extremity Arterial Doppler"
},
{
"code" : "101454",
"display" : "US Lower Extremity Arterial Doppler Bilateral"
},
{
"code" : "101455",
"display" : "US Lower Extremity Arterial Doppler Left"
},
{
"code" : "101456",
"display" : "US Lower Extremity Arterial Doppler Right"
},
{
"code" : "101457",
"display" : "US Upper Extremity Arterial Doppler"
},
{
"code" : "101458",
"display" : "US Upper Extremity Arterial Doppler Bilateral"
},
{
"code" : "101459",
"display" : "US Upper Extremity Arterial Doppler Left"
},
{
"code" : "101460",
"display" : "US Upper Extremity Arterial Doppler Right"
},
{
"code" : "101461",
"display" : "US Carotid Doppler Neck"
},
{
"code" : "101466",
"display" : "US Renal Transplant Doppler"
},
{
"code" : "101467",
"display" : "US Liver and Portal System Doppler"
},
{
"code" : "101471",
"display" : "US Renal Artery Doppler"
},
{
"code" : "101475",
"display" : "US Superior Mesenteric Artery Doppler"
},
{
"code" : "101476",
"display" : "US Lower Extremity Venous Doppler"
},
{
"code" : "101477",
"display" : "US Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "101478",
"display" : "US Lower Extremity Venous Doppler Left"
},
{
"code" : "101479",
"display" : "US Lower Extremity Venous Doppler Right"
},
{
"code" : "101480",
"display" : "US Upper Extremity Venous Doppler"
},
{
"code" : "101481",
"display" : "US Upper Extremity Venous Doppler Bilateral"
},
{
"code" : "101482",
"display" : "US Upper Extremity Venous Doppler Left"
},
{
"code" : "101483",
"display" : "US Upper Extremity Venous Doppler Right"
},
{
"code" : "101485",
"display" : "US Drainage"
},
{
"code" : "101486",
"display" : "US Echocardiography Doppler"
},
{
"code" : "101488",
"display" : "US Elbow"
},
{
"code" : "101489",
"display" : "US Elbow Bilateral"
},
{
"code" : "101495",
"display" : "US Extremity"
},
{
"code" : "101525",
"display" : "US Ovarian Follicle"
},
{
"code" : "101526",
"display" : "US Foot"
},
{
"code" : "101527",
"display" : "US Foot Bilateral"
},
{
"code" : "101528",
"display" : "US Foot Left"
},
{
"code" : "101529",
"display" : "US Foot Right"
},
{
"code" : "101530",
"display" : "US Forearm"
},
{
"code" : "101531",
"display" : "US Forearm Bilateral"
},
{
"code" : "101532",
"display" : "US Forearm Left"
},
{
"code" : "101533",
"display" : "US Forearm Right"
},
{
"code" : "101534",
"display" : "US Gallbladder"
},
{
"code" : "101535",
"display" : "US Graft"
},
{
"code" : "101538",
"display" : "US Groin"
},
{
"code" : "101539",
"display" : "US Groin Bilateral"
},
{
"code" : "101540",
"display" : "US Groin Left"
},
{
"code" : "101541",
"display" : "US Groin Right"
},
{
"code" : "101542",
"display" : "US Hand"
},
{
"code" : "101543",
"display" : "US Hand Bilateral"
},
{
"code" : "101546",
"display" : "US Head Neck"
},
{
"code" : "101547",
"display" : "US Hip"
},
{
"code" : "101548",
"display" : "US Hip Bilateral"
},
{
"code" : "101549",
"display" : "US Hip Left"
},
{
"code" : "101550",
"display" : "US Hip Right"
},
{
"code" : "101551",
"display" : "US Hysterosonography"
},
{
"code" : "101557",
"display" : "US Kidney"
},
{
"code" : "101562",
"display" : "US Kidney Biopsy"
},
{
"code" : "101564",
"display" : "US Kidney Biopsy Left"
},
{
"code" : "101566",
"display" : "US Kidney Biopsy Right"
},
{
"code" : "101568",
"display" : "US Knee"
},
{
"code" : "101569",
"display" : "US Knee Bilateral"
},
{
"code" : "101570",
"display" : "US Knee Left"
},
{
"code" : "101571",
"display" : "US Knee Right"
},
{
"code" : "101572",
"display" : "US Liver"
},
{
"code" : "101573",
"display" : "US Liver Biopsy"
},
{
"code" : "101574",
"display" : "US Liver Transplant Doppler"
},
{
"code" : "101575",
"display" : "US Abdomen and Liver Transplant Doppler"
},
{
"code" : "101576",
"display" : "US Lower Extremity"
},
{
"code" : "101577",
"display" : "US Lower Extremity Left"
},
{
"code" : "101578",
"display" : "US Lower Extremity Right"
},
{
"code" : "101579",
"display" : "US Lower Extremity Bilateral"
},
{
"code" : "101580",
"display" : "US Lymph Node Biopsy"
},
{
"code" : "101582",
"display" : "US Neck"
},
{
"code" : "101586",
"display" : "US Obstetric"
},
{
"code" : "101595",
"display" : "US Obstetric Transvaginal"
},
{
"code" : "101598",
"display" : "US Nuchal Translucency"
},
{
"code" : "101608",
"display" : "US Pancreas"
},
{
"code" : "101609",
"display" : "US Pancreas Biopsy"
},
{
"code" : "101610",
"display" : "US Chest Aspiration"
},
{
"code" : "101614",
"display" : "US Pelvis"
},
{
"code" : "101615",
"display" : "US Pelvis Transvaginal"
},
{
"code" : "101616",
"display" : "US Pelvis Drainage"
},
{
"code" : "101617",
"display" : "US Penis"
},
{
"code" : "101618",
"display" : "US PICC Line"
},
{
"code" : "101620",
"display" : "US Popliteal Fossa"
},
{
"code" : "101621",
"display" : "US Popliteal Fossa Bilateral"
},
{
"code" : "101622",
"display" : "US Popliteal Fossa Left"
},
{
"code" : "101623",
"display" : "US Popliteal Fossa Right"
},
{
"code" : "101627",
"display" : "US Prostate"
},
{
"code" : "101628",
"display" : "US Prostate Biopsy"
},
{
"code" : "101629",
"display" : "US Prostate Transrectal"
},
{
"code" : "101631",
"display" : "US Pylorus"
},
{
"code" : "101633",
"display" : "US Salivary Glands"
},
{
"code" : "101641",
"display" : "US Scrotum"
},
{
"code" : "101642",
"display" : "US Shoulder"
},
{
"code" : "101643",
"display" : "US Shoulder Bilateral"
},
{
"code" : "101644",
"display" : "US Shoulder Left"
},
{
"code" : "101645",
"display" : "US Shoulder Right"
},
{
"code" : "101649",
"display" : "US Spine"
},
{
"code" : "101653",
"display" : "US Spleen"
},
{
"code" : "101654",
"display" : "US Procedure"
},
{
"code" : "101665",
"display" : "US Thigh"
},
{
"code" : "101666",
"display" : "US Thigh Bilateral"
},
{
"code" : "101667",
"display" : "US Thigh Left"
},
{
"code" : "101668",
"display" : "US Thigh Right"
},
{
"code" : "101669",
"display" : "US Thoracentesis"
},
{
"code" : "101670",
"display" : "US Thumb"
},
{
"code" : "101671",
"display" : "US Thumb Bilateral"
},
{
"code" : "101674",
"display" : "US Thyroid"
},
{
"code" : "101675",
"display" : "US Thyroid Parathyroid"
},
{
"code" : "101676",
"display" : "US Thyroid Biopsy"
},
{
"code" : "101677",
"display" : "US Transcranial Doppler"
},
{
"code" : "101680",
"display" : "US Transvaginal"
},
{
"code" : "101681",
"display" : "US Upper Extremity"
},
{
"code" : "101683",
"display" : "US Vascular Doppler"
},
{
"code" : "101685",
"display" : "US Wrist Bilateral"
},
{
"code" : "101689",
"display" : "MR Head Chest"
},
{
"code" : "101690",
"display" : "MR Head Spine"
},
{
"code" : "101691",
"display" : "MR Head Spine with Contrast"
},
{
"code" : "101692",
"display" : "MR Lumbar Spine Pelvis"
},
{
"code" : "101693",
"display" : "MR Spine with Contrast"
},
{
"code" : "101694",
"display" : "NM Cardiac Shunt"
},
{
"code" : "101698",
"display" : "US Spine Abdomen"
},
{
"code" : "101699",
"display" : "CT Chest Angiography"
},
{
"code" : "101700",
"display" : "CT Head Angiography"
},
{
"code" : "101701",
"display" : "CT Neck Angiography"
},
{
"code" : "101703",
"display" : "CT Consult"
},
{
"code" : "101704",
"display" : "CT Discography"
},
{
"code" : "101712",
"display" : "CT Upper Extremity Scanogram"
},
{
"code" : "101722",
"display" : "Mammo Consult"
},
{
"code" : "101723",
"display" : "MR Angiography"
},
{
"code" : "101724",
"display" : "MR Chest Angiography"
},
{
"code" : "101726",
"display" : "MR Pelvis Angiography"
},
{
"code" : "101728",
"display" : "MR Breast Biopsy Bilateral"
},
{
"code" : "101729",
"display" : "MR Breast Biopsy Left"
},
{
"code" : "101730",
"display" : "MR Breast Biopsy Right"
},
{
"code" : "101733",
"display" : "MR Face"
},
{
"code" : "101734",
"display" : "MR Face with Contrast"
},
{
"code" : "101735",
"display" : "MR Fetal Heart"
},
{
"code" : "101736",
"display" : "MR Fetus"
},
{
"code" : "101740",
"display" : "MR Lower Extremity Bilateral"
},
{
"code" : "101751",
"display" : "MR Upper Extremity Bilateral"
},
{
"code" : "101752",
"display" : "MR Upper Extremity Left"
},
{
"code" : "101753",
"display" : "MR Upper Extremity Right"
},
{
"code" : "101775",
"display" : "NM Consult"
},
{
"code" : "101783",
"display" : "NM Endocrine"
},
{
"code" : "101787",
"display" : "NM Whole Body 131 Iodine Survey"
},
{
"code" : "101791",
"display" : "NM Bowel Transit Study"
},
{
"code" : "101793",
"display" : "NM Liver"
},
{
"code" : "101805",
"display" : "NM Metastatic Survey"
},
{
"code" : "101811",
"display" : "NM Calcium Absorption Study"
},
{
"code" : "101826",
"display" : "PET Consult"
},
{
"code" : "101827",
"display" : "PET Brain"
},
{
"code" : "101828",
"display" : "PET Head Neck"
},
{
"code" : "101839",
"display" : "RF Abdomen with Contrast"
},
{
"code" : "101845",
"display" : "RF Chest with Contrast"
},
{
"code" : "101855",
"display" : "RF Consult"
},
{
"code" : "101858",
"display" : "RF Cystourethrography"
},
{
"code" : "101860",
"display" : "RF Gallbladder"
},
{
"code" : "101861",
"display" : "RF Aspiration"
},
{
"code" : "101862",
"display" : "RF Head"
},
{
"code" : "101866",
"display" : "RF Intrathecal Injection with Contrast"
},
{
"code" : "101873",
"display" : "RF Lower Extremity"
},
{
"code" : "101874",
"display" : "RF Lower Extremity Left"
},
{
"code" : "101875",
"display" : "RF Lower Extremity Right"
},
{
"code" : "101882",
"display" : "RF Cervical Myelography"
},
{
"code" : "101900",
"display" : "RF Retrograde Urethrography"
},
{
"code" : "101904",
"display" : "RF Lumbar Myelography"
},
{
"code" : "101905",
"display" : "RF Thoracic Myelography"
},
{
"code" : "101921",
"display" : "RF Upper Extremity Aspiration"
},
{
"code" : "101923",
"display" : "RF Upper Extremity Right"
},
{
"code" : "101927",
"display" : "RF Upper Extremity Left"
},
{
"code" : "101930",
"display" : "RF Ureter Stent Bilateral"
},
{
"code" : "101931",
"display" : "RF Ureter Stent Left"
},
{
"code" : "101932",
"display" : "RF Ureter Stent Right"
},
{
"code" : "101934",
"display" : "RF Ureterography Left"
},
{
"code" : "101935",
"display" : "RF Ureterography Right"
},
{
"code" : "101947",
"display" : "US Abdomen Transrectal"
},
{
"code" : "101948",
"display" : "US Abdomen Aspiration"
},
{
"code" : "101949",
"display" : "US Abdomen Biopsy"
},
{
"code" : "101953",
"display" : "US Abdomen Localization"
},
{
"code" : "101958",
"display" : "US Head"
},
{
"code" : "101966",
"display" : "US Face"
},
{
"code" : "101977",
"display" : "US Fetal Shunt"
},
{
"code" : "101983",
"display" : "US Lower Extremity Aspiration"
},
{
"code" : "102000",
"display" : "US Ophthalmic Echography"
},
{
"code" : "102003",
"display" : "US Pelvis Aspiration"
},
{
"code" : "102004",
"display" : "US Pelvis Biopsy"
},
{
"code" : "102011",
"display" : "US Pelvis Localization"
},
{
"code" : "102016",
"display" : "US Retroperitoneum"
},
{
"code" : "102022",
"display" : "US Chest Drainage"
},
{
"code" : "102024",
"display" : "US Chest Localization"
},
{
"code" : "102027",
"display" : "US Guidance"
},
{
"code" : "102030",
"display" : "US Upper Extremity Aspiration"
},
{
"code" : "102031",
"display" : "US Upper Extremity Bilateral"
},
{
"code" : "102036",
"display" : "US Upper Extremity Left"
},
{
"code" : "102038",
"display" : "US Upper Extremity Right"
},
{
"code" : "102051",
"display" : "XR Sacroiliac Joint Left"
},
{
"code" : "102052",
"display" : "XR Sacroiliac Joint Right"
},
{
"code" : "102062",
"display" : "XA Chest Angiography"
},
{
"code" : "102064",
"display" : "XA Consult"
},
{
"code" : "102070",
"display" : "XA Cerebral Angioplasty"
},
{
"code" : "102071",
"display" : "XA Head Angiography"
},
{
"code" : "102073",
"display" : "XA Neuro Thrombolysis"
},
{
"code" : "102074",
"display" : "XA Lower Extremity Angioplasty Bilateral"
},
{
"code" : "102076",
"display" : "RF Lower Extremity Aspiration Bilateral"
},
{
"code" : "102078",
"display" : "RF Lower Extremity Drainage Bilateral"
},
{
"code" : "102079",
"display" : "XA Lower Extremity Embolization Bilateral"
},
{
"code" : "102080",
"display" : "RF Lower Extremity Injection Bilateral"
},
{
"code" : "102083",
"display" : "RF Neck Aspiration"
},
{
"code" : "102084",
"display" : "RF Neck Injection"
},
{
"code" : "102085",
"display" : "XA Neck Angiography"
},
{
"code" : "102099",
"display" : "RF Cervical Spine"
},
{
"code" : "102103",
"display" : "RF Thoracic Spine"
},
{
"code" : "102113",
"display" : "XA Embolization"
},
{
"code" : "102118",
"display" : "XA Upper Extremity Angioplasty Bilateral"
},
{
"code" : "103001",
"display" : "RF Ankle Arthrography Bilateral"
},
{
"code" : "103002",
"display" : "RF Bronchography Left"
},
{
"code" : "103003",
"display" : "RF Bronchography Right"
},
{
"code" : "103004",
"display" : "RF Elbow Arthrography Bilateral"
},
{
"code" : "103005",
"display" : "RF Hip Arthrography Bilateral"
},
{
"code" : "103007",
"display" : "RF Knee Arthrography Bilateral"
},
{
"code" : "103008",
"display" : "RF Lithotripsy Bilateral"
},
{
"code" : "103010",
"display" : "RF Lower Extremity Arthrography Bilateral"
},
{
"code" : "103011",
"display" : "RF Lower Extremity Arthrography Left"
},
{
"code" : "103012",
"display" : "RF Lower Extremity Arthrography Right"
},
{
"code" : "103013",
"display" : "RF Lower Extremity Biopsy Bilateral"
},
{
"code" : "103014",
"display" : "RF Retrograde Pyelography Left"
},
{
"code" : "103015",
"display" : "RF Retrograde Pyelography Right"
},
{
"code" : "103016",
"display" : "RF Shoulder Arthrography Bilateral"
},
{
"code" : "103017",
"display" : "RF Stent"
},
{
"code" : "103018",
"display" : "RF Temporomandibular Joint Arthrography Bilateral"
},
{
"code" : "103021",
"display" : "RF Chest Biopsy Bilateral"
},
{
"code" : "103022",
"display" : "RF Ureter Stent"
},
{
"code" : "103023",
"display" : "RF Ureterography Bilateral"
},
{
"code" : "103024",
"display" : "RF Wrist Arthrography Bilateral"
},
{
"code" : "103025",
"display" : "XR Acromioclavicular Joint Bilateral"
},
{
"code" : "103026",
"display" : "XR Ankle"
},
{
"code" : "103027",
"display" : "XR Sacroiliac Joint Bilateral"
},
{
"code" : "103030",
"display" : "CT Calcaneus"
},
{
"code" : "103031",
"display" : "CT Calcaneus with Contrast"
},
{
"code" : "103037",
"display" : "CT Lower Extremity Biopsy"
},
{
"code" : "103038",
"display" : "CT Lower Extremity Left"
},
{
"code" : "103039",
"display" : "CT Lower Extremity Left with Contrast"
},
{
"code" : "103040",
"display" : "CT Lower Extremity Right"
},
{
"code" : "103041",
"display" : "CT Lower Extremity Right with Contrast"
},
{
"code" : "103042",
"display" : "CT Upper Extremity Left"
},
{
"code" : "103043",
"display" : "CT Upper Extremity Left with Contrast"
},
{
"code" : "103044",
"display" : "CT Upper Extremity Right"
},
{
"code" : "103045",
"display" : "CT Upper Extremity Right with Contrast"
},
{
"code" : "103046",
"display" : "MR Ankle Bilateral with Contrast"
},
{
"code" : "103047",
"display" : "MR Elbow Bilateral with Contrast"
},
{
"code" : "103048",
"display" : "MR Foot Bilateral with Contrast"
},
{
"code" : "103049",
"display" : "MR Forearm Bilateral with Contrast"
},
{
"code" : "103050",
"display" : "MR Hand Bilateral with Contrast"
},
{
"code" : "103051",
"display" : "MR Lower Extremity Left"
},
{
"code" : "103052",
"display" : "MR Lower Extremity Right"
},
{
"code" : "103053",
"display" : "MR Consult"
},
{
"code" : "103054",
"display" : "MR Lower Extremity Bilateral with Contrast"
},
{
"code" : "103055",
"display" : "MR Lower Extremity Right with Contrast"
},
{
"code" : "103056",
"display" : "MR Lower Extremity Left with Contrast"
},
{
"code" : "103057",
"display" : "MR Upper Extremity Right with Contrast"
},
{
"code" : "103058",
"display" : "MR Upper Extremity Left with Contrast"
},
{
"code" : "103059",
"display" : "MR Wrist Bilateral with Contrast"
},
{
"code" : "103060",
"display" : "US Calf Left"
},
{
"code" : "103061",
"display" : "US Calf Right"
},
{
"code" : "103062",
"display" : "US Consult"
},
{
"code" : "103063",
"display" : "US Elbow Left"
},
{
"code" : "103064",
"display" : "US Elbow Right"
},
{
"code" : "103065",
"display" : "US Breast Localization"
},
{
"code" : "103066",
"display" : "US Hand Left"
},
{
"code" : "103067",
"display" : "US Hand Right"
},
{
"code" : "103068",
"display" : "US Kidney Biopsy Bilateral"
},
{
"code" : "103069",
"display" : "US Thumb Left"
},
{
"code" : "103070",
"display" : "US Thumb Right"
},
{
"code" : "103072",
"display" : "US Wrist Left"
},
{
"code" : "103073",
"display" : "US Wrist Right"
},
{
"code" : "103079",
"display" : "RF Lower Extremity Drainage Left"
},
{
"code" : "103080",
"display" : "RF Lower Extremity Drainage Right"
},
{
"code" : "103081",
"display" : "RF Lower Extremity Injection Left"
},
{
"code" : "103082",
"display" : "RF Lower Extremity Injection Right"
},
{
"code" : "103083",
"display" : "RF Lower Extremity Aspiration Left"
},
{
"code" : "103084",
"display" : "RF Lower Extremity Aspiration Right"
},
{
"code" : "103085",
"display" : "RF Antegrade Pyelography"
},
{
"code" : "103086",
"display" : "RF Antegrade Pyelography Left"
},
{
"code" : "103087",
"display" : "RF Antegrade Pyelography Right"
},
{
"code" : "103088",
"display" : "XA Lower Extremity Angioplasty Left"
},
{
"code" : "103089",
"display" : "XA Lower Extremity Angioplasty Right"
},
{
"code" : "103090",
"display" : "XA Lower Extremity Embolization Left"
},
{
"code" : "103091",
"display" : "XA Lower Extremity Embolization Right"
},
{
"code" : "103093",
"display" : "XA Tibial Angioplasty Left"
},
{
"code" : "103094",
"display" : "XA Tibial Angioplasty Right"
},
{
"code" : "103095",
"display" : "XA Upper Extremity Angioplasty Left"
},
{
"code" : "103096",
"display" : "XA Upper Extremity Angioplasty Right"
},
{
"code" : "103100",
"display" : "Mammo Aspiration Bilateral"
},
{
"code" : "103102",
"display" : "Mammo Localization"
},
{
"code" : "103104",
"display" : "RF Upper Extremity Aspiration Bilateral"
},
{
"code" : "103105",
"display" : "RF Upper Extremity Aspiration Left"
},
{
"code" : "103106",
"display" : "RF Upper Extremity Aspiration Right"
},
{
"code" : "103107",
"display" : "RF Upper Extremity Arthrography Bilateral"
},
{
"code" : "103108",
"display" : "RF Upper Extremity Arthrography Left"
},
{
"code" : "103109",
"display" : "RF Upper Extremity Arthrography Right"
},
{
"code" : "103110",
"display" : "CT Clavicle"
},
{
"code" : "103111",
"display" : "CT Clavicle with Contrast"
},
{
"code" : "103112",
"display" : "CT Femur with Contrast"
},
{
"code" : "103113",
"display" : "CT Hip with Contrast"
},
{
"code" : "103114",
"display" : "CT Humerus"
},
{
"code" : "103115",
"display" : "CT Humerus with Contrast"
},
{
"code" : "103116",
"display" : "CT Kidney Biopsy Bilateral"
},
{
"code" : "103117",
"display" : "CT Upper Extremity Bilateral"
},
{
"code" : "103118",
"display" : "CT Upper Extremity Bilateral with Contrast"
},
{
"code" : "103123",
"display" : "RF Lower Extremity Aspiration"
},
{
"code" : "103124",
"display" : "RF Lower Extremity Drainage"
},
{
"code" : "103125",
"display" : "RF Lower Extremity Injection"
},
{
"code" : "103128",
"display" : "US Breast Aspiration"
},
{
"code" : "103129",
"display" : "MR Upper Extremity Bilateral with Contrast"
},
{
"code" : "103130",
"display" : "MR Internal Auditory Canal with Contrast"
},
{
"code" : "103131",
"display" : "US Salivary Gland Bilateral"
},
{
"code" : "103132",
"display" : "US Salivary Gland Left"
},
{
"code" : "103133",
"display" : "US Salivary Gland Right"
},
{
"code" : "103134",
"display" : "XA Brachial Angiography Bilateral"
},
{
"code" : "103135",
"display" : "Mammo Mammography"
},
{
"code" : "103137",
"display" : "Mammo Specimen Bilateral"
},
{
"code" : "103138",
"display" : "Mammo Ductography Bilateral"
},
{
"code" : "103140",
"display" : "RF Spine Biopsy"
},
{
"code" : "103141",
"display" : "RF Liver Biopsy"
},
{
"code" : "103142",
"display" : "RF Lymph Node Biopsy"
},
{
"code" : "103143",
"display" : "RF Chest Drainage"
},
{
"code" : "103144",
"display" : "RF Pelvis Drainage"
},
{
"code" : "103145",
"display" : "RF Upper Extremity Drainage"
},
{
"code" : "103146",
"display" : "XA Abdomen Embolization"
},
{
"code" : "103147",
"display" : "RF Upper Extremity Injection"
},
{
"code" : "103151",
"display" : "BMD Consult"
},
{
"code" : "103152",
"display" : "MR Aorta Angiography"
},
{
"code" : "103153",
"display" : "CT Skeletal"
},
{
"code" : "103154",
"display" : "MR Lower Extremity Arthrography"
},
{
"code" : "103155",
"display" : "MR Lower Extremity with Contrast"
},
{
"code" : "103156",
"display" : "RF Abdomen Drainage"
},
{
"code" : "103158",
"display" : "XA Lower Extremity Angioplasty"
},
{
"code" : "103159",
"display" : "RF Pelvis Aspiration"
},
{
"code" : "103160",
"display" : "XA Renal Angioplasty"
},
{
"code" : "103161",
"display" : "RF Upper Extremity Injection Bilateral"
},
{
"code" : "103162",
"display" : "RF Upper Extremity"
},
{
"code" : "103163",
"display" : "MR Upper Extremity Arthrography"
},
{
"code" : "103164",
"display" : "CT Lower Extremity"
},
{
"code" : "103165",
"display" : "CT Lower Extremity with Contrast"
},
{
"code" : "103166",
"display" : "XA Procedure"
},
{
"code" : "103171",
"display" : "MR Upper Extremity with Contrast"
},
{
"code" : "103174",
"display" : "XA Penile Artery Embolization"
},
{
"code" : "103175",
"display" : "RF Foreign Body Removal"
},
{
"code" : "103179",
"display" : "RF Arthrography"
},
{
"code" : "103180",
"display" : "NM Procedure"
},
{
"code" : "103182",
"display" : "CT Knee"
},
{
"code" : "103183",
"display" : "CT Knee with Contrast"
},
{
"code" : "103184",
"display" : "CT Shoulder"
},
{
"code" : "103185",
"display" : "CT Shoulder with Contrast"
},
{
"code" : "103187",
"display" : "Mammo Aspiration"
},
{
"code" : "103189",
"display" : "MR Breast Biopsy"
},
{
"code" : "103190",
"display" : "XA Carotid Angiography"
},
{
"code" : "103191",
"display" : "MR Abdomen Angiography"
},
{
"code" : "103192",
"display" : "XA Tibial Angioplasty"
},
{
"code" : "103194",
"display" : "MR Scapula Bilateral"
},
{
"code" : "103195",
"display" : "MR Scapula Bilateral with Contrast"
},
{
"code" : "103196",
"display" : "CT Mastoid with Contrast"
},
{
"code" : "103197",
"display" : "MR Acromioclavicular Joint"
},
{
"code" : "103198",
"display" : "MR Acromioclavicular Joints Bilateral"
},
{
"code" : "103199",
"display" : "MR Acromioclavicular Joint Left"
},
{
"code" : "103200",
"display" : "MR Acromioclavicular Joint Right"
},
{
"code" : "103202",
"display" : "MR Arthrography"
},
{
"code" : "103203",
"display" : "CT Guidance"
},
{
"code" : "103204",
"display" : "XA Lower Extremity Embolization"
},
{
"code" : "103205",
"display" : "XA Upper Extremity Angioplasty"
},
{
"code" : "103206",
"display" : "XA Vertebral Angiography"
},
{
"code" : "103207",
"display" : "US Wrist"
},
{
"code" : "103208",
"display" : "CT Elbow with Contrast"
},
{
"code" : "103209",
"display" : "RF Gastrostomy Tube"
},
{
"code" : "103219",
"display" : "CT Lower Extremity Biopsy Left"
},
{
"code" : "103220",
"display" : "CT Lower Extremity Biopsy Right"
},
{
"code" : "103240",
"display" : "RF Kidney Biopsy Left"
},
{
"code" : "103241",
"display" : "RF Kidney Biopsy Right"
},
{
"code" : "103242",
"display" : "RF Kidney Biopsy Bilateral"
},
{
"code" : "103245",
"display" : "CT Cardiac"
},
{
"code" : "103246",
"display" : "NM Therapy"
},
{
"code" : "103247",
"display" : "RF Abdomen Aspiration"
},
{
"code" : "103248",
"display" : "RF Ablation"
},
{
"code" : "103250",
"display" : "RF Bronchus Stent"
},
{
"code" : "103252",
"display" : "RF Trachea Stent"
},
{
"code" : "103253",
"display" : "US Ablation"
},
{
"code" : "103254",
"display" : "US Axilla Biopsy"
},
{
"code" : "103255",
"display" : "XA Iliac Artery Stent"
},
{
"code" : "103256",
"display" : "XA Renal Artery Stent"
},
{
"code" : "103257",
"display" : "XA Upper Extremity Artery Embolization"
},
{
"code" : "103258",
"display" : "XR Spine"
},
{
"code" : "103259",
"display" : "NM Cardiac Angiography"
},
{
"code" : "103266",
"display" : "RF Bone Biopsy"
},
{
"code" : "103267",
"display" : "BMD Procedure"
},
{
"code" : "103268",
"display" : "CT Lung Biopsy Left"
},
{
"code" : "103269",
"display" : "CT Lung Biopsy Right"
},
{
"code" : "103270",
"display" : "RF Swallowing Assessment"
},
{
"code" : "103271",
"display" : "RF Intravenous Pyelography"
},
{
"code" : "103273",
"display" : "RF Lung Biopsy Left"
},
{
"code" : "103274",
"display" : "RF Lung Biopsy Right"
},
{
"code" : "103276",
"display" : "CT Angiography"
},
{
"code" : "103277",
"display" : "CT Head Orbits with Contrast"
},
{
"code" : "103278",
"display" : "CT Head Sella Turcica with Contrast"
},
{
"code" : "103280",
"display" : "CT Internal Auditory Canal with Contrast"
},
{
"code" : "103284",
"display" : "CT Lower Extremity Angiography"
},
{
"code" : "103285",
"display" : "CT Upper Extremity Angiography"
},
{
"code" : "103287",
"display" : "CT Extremity"
},
{
"code" : "103288",
"display" : "CT Chest Drainage"
},
{
"code" : "103290",
"display" : "RF Lumbar Spine"
},
{
"code" : "103291",
"display" : "RF Myelography"
},
{
"code" : "103292",
"display" : "RF Cholecystostomy"
},
{
"code" : "103294",
"display" : "MR Extremity"
},
{
"code" : "103297",
"display" : "XR Sacrum Coccyx"
},
{
"code" : "103298",
"display" : "CT Abdomen Pelvis Angiography"
},
{
"code" : "103299",
"display" : "CT Chest Abdomen Angiography"
},
{
"code" : "103300",
"display" : "CT Chest Abdomen Pelvis Angiography"
},
{
"code" : "103301",
"display" : "CT Cystography"
},
{
"code" : "103302",
"display" : "CT Extremity Angiography"
},
{
"code" : "103305",
"display" : "CT Extremity with Contrast"
},
{
"code" : "103306",
"display" : "CT Lymph Node Biopsy"
},
{
"code" : "103307",
"display" : "CT Spleen Biopsy"
},
{
"code" : "103308",
"display" : "CT Thoracentesis"
},
{
"code" : "103309",
"display" : "MR Abdomen Pelvis with Contrast"
},
{
"code" : "103310",
"display" : "MR Aorta Iliac Angiography"
},
{
"code" : "103312",
"display" : "MR Extremity with Contrast"
},
{
"code" : "103313",
"display" : "MR Head Neck"
},
{
"code" : "103314",
"display" : "MR Head Neck with Contrast"
},
{
"code" : "103315",
"display" : "MR Sacrum Coccyx"
},
{
"code" : "103316",
"display" : "RF Joint Aspiration"
},
{
"code" : "103317",
"display" : "RF Nasogastric Tube"
},
{
"code" : "103318",
"display" : "RF Paracentesis"
},
{
"code" : "103319",
"display" : "RF Rib Biopsy"
},
{
"code" : "103320",
"display" : "RF Small Bowel Intubation"
},
{
"code" : "103321",
"display" : "US Appendix"
},
{
"code" : "103322",
"display" : "US Face Neck"
},
{
"code" : "103323",
"display" : "US Paracentesis"
},
{
"code" : "103324",
"display" : "US Soft Tissue"
},
{
"code" : "103325",
"display" : "XR Chest Ribs"
},
{
"code" : "103326",
"display" : "XR Chest Ribs Bilateral"
},
{
"code" : "103327",
"display" : "XR Chest Ribs Left"
},
{
"code" : "103328",
"display" : "XR Chest Ribs Right"
},
{
"code" : "103329",
"display" : "XR Consult"
},
{
"code" : "103333",
"display" : "XR Lower Extremity Bilateral"
},
{
"code" : "103334",
"display" : "XR Lower Extremity Left"
},
{
"code" : "103335",
"display" : "XR Lower Extremity Right"
},
{
"code" : "103336",
"display" : "XR Sacrum"
},
{
"code" : "103337",
"display" : "XR Upper Extremity Bilateral"
},
{
"code" : "103338",
"display" : "XR Upper Extremity Left"
},
{
"code" : "103339",
"display" : "XR Upper Extremity Right"
},
{
"code" : "103344",
"display" : "CT Head Spine with Contrast"
},
{
"code" : "103345",
"display" : "CT Head Spine"
},
{
"code" : "103346",
"display" : "XR Tomography"
},
{
"code" : "103347",
"display" : "US Extremity Arterial Doppler"
},
{
"code" : "103354",
"display" : "US Extremity Vascular Doppler"
},
{
"code" : "103356",
"display" : "US Extremity Venous Doppler"
},
{
"code" : "103359",
"display" : "US Abdomen Iliac Vascular Doppler"
},
{
"code" : "103371",
"display" : "US Biophysical Profile Umbilical Artery Doppler"
},
{
"code" : "103378",
"display" : "US Carotid Doppler"
},
{
"code" : "103379",
"display" : "US Carotid Doppler Thyroid"
},
{
"code" : "103390",
"display" : "US Groin Arterial Doppler Bilateral"
},
{
"code" : "103391",
"display" : "US Groin Arterial Doppler Left"
},
{
"code" : "103392",
"display" : "US Groin Arterial Doppler Right"
},
{
"code" : "103394",
"display" : "US Iliac Artery Doppler"
},
{
"code" : "103395",
"display" : "US Iliac Vascular Doppler"
},
{
"code" : "103396",
"display" : "US Iliac Vascular Doppler Bilateral"
},
{
"code" : "103397",
"display" : "US Inferior Vena Cava Femoral Vein Doppler"
},
{
"code" : "103404",
"display" : "US Obstetric Biophysical Profile and Transvaginal"
},
{
"code" : "103406",
"display" : "US Opthamalic Artery Doppler"
},
{
"code" : "103407",
"display" : "US Organ Transplant Doppler"
},
{
"code" : "103409",
"display" : "US Portal Vein Doppler"
},
{
"code" : "103414",
"display" : "US Subclavian Artery Doppler"
},
{
"code" : "103415",
"display" : "US Subclavian Jugular Doppler Bilateral"
},
{
"code" : "103416",
"display" : "US Subclavian Jugular Doppler Left"
},
{
"code" : "103417",
"display" : "US Subclavian Jugular Doppler Right"
},
{
"code" : "103419",
"display" : "US Umbilical Artery Doppler"
},
{
"code" : "103421",
"display" : "CT Abdomen Aspiration"
},
{
"code" : "103423",
"display" : "CT Chest Aspiration"
},
{
"code" : "103424",
"display" : "CT Pelvis Aspiration"
},
{
"code" : "103425",
"display" : "CT Aspiration"
},
{
"code" : "103443",
"display" : "XA Venous Sampling"
},
{
"code" : "103444",
"display" : "XA Parathyroid Venous Sampling"
},
{
"code" : "103445",
"display" : "US Arteriovenous Fistula"
},
{
"code" : "103446",
"display" : "CT Aorta Angiography"
},
{
"code" : "103448",
"display" : "XA Aortography"
},
{
"code" : "103449",
"display" : "NM Thyroid Uptake and Scan"
},
{
"code" : "103450",
"display" : "NM Thyroid Metastatic Study"
},
{
"code" : "103457",
"display" : "NM Peritoneal Imaging"
},
{
"code" : "103461",
"display" : "NM Neuroendocrine Imaging"
},
{
"code" : "103464",
"display" : "NM Arthrography"
},
{
"code" : "103465",
"display" : "NM Lower Extremity Arthrography"
},
{
"code" : "103468",
"display" : "NM Esophageal Motility and Reflux"
},
{
"code" : "103469",
"display" : "NM Cardiac SPECT CT"
},
{
"code" : "103470",
"display" : "NM Neck SPECT CT"
},
{
"code" : "103471",
"display" : "NM Red Cell Survival Study"
},
{
"code" : "103472",
"display" : "NM Platelet Survival Study"
},
{
"code" : "103473",
"display" : "CT Head Chest Abdomen Pelvis with Contrast"
},
{
"code" : "103474",
"display" : "MR Sacrum"
},
{
"code" : "103475",
"display" : "CT Neck Biopsy"
},
{
"code" : "103476",
"display" : "US Neck Biopsy"
},
{
"code" : "103477",
"display" : "CT Head Abdomen Pelvis with Contrast"
},
{
"code" : "103478",
"display" : "XA Extremity Angiography"
},
{
"code" : "103479",
"display" : "XR Chest Pelvis Hip Left"
},
{
"code" : "103480",
"display" : "XR Chest Pelvis Hip Right"
},
{
"code" : "103482",
"display" : "CT Sinuses Chest"
},
{
"code" : "103483",
"display" : "CT Head Cervical Spine"
},
{
"code" : "103484",
"display" : "CT Head Lumbar Spine"
},
{
"code" : "103485",
"display" : "CT Sacrum Coccyx"
},
{
"code" : "103486",
"display" : "CT Sacrum Coccyx with Contrast"
},
{
"code" : "103488",
"display" : "XR Knee Left and Orthoroentgenography"
},
{
"code" : "103489",
"display" : "XR Knee Right and Orthoroentgenography"
},
{
"code" : "103490",
"display" : "XR Lumbar Spine Pelvis Hip Left"
},
{
"code" : "103491",
"display" : "XR Lumbar Spine Pelvis Hip Bilateral"
},
{
"code" : "103492",
"display" : "XR Lumbar Spine Pelvis Hip Right"
},
{
"code" : "103493",
"display" : "MR Lower Extremity Arthrography Left"
},
{
"code" : "103494",
"display" : "MR Lower Extremity Arthrography Right"
},
{
"code" : "103495",
"display" : "MR Upper Extremity Arthrography Left"
},
{
"code" : "103496",
"display" : "MR Upper Extremity Arthrography Right"
},
{
"code" : "103497",
"display" : "MR Sacrum with Contrast"
},
{
"code" : "103498",
"display" : "NM Esophageal Study"
},
{
"code" : "103500",
"display" : "XR Pelvis Sacroiliac Joint"
},
{
"code" : "103501",
"display" : "XR Specimen"
},
{
"code" : "103502",
"display" : "US Lower Extremity Injection Bilateral"
},
{
"code" : "103503",
"display" : "US Lower Extremity Injection Left"
},
{
"code" : "103504",
"display" : "US Lower Extremity Injection Right"
},
{
"code" : "103505",
"display" : "US Lower Extremity Injection"
},
{
"code" : "103506",
"display" : "US Upper Extremity Injection Bilateral"
},
{
"code" : "103507",
"display" : "US Upper Extremity Injection Left"
},
{
"code" : "103508",
"display" : "US Upper Extremity Injection Right"
},
{
"code" : "103509",
"display" : "US Upper Extremity Injection"
},
{
"code" : "103510",
"display" : "CT Abdomen Sinography"
},
{
"code" : "103511",
"display" : "CT Abdomen Sinography with Contrast"
},
{
"code" : "103512",
"display" : "CT Pelvis Sinography"
},
{
"code" : "103513",
"display" : "RF Spine Injection"
},
{
"code" : "103514",
"display" : "CT Abdomen Pelvis Sinography with Contrast"
},
{
"code" : "103515",
"display" : "CT Abdomen Pelvis Sinography"
},
{
"code" : "103516",
"display" : "RF Injection"
},
{
"code" : "103520",
"display" : "US Injection"
},
{
"code" : "103521",
"display" : "CT Sinography"
},
{
"code" : "103522",
"display" : "US Neck Injection"
},
{
"code" : "103523",
"display" : "US Salivary Gland Injection"
},
{
"code" : "103524",
"display" : "CT Acromioclavicular Joint"
},
{
"code" : "103525",
"display" : "CT Acromioclavicular Joint Bilateral"
},
{
"code" : "103526",
"display" : "CT Acromioclavicular Joint Left"
},
{
"code" : "103527",
"display" : "CT Acromioclavicular Joint Right"
},
{
"code" : "103528",
"display" : "CT Chest Pelvis Lower Extremity Angiography"
},
{
"code" : "103529",
"display" : "CT Facet Joint Injection"
},
{
"code" : "103530",
"display" : "CT Gastrography"
},
{
"code" : "103531",
"display" : "CT Head Neck Chest Angiography"
},
{
"code" : "103532",
"display" : "CT Head Thoracic Spine"
},
{
"code" : "103533",
"display" : "CT Lower Extremity Arthrography"
},
{
"code" : "103534",
"display" : "CT Lower Extremity Arthrography Bilateral"
},
{
"code" : "103535",
"display" : "CT Lower Extremity Arthrography Left"
},
{
"code" : "103536",
"display" : "CT Lower Extremity Arthrography Right"
},
{
"code" : "103537",
"display" : "CT Neck Chest Angiography"
},
{
"code" : "103538",
"display" : "CT Paracentesis"
},
{
"code" : "103539",
"display" : "CT Pelvis Angiography"
},
{
"code" : "103540",
"display" : "CT Pelvis Lower Extremity Angiography"
},
{
"code" : "103541",
"display" : "CT Renal Cyst Puncture"
},
{
"code" : "103542",
"display" : "CT Upper Extremity Arthrography"
},
{
"code" : "103543",
"display" : "CT Upper Extremity Arthrography Bilateral"
},
{
"code" : "103544",
"display" : "CT Upper Extremity Arthrography Left"
},
{
"code" : "103545",
"display" : "CT Upper Extremity Arthrography Right"
},
{
"code" : "103546",
"display" : "MR Abdomen Angiography with Contrast"
},
{
"code" : "103547",
"display" : "MR Aorta Angiography with Contrast"
},
{
"code" : "103548",
"display" : "MR Cardiac Abdomen"
},
{
"code" : "103549",
"display" : "MR Femoral Angiography"
},
{
"code" : "103550",
"display" : "MR Femoral Angiography with Contrast"
},
{
"code" : "103551",
"display" : "MR Lower Extremity Arthrography Bilateral"
},
{
"code" : "103552",
"display" : "MR Pelvis Hip Bilateral"
},
{
"code" : "103553",
"display" : "MR Pelvis Hip Left"
},
{
"code" : "103554",
"display" : "MR Pelvis Hip Right"
},
{
"code" : "103555",
"display" : "MR Upper Extremity Arthrography Bilateral"
},
{
"code" : "103556",
"display" : "RF Breast Biopsy"
},
{
"code" : "103557",
"display" : "RF Urodynamics"
},
{
"code" : "103558",
"display" : "US Breast Axilla"
},
{
"code" : "103559",
"display" : "US Cholecystostomy"
},
{
"code" : "103560",
"display" : "US Spleen Biopsy"
},
{
"code" : "103562",
"display" : "XA Abdomen Angioplasty"
},
{
"code" : "103563",
"display" : "XA Abdomen Pelvis Angiography"
},
{
"code" : "103564",
"display" : "XA Aorta Lower Extremity Angiography"
},
{
"code" : "103565",
"display" : "XA Aorta Spinal Artery Angiography"
},
{
"code" : "103566",
"display" : "XA Aortic Arch Subclavian Brachial Artery Angiography"
},
{
"code" : "103567",
"display" : "XR Bone Biopsy"
},
{
"code" : "103568",
"display" : "XR Chest Pelvis Hip"
},
{
"code" : "103569",
"display" : "XR Chest Pelvis Hip Bilateral"
},
{
"code" : "103570",
"display" : "XR Lumbar Spine Pelvis Hip"
},
{
"code" : "103571",
"display" : "XR Shoulder Acromioclavicular Joint Left"
},
{
"code" : "103572",
"display" : "XR Shoulder Acromioclavicular Joint Right"
},
{
"code" : "103573",
"display" : "XR Shoulder Acromioclavicular Joints"
},
{
"code" : "103574",
"display" : "XR Shoulder Acromioclavicular Joints Bilateral"
},
{
"code" : "103575",
"display" : "XR Ventriculoperitoneal Shunt"
},
{
"code" : "103576",
"display" : "CT Thoracic Aorta Angiography"
},
{
"code" : "103577",
"display" : "XA Injection"
},
{
"code" : "103578",
"display" : "US Renal Cyst Puncture"
},
{
"code" : "103579",
"display" : "XR Knee and Orthoroentgenography"
},
{
"code" : "103580",
"display" : "XR Knee Bilateral and Orthoroentgenography"
},
{
"code" : "103581",
"display" : "XR Lumbosacral Spine"
},
{
"code" : "103583",
"display" : "MR Biopsy"
},
{
"code" : "103584",
"display" : "US Thyroid Aspiration"
},
{
"code" : "103587",
"display" : "XA Pelvis Angiography"
},
{
"code" : "103588",
"display" : "CT Thyroid Biopsy"
},
{
"code" : "103589",
"display" : "XA Cavernosography"
},
{
"code" : "103590",
"display" : "CT Injection"
},
{
"code" : "103591",
"display" : "MR Pelvis Hip"
},
{
"code" : "103592",
"display" : "CT Enterography"
},
{
"code" : "103593",
"display" : "CT Head Abdomen Pelvis"
},
{
"code" : "103594",
"display" : "CT Head Chest Abdomen Pelvis"
},
{
"code" : "103595",
"display" : "RF Upper Extremity Injection Left"
},
{
"code" : "103596",
"display" : "RF Upper Extremity Injection Right"
},
{
"code" : "103597",
"display" : "XR Lower Extremity"
},
{
"code" : "103598",
"display" : "XR Upper Extremity"
},
{
"code" : "103599",
"display" : "XR Skull Sinuses"
},
{
"code" : "103600",
"display" : "CT Aorta"
},
{
"code" : "103601",
"display" : "MR Thoracic Sacral Spine"
},
{
"code" : "103602",
"display" : "MR Thoracic Sacral Spine with Contrast"
},
{
"code" : "103603",
"display" : "CT Neck Sinuses with Contrast"
},
{
"code" : "103604",
"display" : "US Abdomen Pelvis Scrotum"
},
{
"code" : "103605",
"display" : "US Abdomen Scrotum"
},
{
"code" : "103606",
"display" : "CT Neck Sinuses"
},
{
"code" : "103607",
"display" : "CT Chest Abdomen Pelvis Extremity Angiography"
},
{
"code" : "103608",
"display" : "CT Abdomen Pelvis Extremity Angiography"
},
{
"code" : "103609",
"display" : "US Aorta Iliac Extremity Arterial Doppler"
},
{
"code" : "103610",
"display" : "US Obstetric and Abdomen"
},
{
"code" : "103611",
"display" : "CT Abdomen Lumbar Spine"
},
{
"code" : "103612",
"display" : "CT Abdomen Pelvis Cystography"
},
{
"code" : "103613",
"display" : "CT Abdomen Pelvis Cystography with Contrast"
},
{
"code" : "103614",
"display" : "CT Abdomen Pelvis Extremity"
},
{
"code" : "103615",
"display" : "CT Abdomen Pelvis Extremity with Contrast"
},
{
"code" : "103616",
"display" : "CT Abdomen Pelvis Lower Extremity Angiography"
},
{
"code" : "103617",
"display" : "CT Abdomen Lumbar Spine Pelvis Angiography"
},
{
"code" : "103618",
"display" : "CT Abdomen Lumbar Spine Pelvis Extremity Angiography"
},
{
"code" : "103620",
"display" : "CT Spine Abdomen Pelvis"
},
{
"code" : "103621",
"display" : "CT Spine Abdomen Pelvis with Contrast"
},
{
"code" : "103622",
"display" : "CT Thoracic Lumbar Spine Abdomen Pelvis Angiography"
},
{
"code" : "103623",
"display" : "CT Thoracic Spine Abdomen Pelvis Angiography"
},
{
"code" : "103624",
"display" : "CT Adrenal Gland Biopsy"
},
{
"code" : "103625",
"display" : "CT Aorta Abdomen Pelvis Lower Extremity Angiography"
},
{
"code" : "103626",
"display" : "CT Axilla with Contrast"
},
{
"code" : "103627",
"display" : "CT Chest Abdomen Lumbar Spine Pelvis"
},
{
"code" : "103628",
"display" : "CT Chest Abdomen Lumbar Spine Pelvis with Contrast"
},
{
"code" : "103629",
"display" : "CT Thoracic Lumbar Spine Chest Abdomen Pelvis"
},
{
"code" : "103630",
"display" : "CT Thoracic Lumbar Spine Chest Abdomen Pelvis with Contrast"
},
{
"code" : "103631",
"display" : "CT Thoracic Spine Chest Abdomen Pelvis"
},
{
"code" : "103632",
"display" : "CT Thoracic Spine Chest Abdomen Pelvis with Contrast"
},
{
"code" : "103633",
"display" : "CT Thoracic Spine Chest Abdomen"
},
{
"code" : "103634",
"display" : "CT Thoracic Spine Chest Abdomen with Contrast"
},
{
"code" : "103635",
"display" : "CT Chest Extremity Angiography"
},
{
"code" : "103636",
"display" : "CT Chest Pelvis Extremity Angiography"
},
{
"code" : "103637",
"display" : "CT Chest Pelvis with Contrast"
},
{
"code" : "103638",
"display" : "CT Spine Chest"
},
{
"code" : "103639",
"display" : "CT Spine Chest with Contrast"
},
{
"code" : "103640",
"display" : "CT Thoracic Spine Chest"
},
{
"code" : "103641",
"display" : "CT Thoracic Spine Chest Angiography"
},
{
"code" : "103642",
"display" : "CT Thoracic Spine Chest with Contrast"
},
{
"code" : "103643",
"display" : "CT Cholecystostomy"
},
{
"code" : "103645",
"display" : "CT Esophagus"
},
{
"code" : "103646",
"display" : "CT Extremity Biopsy"
},
{
"code" : "103647",
"display" : "CT Facial Bones Cervical Spine"
},
{
"code" : "103648",
"display" : "CT Feeding Tube"
},
{
"code" : "103649",
"display" : "CT Femoral Angiography"
},
{
"code" : "103650",
"display" : "CT Gastrointestinal Angiography"
},
{
"code" : "103651",
"display" : "CT Head Cervical Spine with Contrast"
},
{
"code" : "103652",
"display" : "CT Head Cervical Thoracic Spine"
},
{
"code" : "103653",
"display" : "CT Head Chest"
},
{
"code" : "103654",
"display" : "CT Head Chest Abdomen"
},
{
"code" : "103655",
"display" : "CT Head Chest Abdomen with Contrast"
},
{
"code" : "103656",
"display" : "CT Head Chest with Contrast"
},
{
"code" : "103657",
"display" : "CT Head Facial Bones Cervical Spine"
},
{
"code" : "103658",
"display" : "CT Head Facial Bones Cervical Spine with Contrast"
},
{
"code" : "103659",
"display" : "CT Head Facial Bones Neck Spine"
},
{
"code" : "103660",
"display" : "CT Head Facial Bones Spine"
},
{
"code" : "103661",
"display" : "CT Head Neck Abdomen Pelvis"
},
{
"code" : "103662",
"display" : "CT Head Neck Abdomen Pelvis with Contrast"
},
{
"code" : "103663",
"display" : "CT Head Neck Chest Abdomen"
},
{
"code" : "103664",
"display" : "CT Head Neck Spine"
},
{
"code" : "103665",
"display" : "CT Head Spine Abdomen Pelvis with Contrast"
},
{
"code" : "103666",
"display" : "CT Head Spine Chest Abdomen Pelvis with Contrast"
},
{
"code" : "103667",
"display" : "CT Hepatic Angiography"
},
{
"code" : "103668",
"display" : "CT Ileal Conduit"
},
{
"code" : "103669",
"display" : "CT Iliac Angiography"
},
{
"code" : "103670",
"display" : "CT Joint Injection"
},
{
"code" : "103671",
"display" : "CT Lower Extremity Angiography Bilateral"
},
{
"code" : "103672",
"display" : "CT Lumbar Spine Puncture"
},
{
"code" : "103673",
"display" : "CT Lumbar Spine Sacroiliac Joint with Contrast"
},
{
"code" : "103674",
"display" : "CT Lumbosacral Spine"
},
{
"code" : "103675",
"display" : "CT Mesenteric Angiography"
},
{
"code" : "103676",
"display" : "CT Nasal Bones"
},
{
"code" : "103677",
"display" : "CT Nasal Bones with Contrast"
},
{
"code" : "103678",
"display" : "CT Neck Abdomen Pelvis"
},
{
"code" : "103679",
"display" : "CT Neck Abdomen Pelvis with Contrast"
},
{
"code" : "103680",
"display" : "CT Neck Biopsy with Contrast"
},
{
"code" : "103681",
"display" : "CT Neck Cervical Spine"
},
{
"code" : "103682",
"display" : "CT Neck Cervical Spine with Contrast"
},
{
"code" : "103683",
"display" : "CT Neck Spine"
},
{
"code" : "103684",
"display" : "CT Nerve Block"
},
{
"code" : "103685",
"display" : "CT Pelvis Extremity"
},
{
"code" : "103686",
"display" : "CT Pelvis Extremity Angiography"
},
{
"code" : "103687",
"display" : "CT Pelvis Extremity with Contrast"
},
{
"code" : "103688",
"display" : "CT Pelvis Hip Bilateral"
},
{
"code" : "103689",
"display" : "CT Pelvis Hip Bilateral with Contrast"
},
{
"code" : "103690",
"display" : "CT Pelvis Hip Left"
},
{
"code" : "103691",
"display" : "CT Pelvis Hip Right"
},
{
"code" : "103692",
"display" : "CT Pelvis Lower Extremity Bilateral with Contrast"
},
{
"code" : "103693",
"display" : "CT Pelvis Lower Extremity Left"
},
{
"code" : "103694",
"display" : "CT Pelvis Lower Extremity Right"
},
{
"code" : "103695",
"display" : "CT Pelvis Lower Extremity with Contrast"
},
{
"code" : "103696",
"display" : "CT Peritoneum Aspiration"
},
{
"code" : "103697",
"display" : "CT Peritoneum Biopsy"
},
{
"code" : "103698",
"display" : "CT Prostate Biopsy"
},
{
"code" : "103699",
"display" : "CT Renal Angiography"
},
{
"code" : "103700",
"display" : "CT Renal Cyst Aspiration"
},
{
"code" : "103701",
"display" : "CT Retroperitoneal Biopsy"
},
{
"code" : "103702",
"display" : "CT Rib Biopsy Left"
},
{
"code" : "103703",
"display" : "CT Rib Biopsy Right"
},
{
"code" : "103704",
"display" : "CT Ribs Bilateral"
},
{
"code" : "103705",
"display" : "CT Ribs Bilateral with Contrast"
},
{
"code" : "103707",
"display" : "CT Scaphoid Bilateral"
},
{
"code" : "103708",
"display" : "CT Scaphoid Bilateral with Contrast"
},
{
"code" : "103709",
"display" : "CT Scaphoid Left"
},
{
"code" : "103710",
"display" : "CT Scaphoid Right"
},
{
"code" : "103711",
"display" : "CT Scapula Biopsy Left"
},
{
"code" : "103712",
"display" : "CT Scapula Biopsy Right"
},
{
"code" : "103713",
"display" : "CT Sinuses Neck Chest with Contrast"
},
{
"code" : "103715",
"display" : "CT Spine Drainage"
},
{
"code" : "103716",
"display" : "CT Teeth"
},
{
"code" : "103717",
"display" : "CT Upper Extremity Angiography Bilateral"
},
{
"code" : "103718",
"display" : "CT Upper Extremity Biopsy Left"
},
{
"code" : "103719",
"display" : "CT Upper Extremity Biopsy Right"
},
{
"code" : "103720",
"display" : "CT Ureter Biopsy"
},
{
"code" : "103724",
"display" : "MR Abdomen Venography"
},
{
"code" : "103725",
"display" : "MR Abdomen Venography with Contrast"
},
{
"code" : "103727",
"display" : "MR Bladder with Contrast"
},
{
"code" : "103732",
"display" : "MR Calf Bilateral"
},
{
"code" : "103733",
"display" : "MR Calf Left"
},
{
"code" : "103734",
"display" : "MR Calf Right"
},
{
"code" : "103735",
"display" : "MR Cardiac Thoracic Aorta"
},
{
"code" : "103736",
"display" : "MR Carotid Angiography with Contrast"
},
{
"code" : "103737",
"display" : "MR Cervical Spine Shoulder Left"
},
{
"code" : "103738",
"display" : "MR Cervical Spine Shoulder Right"
},
{
"code" : "103739",
"display" : "MR Chest Angiography with Contrast"
},
{
"code" : "103740",
"display" : "MR Chest Lower Extremity"
},
{
"code" : "103741",
"display" : "MR Clavicle Bilateral"
},
{
"code" : "103742",
"display" : "MR Clavicle Left"
},
{
"code" : "103743",
"display" : "MR Clavicle Left with Contrast"
},
{
"code" : "103744",
"display" : "MR Clavicle Right"
},
{
"code" : "103745",
"display" : "MR Clavicle Right with Contrast"
},
{
"code" : "103746",
"display" : "MR Clavicle With Contrast"
},
{
"code" : "103747",
"display" : "MR Extremity Angiography"
},
{
"code" : "103748",
"display" : "MR Extremity Angiography with Contrast"
},
{
"code" : "103750",
"display" : "MR Head Face"
},
{
"code" : "103751",
"display" : "MR Head Face with Contrast"
},
{
"code" : "103753",
"display" : "MR Head Lumbar Spine"
},
{
"code" : "103754",
"display" : "MR Head Lumbar Spine with Contrast"
},
{
"code" : "103755",
"display" : "MR Head Orbits"
},
{
"code" : "103756",
"display" : "MR Head Orbits Bilateral"
},
{
"code" : "103757",
"display" : "MR Head Orbits Bilateral with Contrast"
},
{
"code" : "103758",
"display" : "MR Head Orbits with Contrast"
},
{
"code" : "103759",
"display" : "MR Head Sinuses"
},
{
"code" : "103762",
"display" : "MR Head Thoracic Spine"
},
{
"code" : "103763",
"display" : "MR Head Thoracic Spine with Contrast"
},
{
"code" : "103764",
"display" : "MR Head Venography with Contrast"
},
{
"code" : "103765",
"display" : "MR Lower Extremity Angiography"
},
{
"code" : "103766",
"display" : "MR Lower Extremity Angiography Bilateral with Contrast"
},
{
"code" : "103767",
"display" : "MR Lower Extremity Angiography Left with Contrast"
},
{
"code" : "103768",
"display" : "MR Lower Extremity Angiography Right with Contrast"
},
{
"code" : "103769",
"display" : "MR Lumbar Plexus"
},
{
"code" : "103770",
"display" : "MR Lumbar Plexus with Contrast"
},
{
"code" : "103771",
"display" : "MR Lumbar Spine Pelvis with Contrast"
},
{
"code" : "103772",
"display" : "MR Lumbar Spine Sacroiliac Joints with Contrast"
},
{
"code" : "103773",
"display" : "MR Mandible with Contrast"
},
{
"code" : "103774",
"display" : "MR Myelography"
},
{
"code" : "103775",
"display" : "MR Nasopharynx with Contrast"
},
{
"code" : "103776",
"display" : "MR Ovary with Contrast"
},
{
"code" : "103778",
"display" : "MR Pelvis Angiography with Contrast"
},
{
"code" : "103779",
"display" : "MR Pelvis Extremity"
},
{
"code" : "103780",
"display" : "MR Pelvis Lower Extremity"
},
{
"code" : "103781",
"display" : "MR Spine Pelvis"
},
{
"code" : "103782",
"display" : "MR Pelvis Venography with Contrast"
},
{
"code" : "103783",
"display" : "MR Proctography"
},
{
"code" : "103784",
"display" : "MR Prostate with Contrast"
},
{
"code" : "103785",
"display" : "MR Rectum with Contrast"
},
{
"code" : "103788",
"display" : "MR Renal Arteries with Contrast"
},
{
"code" : "103790",
"display" : "MR Scrotum with Contrast"
},
{
"code" : "103791",
"display" : "MR Sinuses"
},
{
"code" : "103792",
"display" : "MR Sinuses with Contrast"
},
{
"code" : "103793",
"display" : "MR Specimen"
},
{
"code" : "103794",
"display" : "MR Spine Angiography with Contrast"
},
{
"code" : "103795",
"display" : "MR Spleen with Contrast"
},
{
"code" : "103796",
"display" : "MR Sternum with Contrast"
},
{
"code" : "103797",
"display" : "MR Thigh Bilateral"
},
{
"code" : "103798",
"display" : "MR Thigh Left"
},
{
"code" : "103799",
"display" : "MR Thigh Left with Contrast"
},
{
"code" : "103800",
"display" : "MR Thigh Right"
},
{
"code" : "103801",
"display" : "MR Thigh Right with Contrast"
},
{
"code" : "103802",
"display" : "MR Upper Extremity Angiography"
},
{
"code" : "103803",
"display" : "MR Upper Extremity Angiography Bilateral with Contrast"
},
{
"code" : "103804",
"display" : "MR Upper Extremity Angiography Left with Contrast"
},
{
"code" : "103805",
"display" : "MR Upper Extremity Angiography Right with Contrast"
},
{
"code" : "103807",
"display" : "MR Urography"
},
{
"code" : "103808",
"display" : "MR Urography with Contrast"
},
{
"code" : "103809",
"display" : "MR Vertebral Artery"
},
{
"code" : "103810",
"display" : "NM Liver Lung"
},
{
"code" : "103815",
"display" : "RF Bladder Drainage"
},
{
"code" : "103816",
"display" : "RF Breast"
},
{
"code" : "103817",
"display" : "RF Breast Aspiration"
},
{
"code" : "103818",
"display" : "RF Breast Drainage"
},
{
"code" : "103819",
"display" : "RF Cervical Puncture"
},
{
"code" : "103820",
"display" : "RF Colonoscopy"
},
{
"code" : "103821",
"display" : "RF Cystostomy"
},
{
"code" : "103822",
"display" : "RF Endoscopy"
},
{
"code" : "103823",
"display" : "RF Extremity Drainage"
},
{
"code" : "103824",
"display" : "RF Extremity Fistulography"
},
{
"code" : "103825",
"display" : "RF Facet Joint Nerve Block"
},
{
"code" : "103827",
"display" : "RF Intussusception"
},
{
"code" : "103828",
"display" : "RF Liver"
},
{
"code" : "103829",
"display" : "RF Liver Cyst Ablation"
},
{
"code" : "103830",
"display" : "RF Loopography Left"
},
{
"code" : "103831",
"display" : "RF Loopography Right"
},
{
"code" : "103832",
"display" : "RF Lower Extremity Bone Biopsy"
},
{
"code" : "103833",
"display" : "RF Osteoplasty"
},
{
"code" : "103834",
"display" : "RF Pericardial Drainage"
},
{
"code" : "103835",
"display" : "RF Pleurodesis"
},
{
"code" : "103836",
"display" : "RF Renal Cyst Ablation"
},
{
"code" : "103837",
"display" : "RF Retrograde Cystography and Ureteric Stent"
},
{
"code" : "103838",
"display" : "RF Shunt"
},
{
"code" : "103839",
"display" : "RF Sigmoidoscopy"
},
{
"code" : "103840",
"display" : "RF Splanchnic Plexus Neurolysis"
},
{
"code" : "103841",
"display" : "RF Spleen Biopsy"
},
{
"code" : "103842",
"display" : "RF Stomach Biopsy"
},
{
"code" : "103843",
"display" : "RF Thyroid Biopsy"
},
{
"code" : "103844",
"display" : "US Abdomen and Renal Transplant Doppler"
},
{
"code" : "103845",
"display" : "US Abdomen Soft Tissue"
},
{
"code" : "103846",
"display" : "US Abdomen and Thoracentesis"
},
{
"code" : "103847",
"display" : "US Abdomen Extremity"
},
{
"code" : "103848",
"display" : "US Abdomen Groin Scrotum"
},
{
"code" : "103849",
"display" : "US Abdomen Lower Extremity Arterial Doppler and ABI"
},
{
"code" : "103850",
"display" : "US Abdomen Lower Extremity Venous Doppler"
},
{
"code" : "103851",
"display" : "US Abdomen Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "103853",
"display" : "US Abdomen Obstetric Biophysical Profile"
},
{
"code" : "103854",
"display" : "US Abdomen Obstetric Transvaginal"
},
{
"code" : "103855",
"display" : "US Abdomen Paracentesis"
},
{
"code" : "103857",
"display" : "US Abdomen Pelvis Transcranial Doppler"
},
{
"code" : "103858",
"display" : "US Abdomen Pelvis Intracavitary"
},
{
"code" : "103859",
"display" : "US Abdomen Pelvis Lower Extremity Bilateral"
},
{
"code" : "103860",
"display" : "US Abdomen Pelvis Lower Extremity Left"
},
{
"code" : "103861",
"display" : "US Abdomen Pelvis Lower Extremity Right"
},
{
"code" : "103862",
"display" : "US Abdomen Pelvis Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "103864",
"display" : "US Abdomen Pelvis Transrectal"
},
{
"code" : "103865",
"display" : "US Abdomen Transvaginal"
},
{
"code" : "103867",
"display" : "US Adrenal Gland Bilateral"
},
{
"code" : "103868",
"display" : "US Adrenal Gland Biopsy"
},
{
"code" : "103869",
"display" : "US Adrenal Gland Biopsy Left"
},
{
"code" : "103870",
"display" : "US Adrenal Gland Biopsy Right"
},
{
"code" : "103871",
"display" : "US Ankle Brachial Pressure Index Doppler"
},
{
"code" : "103872",
"display" : "US Aorta Femoral Arterial Doppler"
},
{
"code" : "103873",
"display" : "US Aorta Femoral Arterial Doppler Bilateral"
},
{
"code" : "103874",
"display" : "US Aorta Iliac Arterial Doppler Bilateral"
},
{
"code" : "103875",
"display" : "US Aorta Iliac Lower Extremity Arterial Doppler"
},
{
"code" : "103876",
"display" : "US Aorta Lower Extremity Arterial Doppler"
},
{
"code" : "103877",
"display" : "US Appendix Obstetric"
},
{
"code" : "103878",
"display" : "US Appendix Obstetric Transvaginal"
},
{
"code" : "103879",
"display" : "US Appendix Transvaginal"
},
{
"code" : "103880",
"display" : "US Arterial Doppler"
},
{
"code" : "103881",
"display" : "US Arteriovenous Fistula Graft Doppler"
},
{
"code" : "103882",
"display" : "US Axilla Biopsy Bilateral"
},
{
"code" : "103883",
"display" : "US Axilla Biopsy Left"
},
{
"code" : "103884",
"display" : "US Axilla Biopsy Right"
},
{
"code" : "103885",
"display" : "US Back"
},
{
"code" : "103886",
"display" : "US Biophysical Profile and Fetal Head Doppler"
},
{
"code" : "103887",
"display" : "US Biophysical Profile Intracavitary"
},
{
"code" : "103888",
"display" : "US Biophysical Profile Transvaginal"
},
{
"code" : "103889",
"display" : "US Bladder and Renal Transplant Doppler"
},
{
"code" : "103890",
"display" : "US Brain Abdomen"
},
{
"code" : "103891",
"display" : "US Brain Abdomen Pelvis"
},
{
"code" : "103892",
"display" : "US Brain Abdomen Spine"
},
{
"code" : "103893",
"display" : "US Breast Axilla Biopsy"
},
{
"code" : "103894",
"display" : "US Breast Axilla Localization"
},
{
"code" : "103897",
"display" : "US Breast Drainage Bilateral"
},
{
"code" : "103898",
"display" : "US Breast Drainage Left"
},
{
"code" : "103899",
"display" : "US Breast Drainage Right"
},
{
"code" : "103900",
"display" : "US Breast Extremity"
},
{
"code" : "103901",
"display" : "US Breast Surgical Specimen"
},
{
"code" : "103902",
"display" : "US Breast Upper Extremity Bilateral"
},
{
"code" : "103903",
"display" : "US Breast Upper Extremity Left"
},
{
"code" : "103904",
"display" : "US Breast Upper Extremity Right"
},
{
"code" : "103905",
"display" : "US Buttock Bilateral"
},
{
"code" : "103906",
"display" : "US Buttock Biopsy Bilateral"
},
{
"code" : "103907",
"display" : "US Buttock Biopsy Left"
},
{
"code" : "103908",
"display" : "US Buttock Biopsy Right"
},
{
"code" : "103909",
"display" : "US Buttock Left"
},
{
"code" : "103910",
"display" : "US Buttock Right"
},
{
"code" : "103911",
"display" : "US Carotid Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "103912",
"display" : "US Central Line"
},
{
"code" : "103913",
"display" : "US Cervix"
},
{
"code" : "103914",
"display" : "US Chest Abdomen"
},
{
"code" : "103915",
"display" : "US Chest Abdomen Pelvis"
},
{
"code" : "103916",
"display" : "US Chest Axilla Bilateral"
},
{
"code" : "103917",
"display" : "US Chest Axilla Left"
},
{
"code" : "103918",
"display" : "US Chest Axilla Right"
},
{
"code" : "103919",
"display" : "US Extremity Soft Tissue"
},
{
"code" : "103920",
"display" : "US Extremity Aspiration"
},
{
"code" : "103921",
"display" : "US Extremity Biopsy"
},
{
"code" : "103922",
"display" : "US Extremity Drainage"
},
{
"code" : "103924",
"display" : "US Face Neck Biopsy"
},
{
"code" : "103925",
"display" : "US Femoral Artery Doppler Bilateral"
},
{
"code" : "103926",
"display" : "US Fetal Echocardiography Doppler"
},
{
"code" : "103927",
"display" : "US Fetal Head"
},
{
"code" : "103928",
"display" : "US Finger Brachial Index"
},
{
"code" : "103929",
"display" : "US Fistula"
},
{
"code" : "103930",
"display" : "US Foreign Body Removal"
},
{
"code" : "103931",
"display" : "US Gold Seed Insertion"
},
{
"code" : "103932",
"display" : "US Graft Doppler"
},
{
"code" : "103933",
"display" : "US Groin Biopsy Left"
},
{
"code" : "103934",
"display" : "US Groin Biopsy Right"
},
{
"code" : "103935",
"display" : "US Groin Scrotum"
},
{
"code" : "103936",
"display" : "US Groin Scrotum Bilateral"
},
{
"code" : "103937",
"display" : "US Groin Scrotum Left"
},
{
"code" : "103938",
"display" : "US Groin Scrotum Right"
},
{
"code" : "103939",
"display" : "US Groin Vascular Doppler Left"
},
{
"code" : "103940",
"display" : "US Groin Vascular Doppler Right"
},
{
"code" : "103941",
"display" : "US Head Abdomen"
},
{
"code" : "103942",
"display" : "US Head Carotid Doppler"
},
{
"code" : "103943",
"display" : "US Head Neck Aspiration"
},
{
"code" : "103945",
"display" : "US Iliac Artery Doppler Bilateral"
},
{
"code" : "103946",
"display" : "US Iliac Artery Doppler Left"
},
{
"code" : "103947",
"display" : "US Iliac Artery Doppler Right"
},
{
"code" : "103948",
"display" : "US Iliac Vascular Doppler Left"
},
{
"code" : "103949",
"display" : "US Iliac Vascular Doppler Right"
},
{
"code" : "103951",
"display" : "US Inferior Vena Cava Iliac Vein Doppler"
},
{
"code" : "103952",
"display" : "US Intracavitary"
},
{
"code" : "103953",
"display" : "US Kidney Bilateral"
},
{
"code" : "103954",
"display" : "US Kidney Left"
},
{
"code" : "103955",
"display" : "US Kidney Pelvis Transvaginal"
},
{
"code" : "103956",
"display" : "US Kidney Right"
},
{
"code" : "103957",
"display" : "US Knee Lower Extremity Venous Doppler"
},
{
"code" : "103958",
"display" : "US Knee Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "103959",
"display" : "US Lower Extremity Arterial Doppler and ABI"
},
{
"code" : "103960",
"display" : "US Lower Extremity Arterial Doppler Bilateral and ABI"
},
{
"code" : "103961",
"display" : "US Lower Extremity Arterial Doppler Left and ABI"
},
{
"code" : "103962",
"display" : "US Lower Extremity Arterial Doppler Right and ABI"
},
{
"code" : "103963",
"display" : "US Lower Extremity Biopsy"
},
{
"code" : "103964",
"display" : "US Lower Extremity Biopsy Bilateral"
},
{
"code" : "103965",
"display" : "US Lower Extremity Biopsy Left"
},
{
"code" : "103966",
"display" : "US Lower Extremity Biopsy Right"
},
{
"code" : "103967",
"display" : "US Lower Extremity Drainage Left"
},
{
"code" : "103968",
"display" : "US Lower Extremity Drainage Right"
},
{
"code" : "103969",
"display" : "US Lower Extremity Segmental Pressure"
},
{
"code" : "103971",
"display" : "US Lower Extremity Vascular Doppler"
},
{
"code" : "103972",
"display" : "US Lower Extremity Vascular Doppler Bilateral"
},
{
"code" : "103973",
"display" : "US Lower Extremity Vascular Doppler Bilateral and ABI"
},
{
"code" : "103974",
"display" : "US Lower Extremity Vascular Doppler Left"
},
{
"code" : "103975",
"display" : "US Lower Extremity Vascular Doppler Left and ABI"
},
{
"code" : "103976",
"display" : "US Lower Extremity Vascular Doppler Right"
},
{
"code" : "103981",
"display" : "US Mesenteric Vessel Doppler"
},
{
"code" : "103982",
"display" : "US Neck Vascular Doppler"
},
{
"code" : "103983",
"display" : "US Nephrostomy Left"
},
{
"code" : "103984",
"display" : "US Nephrostomy Right"
},
{
"code" : "103986",
"display" : "US Obstetric Pelvis"
},
{
"code" : "103987",
"display" : "US Obstetric Pelvis Transvaginal"
},
{
"code" : "103988",
"display" : "US Obstetric Translabial"
},
{
"code" : "103990",
"display" : "US Pelvis Groin"
},
{
"code" : "103991",
"display" : "US Pelvis Groin Scrotum"
},
{
"code" : "103992",
"display" : "US Pelvis Intracavitary"
},
{
"code" : "103993",
"display" : "US Pelvis Lower Extremity Bilateral"
},
{
"code" : "103994",
"display" : "US Pelvis Lower Extremity Left"
},
{
"code" : "103995",
"display" : "US Pelvis Lower Extremity Right"
},
{
"code" : "103996",
"display" : "US Pelvis Lower Extremity Venous Doppler Bilateral"
},
{
"code" : "103997",
"display" : "US Pelvis Scrotum"
},
{
"code" : "103998",
"display" : "US Pelvis Transrectal"
},
{
"code" : "103999",
"display" : "US Penis Scrotum"
},
{
"code" : "104000",
"display" : "US Peritoneum Biopsy"
},
{
"code" : "104002",
"display" : "US Pseudoaneurysm"
},
{
"code" : "104003",
"display" : "US Renal Cyst Aspiration Bilateral"
},
{
"code" : "104004",
"display" : "US Renal Cyst Puncture Left"
},
{
"code" : "104005",
"display" : "US Renal Cyst Puncture Right"
},
{
"code" : "104006",
"display" : "US Renal Vein Doppler"
},
{
"code" : "104007",
"display" : "US Retroperitoneal Biopsy"
},
{
"code" : "104008",
"display" : "US Sacroiliac Joint Injection Bilateral"
},
{
"code" : "104009",
"display" : "US Sacroiliac Joint Injection Left"
},
{
"code" : "104010",
"display" : "US Sacroiliac Joint Injection Right"
},
{
"code" : "104011",
"display" : "US Segmental Pressures"
},
{
"code" : "104012",
"display" : "US Shunt"
},
{
"code" : "104013",
"display" : "US Sinuses"
},
{
"code" : "104014",
"display" : "US Subclavian Artery Doppler Bilateral"
},
{
"code" : "104015",
"display" : "US Subclavian Artery Doppler Left"
},
{
"code" : "104016",
"display" : "US Subclavian Artery Doppler Right"
},
{
"code" : "104017",
"display" : "US Subclavian Vascular Doppler"
},
{
"code" : "104018",
"display" : "US Subclavian Vein Doppler Bilateral"
},
{
"code" : "104019",
"display" : "US Subclavian Vein Doppler Left"
},
{
"code" : "104020",
"display" : "US Subclavian Vein Doppler Right"
},
{
"code" : "104021",
"display" : "US Superior Vena Cava Upper Extremity Venous Doppler Left"
},
{
"code" : "104022",
"display" : "US Superior Vena Cava Upper Extremity Venous Doppler Right"
},
{
"code" : "104023",
"display" : "US Thoracic Outlet"
},
{
"code" : "104024",
"display" : "US Thoracic Outlet Arterial Doppler"
},
{
"code" : "104025",
"display" : "US Thyroid Pelvis Transvaginal"
},
{
"code" : "104026",
"display" : "US TIPS Doppler"
},
{
"code" : "104027",
"display" : "US Transcranial Carotid Doppler"
},
{
"code" : "104028",
"display" : "US Transesophageal Echocardiography Doppler"
},
{
"code" : "104029",
"display" : "US Translabial"
},
{
"code" : "104030",
"display" : "US Upper Extremity and WBI"
},
{
"code" : "104031",
"display" : "US Upper Extremity Arterial Doppler Bilateral and ABI"
},
{
"code" : "104032",
"display" : "US Upper Extremity Arterial Doppler Left and ABI"
},
{
"code" : "104033",
"display" : "US Upper Extremity Arterial Doppler Right and ABI"
},
{
"code" : "104034",
"display" : "US Upper Extremity Biopsy"
},
{
"code" : "104035",
"display" : "US Upper Extremity Biopsy Bilateral"
},
{
"code" : "104036",
"display" : "US Upper Extremity Biopsy Left"
},
{
"code" : "104037",
"display" : "US Upper Extremity Biopsy Right"
},
{
"code" : "104038",
"display" : "US Upper Extremity Drainage Left"
},
{
"code" : "104039",
"display" : "US Upper Extremity Drainage Right"
},
{
"code" : "104040",
"display" : "US Upper Extremity Segmental Pressure"
},
{
"code" : "104041",
"display" : "US Upper Extremity Vascular Doppler"
},
{
"code" : "104042",
"display" : "US Upper Extremity Vascular Doppler Bilateral"
},
{
"code" : "104043",
"display" : "US Upper Extremity Vascular Doppler Left"
},
{
"code" : "104044",
"display" : "US Upper Extremity Vascular Doppler Right"
},
{
"code" : "104045",
"display" : "US Uterine Artery Doppler"
},
{
"code" : "104046",
"display" : "US Vascular Fistula Doppler"
},
{
"code" : "104049",
"display" : "US Venous Doppler"
},
{
"code" : "104050",
"display" : "XA Abdomen Aorta Femoral Iliac Angioplasty"
},
{
"code" : "104051",
"display" : "XA Abdomen Femoral Angiography"
},
{
"code" : "104052",
"display" : "XA Abdomen Femoral Angiography Bilateral"
},
{
"code" : "104053",
"display" : "XA Abdomen Femoral Iliac Angioplasty Bilateral"
},
{
"code" : "104054",
"display" : "XA Abdomen Femoral Lower Extremity Angioplasty"
},
{
"code" : "104055",
"display" : "XA Abdomen Stent"
},
{
"code" : "104056",
"display" : "XA Aorta Extremity Angiography"
},
{
"code" : "104058",
"display" : "XA Aorta Lower Extremity Angiography Bilateral"
},
{
"code" : "104059",
"display" : "XA Aortic Arch Abdomen Angiography"
},
{
"code" : "104060",
"display" : "XA Aortic Arch Abdomen Femoral Angiography"
},
{
"code" : "104061",
"display" : "XA Aortic Arch Subclavian Angioplasty"
},
{
"code" : "104062",
"display" : "XA Arterial Catheterization"
},
{
"code" : "104063",
"display" : "XA Brachial Abdomen Angiography"
},
{
"code" : "104064",
"display" : "XA Brachial Abdomen Femoral Angiography"
},
{
"code" : "104065",
"display" : "XA Brachial Arch Angiography"
},
{
"code" : "104066",
"display" : "XA Carotid Aortic Arch Angiography"
},
{
"code" : "104068",
"display" : "XA Central Line Extremity"
},
{
"code" : "104069",
"display" : "XA Chest Abdomen Angiography"
},
{
"code" : "104070",
"display" : "XA Chest Abdomen Femoral Angiography"
},
{
"code" : "104071",
"display" : "XA Endovascular Shunt"
},
{
"code" : "104072",
"display" : "XA Extremity Angioplasty"
},
{
"code" : "104073",
"display" : "XA Extremity Embolization"
},
{
"code" : "104074",
"display" : "XA Femoral Artery Angioplasty Left"
},
{
"code" : "104075",
"display" : "XA Femoral Artery Angioplasty Right"
},
{
"code" : "104076",
"display" : "XA Femoral Iliac Angioplasty"
},
{
"code" : "104077",
"display" : "XA Femoral Lower Extremity Angioplasty"
},
{
"code" : "104078",
"display" : "XA Head Neck Angiography"
},
{
"code" : "104079",
"display" : "XA Head Neck Embolization"
},
{
"code" : "104080",
"display" : "XA Iliac Angioplasty and Stent"
},
{
"code" : "104081",
"display" : "XA Iliac Angioplasty and Stent Bilateral"
},
{
"code" : "104082",
"display" : "XA Iliac Angioplasty and Stent Left"
},
{
"code" : "104083",
"display" : "XA Iliac Angioplasty and Stent Right"
},
{
"code" : "104084",
"display" : "XA Lower Extremity Atherectomy"
},
{
"code" : "104085",
"display" : "XA Pelvis Embolization"
},
{
"code" : "104086",
"display" : "XA PICC Line Extremity Angiography"
},
{
"code" : "104087",
"display" : "XA Renal Angioplasty and Stent Left"
},
{
"code" : "104088",
"display" : "XA Renal Angioplasty and Stent Right"
},
{
"code" : "104089",
"display" : "XA Sclerotherapy"
},
{
"code" : "104090",
"display" : "XA Subclavian Angiography Bilateral"
},
{
"code" : "104091",
"display" : "XA Subclavian Angiography Left"
},
{
"code" : "104092",
"display" : "XA Subclavian Angiography Right"
},
{
"code" : "104093",
"display" : "XA Subclavian Upper Extremity Angioplasty"
},
{
"code" : "104094",
"display" : "XA Superior Vena Cava Upper Extremity Bilateral"
},
{
"code" : "104095",
"display" : "XA Thoracic Aortic Arch Angiography"
},
{
"code" : "104097",
"display" : "XA Transarterial Chemoembolization"
},
{
"code" : "104098",
"display" : "XA Upper Extremity Abdomen Femoral Iliac Angioplasty"
},
{
"code" : "104099",
"display" : "XR Cervical Lumbar Spine"
},
{
"code" : "104100",
"display" : "XR Cervical Spine Pelvis"
},
{
"code" : "104101",
"display" : "XR Cervical Spine Shoulder"
},
{
"code" : "104102",
"display" : "XR Cervical Thoracic Lumbar Spine"
},
{
"code" : "104103",
"display" : "XR Cervical Thoracic Spine"
},
{
"code" : "104104",
"display" : "XR Chest Pelvis"
},
{
"code" : "104105",
"display" : "XR Chest Sternum"
},
{
"code" : "104106",
"display" : "XR Colonoscopy"
},
{
"code" : "104107",
"display" : "XR Extremity"
},
{
"code" : "104108",
"display" : "XR Facial Bones Mandible"
},
{
"code" : "104109",
"display" : "XR Facial Bones Nasal Bones"
},
{
"code" : "104110",
"display" : "XR Facial Bones Orbits"
},
{
"code" : "104111",
"display" : "XR Injection"
},
{
"code" : "104112",
"display" : "XR Lumbar Spine Hip"
},
{
"code" : "104113",
"display" : "XR Lumbar Spine Hip Bilateral"
},
{
"code" : "104114",
"display" : "XR Lumbar Spine Pelvis Sacroiliac Joint"
},
{
"code" : "104115",
"display" : "XR Lumbar Spine Pelvis Sacroiliac Joint Hip"
},
{
"code" : "104116",
"display" : "XR Lumbar Spine Pelvis Sacroiliac Joint Hip Bilateral"
},
{
"code" : "104118",
"display" : "XR Mandible Temporomandibular Joints"
},
{
"code" : "104119",
"display" : "XR Pelvis Femur Bilateral"
},
{
"code" : "104120",
"display" : "XR Ribs Sternum Sternoclavicular Joint"
},
{
"code" : "104121",
"display" : "XR Sacrum Sacroiliac Joints"
},
{
"code" : "104126",
"display" : "XR Shunt"
},
{
"code" : "104127",
"display" : "XR Skull Cervical Spine"
},
{
"code" : "104128",
"display" : "XR Skull Chest Abdomen"
},
{
"code" : "104129",
"display" : "XR Skull Facial Bones"
},
{
"code" : "104130",
"display" : "XR Thoracic Lumbar Spine"
},
{
"code" : "104131",
"display" : "CT Arthrography"
},
{
"code" : "104132",
"display" : "CT Bronchoscopy"
},
{
"code" : "104133",
"display" : "CT Cervical Myelography"
},
{
"code" : "104134",
"display" : "CT Enteroclysis"
},
{
"code" : "104135",
"display" : "CT Head Neck Chest Abdomen Pelvis"
},
{
"code" : "104136",
"display" : "CT Head Neck Chest Abdomen Pelvis with Contrast"
},
{
"code" : "104137",
"display" : "CT Head Neck Chest Abdomen with Contrast"
},
{
"code" : "104138",
"display" : "CT Lumbar Myelography"
},
{
"code" : "104139",
"display" : "CT Myelography"
},
{
"code" : "104140",
"display" : "CT Nasopharynx"
},
{
"code" : "104141",
"display" : "CT Nasopharynx with Contrast"
},
{
"code" : "104142",
"display" : "CT Nephrostomy Drainage"
},
{
"code" : "104143",
"display" : "CT Parathyroid"
},
{
"code" : "104144",
"display" : "CT Posterior Fossa"
},
{
"code" : "104145",
"display" : "CT Spine Angiography"
},
{
"code" : "104146",
"display" : "CT Spleen"
},
{
"code" : "104148",
"display" : "MR Adrenal Glands"
},
{
"code" : "104149",
"display" : "MR Adrenal Glands with Contrast"
},
{
"code" : "104150",
"display" : "MR Aorta"
},
{
"code" : "104151",
"display" : "MR Aorta with Contrast"
},
{
"code" : "104152",
"display" : "MR Bladder"
},
{
"code" : "104153",
"display" : "MR Calf"
},
{
"code" : "104154",
"display" : "MR Carotid Angiography"
},
{
"code" : "104155",
"display" : "MR Clavicle"
},
{
"code" : "104156",
"display" : "MR Head Venography"
},
{
"code" : "104157",
"display" : "MR Mandible"
},
{
"code" : "104158",
"display" : "MR Nasopharynx"
},
{
"code" : "104159",
"display" : "MR Ovary"
},
{
"code" : "104160",
"display" : "MR Pancreas"
},
{
"code" : "104161",
"display" : "MR Pancreas with Contrast"
},
{
"code" : "104162",
"display" : "MR Parathyroid Gland"
},
{
"code" : "104164",
"display" : "MR Pelvis Venography"
},
{
"code" : "104165",
"display" : "MR Prostate"
},
{
"code" : "104166",
"display" : "MR Rectum"
},
{
"code" : "104167",
"display" : "MR Renal Arteries"
},
{
"code" : "104168",
"display" : "MR Scrotum"
},
{
"code" : "104169",
"display" : "MR Spine Angiography"
},
{
"code" : "104170",
"display" : "MR Spleen"
},
{
"code" : "104171",
"display" : "MR Sternum"
},
{
"code" : "104172",
"display" : "MR Thoracic Aorta"
},
{
"code" : "104173",
"display" : "MR Thoracic Aorta with Contrast"
},
{
"code" : "104174",
"display" : "MR Thyroid"
},
{
"code" : "104175",
"display" : "MR Venography"
},
{
"code" : "104176",
"display" : "NM Therapy Malignancy"
},
{
"code" : "104177",
"display" : "RF Cardiac"
},
{
"code" : "104178",
"display" : "RF Celiac Plexus Block"
},
{
"code" : "104179",
"display" : "RF Genitourinary Tract"
},
{
"code" : "104180",
"display" : "RF Kyphoplasty"
},
{
"code" : "104181",
"display" : "RF Nephrolithotomy"
},
{
"code" : "104182",
"display" : "RF Pancreas Biopsy"
},
{
"code" : "104183",
"display" : "RF Ureter Dilatation"
},
{
"code" : "104184",
"display" : "RF Urinary Tract"
},
{
"code" : "104186",
"display" : "US Adrenal Gland"
},
{
"code" : "104187",
"display" : "US Aorta Iliac Arterial Doppler"
},
{
"code" : "104188",
"display" : "US Bone Biopsy"
},
{
"code" : "104190",
"display" : "US Buttock"
},
{
"code" : "104191",
"display" : "US Finger"
},
{
"code" : "104192",
"display" : "US Gallbladder Drainage"
},
{
"code" : "104193",
"display" : "US Inferior Vena Cava Doppler"
},
{
"code" : "104194",
"display" : "US Joint"
},
{
"code" : "104195",
"display" : "US Lumbar Spine"
},
{
"code" : "104196",
"display" : "US Lung Biopsy"
},
{
"code" : "104197",
"display" : "US Neck Aspiration"
},
{
"code" : "104198",
"display" : "US Nephrostomy"
},
{
"code" : "104199",
"display" : "US Nuchal Translucency Transvaginal"
},
{
"code" : "104200",
"display" : "US Ovum Retrieval"
},
{
"code" : "104201",
"display" : "US Renal Cyst Aspiration"
},
{
"code" : "104202",
"display" : "US Renal Transplant Biopsy"
},
{
"code" : "104203",
"display" : "US Ribs"
},
{
"code" : "104204",
"display" : "US Sacrum"
},
{
"code" : "104205",
"display" : "US Salivary Gland Biopsy"
},
{
"code" : "104206",
"display" : "US Sentinel Node Injection"
},
{
"code" : "104207",
"display" : "US Soft Tissue Biopsy"
},
{
"code" : "104208",
"display" : "US Specimen"
},
{
"code" : "104209",
"display" : "US Supraclavicular Fossa"
},
{
"code" : "104210",
"display" : "US Transrectal"
},
{
"code" : "104211",
"display" : "US Vertebral Artery Doppler"
},
{
"code" : "104213",
"display" : "XA Abdomen Aorta Angioplasty"
},
{
"code" : "104214",
"display" : "XA Abdomen Thoracic Aortic Arch Femoral Angiography"
},
{
"code" : "104215",
"display" : "XA Angiography Pressure Measurements"
},
{
"code" : "104217",
"display" : "XA Aortic Aneurysm Repair"
},
{
"code" : "104218",
"display" : "XA Arterial Venous Shunt"
},
{
"code" : "104219",
"display" : "XA Cardiac Angioplasty"
},
{
"code" : "104220",
"display" : "XA Cardiac Atherectomy"
},
{
"code" : "104221",
"display" : "XA Cardiac Biopsy"
},
{
"code" : "104222",
"display" : "XA Carotid Stent"
},
{
"code" : "104223",
"display" : "XA Celiac Angiography"
},
{
"code" : "104224",
"display" : "XA Cerebral Stent"
},
{
"code" : "104225",
"display" : "XA Cerebral Venography"
},
{
"code" : "104226",
"display" : "XA Extremity Venography"
},
{
"code" : "104227",
"display" : "XA Femoral Angioplasty"
},
{
"code" : "104228",
"display" : "XA Fistula Angioplasty"
},
{
"code" : "104229",
"display" : "XA Iliac Embolization"
},
{
"code" : "104230",
"display" : "XA Mesenteric Angiography"
},
{
"code" : "104231",
"display" : "XA Pelvis Venography"
},
{
"code" : "104234",
"display" : "XA Portal Vein Embolization"
},
{
"code" : "104235",
"display" : "XA Subclavian Angiography"
},
{
"code" : "104236",
"display" : "XA Superior Mesenteric Angiography"
},
{
"code" : "104237",
"display" : "XA Superior Vena Cava Angioplasty"
},
{
"code" : "104238",
"display" : "XA Superior Vena Cava Stent"
},
{
"code" : "104239",
"display" : "XA Thoracic Embolization"
},
{
"code" : "104240",
"display" : "XA Thrombectomy"
},
{
"code" : "104241",
"display" : "XA Varicocele Embolization"
},
{
"code" : "104242",
"display" : "XR Kidney Tomography"
},
{
"code" : "104243",
"display" : "XR Lumbar Spine Pelvis"
},
{
"code" : "104244",
"display" : "XR Lumbar Spine Sacroiliac Joint"
},
{
"code" : "104246",
"display" : "MR Aorta Iliac Angiography with Contrast"
},
{
"code" : "104247",
"display" : "MR Sacrum Coccyx with Contrast"
},
{
"code" : "104252",
"display" : "US Upper Extremity Aspiration Bilateral"
},
{
"code" : "104253",
"display" : "US Upper Extremity Aspiration Left"
},
{
"code" : "104254",
"display" : "US Upper Extremity Aspiration Right"
},
{
"code" : "104257",
"display" : "XR Spine Chest"
},
{
"code" : "104258",
"display" : "XR Spine Chest Pelvis"
},
{
"code" : "104259",
"display" : "XR Pelvis Lower Extremity"
},
{
"code" : "104260",
"display" : "XR Pelvis Lower Extremity Bilateral"
},
{
"code" : "104261",
"display" : "XR Pelvis Lower Extremity Left"
},
{
"code" : "104262",
"display" : "XR Pelvis Lower Extremity Right"
},
{
"code" : "104263",
"display" : "XR Spine Pelvis"
},
{
"code" : "104264",
"display" : "US Lower Extremity Aspiration Bilateral"
},
{
"code" : "104265",
"display" : "US Lower Extremity Aspiration Left"
},
{
"code" : "104266",
"display" : "US Lower Extremity Aspiration Right"
},
{
"code" : "104267",
"display" : "US Abdomen Lower Extremity Bilateral"
},
{
"code" : "104268",
"display" : "US Abdomen Lower Extremity Left"
},
{
"code" : "104269",
"display" : "US Abdomen Lower Extremity Right"
},
{
"code" : "104270",
"display" : "US Abdomen Extremity Venous Doppler"
},
{
"code" : "104271",
"display" : "US Abdomen Pelvis Extremity Venous Doppler"
},
{
"code" : "104273",
"display" : "US Pelvis Extremity Venous Doppler"
},
{
"code" : "104274",
"display" : "US Musculoskeletal"
},
{
"code" : "104275",
"display" : "XA Inferior Vena Cava Filter"
},
{
"code" : "104276",
"display" : "MR Angiography with Contrast"
},
{
"code" : "104277",
"display" : "US Obstetric Intracavitary"
},
{
"code" : "104278",
"display" : "US Penile Brachial Pressure Index Doppler"
},
{
"code" : "104279",
"display" : "MR Whole Body"
},
{
"code" : "104280",
"display" : "XR Cervical Lumbar Spine Pelvis"
},
{
"code" : "104281",
"display" : "XR Cervical Thoracic Lumbar Spine Chest"
},
{
"code" : "104282",
"display" : "XR Cervical Thoracic Lumbar Spine Chest Pelvis"
},
{
"code" : "104283",
"display" : "XR Thoracic Lumbar Spine Chest Pelvis"
},
{
"code" : "104284",
"display" : "XR Lumbosacral Spine Hip"
},
{
"code" : "104285",
"display" : "XR Lumbosacral Spine Hip Bilateral"
},
{
"code" : "104286",
"display" : "XR Lumbosacral Spine Sacroiliac Joints"
},
{
"code" : "104287",
"display" : "CT Kidney Aspiration"
},
{
"code" : "104288",
"display" : "RF Pancreas Aspiration"
},
{
"code" : "104289",
"display" : "RF Spleen Aspiration"
},
{
"code" : "104290",
"display" : "RF Thyroid Aspiration"
},
{
"code" : "104291",
"display" : "US Axilla Aspiration Left"
},
{
"code" : "104292",
"display" : "US Axilla Aspiration Right"
},
{
"code" : "104293",
"display" : "US Renal Aspiration"
},
{
"code" : "104294",
"display" : "US Subclavian Vein Doppler"
},
{
"code" : "104295",
"display" : "US Joint Aspiration"
},
{
"code" : "104296",
"display" : "US Joint Injection"
},
{
"code" : "104297",
"display" : "US Perineum"
},
{
"code" : "104298",
"display" : "CT Scapula Bilateral"
},
{
"code" : "104299",
"display" : "CT Scapula Bilateral with Contrast"
},
{
"code" : "104300",
"display" : "CT Scapula Left"
},
{
"code" : "104301",
"display" : "CT Scapula Left with Contrast"
},
{
"code" : "104302",
"display" : "CT Scapula Right"
},
{
"code" : "104303",
"display" : "CT Scapula Right with Contrast"
},
{
"code" : "104304",
"display" : "MR Ankle Arthrography Left"
},
{
"code" : "104305",
"display" : "MR Ankle Arthrography Right"
},
{
"code" : "104306",
"display" : "MR Elbow Arthrography Left"
},
{
"code" : "104308",
"display" : "MR Elbow Arthrography Right"
},
{
"code" : "104309",
"display" : "MR Hip Arthrography"
},
{
"code" : "104310",
"display" : "MR Hip Arthrography Bilateral"
},
{
"code" : "104311",
"display" : "MR Hip Arthrography Left"
},
{
"code" : "104312",
"display" : "MR Hip Arthrography Right"
},
{
"code" : "104313",
"display" : "MR Knee Arthrography"
},
{
"code" : "104314",
"display" : "MR Knee Arthrography Left"
},
{
"code" : "104315",
"display" : "MR Knee Arthrography Right"
},
{
"code" : "104316",
"display" : "MR Shoulder Arthrography"
},
{
"code" : "104317",
"display" : "MR Shoulder Arthrography Left"
},
{
"code" : "104318",
"display" : "MR Shoulder Arthrography Right"
},
{
"code" : "104319",
"display" : "MR Wrist Arthrography"
},
{
"code" : "104320",
"display" : "MR Wrist Arthrography Left"
},
{
"code" : "104322",
"display" : "MR Wrist Arthrography Right"
},
{
"code" : "104324",
"display" : "NM Hip Arthrography"
},
{
"code" : "104325",
"display" : "NM Knee Arthrography"
},
{
"code" : "104326",
"display" : "RF Liver Drainage"
},
{
"code" : "104327",
"display" : "US Salivary Gland Biopsy Left"
},
{
"code" : "104328",
"display" : "US Salivary Gland Biopsy Right"
},
{
"code" : "104329",
"display" : "XA Abdomen Femoral Iliac Angioplasty"
},
{
"code" : "104330",
"display" : "XA PICC Line Extremity Venography"
},
{
"code" : "104331",
"display" : "US Spine Injection"
},
{
"code" : "104332",
"display" : "RF Cyst Puncture"
},
{
"code" : "104334",
"display" : "RF Pericardiocentesis"
},
{
"code" : "104335",
"display" : "US Axilla Aspiration Bilateral"
},
{
"code" : "104336",
"display" : "CT Cervical Spine Chest Abdomen Pelvis with Contrast"
},
{
"code" : "104337",
"display" : "CT Chest Abdomen Pelvis Extremity with Contrast"
},
{
"code" : "104339",
"display" : "US Femoral Artery Doppler Left"
},
{
"code" : "104340",
"display" : "US Femoral Artery Doppler Right"
},
{
"code" : "104341",
"display" : "MR Salivary Glands"
},
{
"code" : "104342",
"display" : "MR Salivary Glands with Contrast"
},
{
"code" : "104343",
"display" : "US Obstetric and Biophysical Profile"
},
{
"code" : "104344",
"display" : "MR Head Carotid"
},
{
"code" : "104345",
"display" : "CT Chest Pelvis Lower Extremity Bilateral"
},
{
"code" : "104346",
"display" : "US Abdomen and Biophysical Profile"
},
{
"code" : "104347",
"display" : "US Abdomen Biophysical Profile Transvaginal"
},
{
"code" : "104348",
"display" : "US Abdomen Biophysical Profile Perineal"
},
{
"code" : "104349",
"display" : "US Abdomen Obstetric Perineal"
},
{
"code" : "104350",
"display" : "US Abdomen Pelvis Scrotum Transrectal"
},
{
"code" : "104351",
"display" : "US Groin Biopsy"
},
{
"code" : "104352",
"display" : "US Biophysical Profile Translabial"
},
{
"code" : "104353",
"display" : "US Pelvis Groin Bilateral"
},
{
"code" : "104354",
"display" : "US Pelvis Groin Left"
},
{
"code" : "104355",
"display" : "US Pelvis Groin Right"
},
{
"code" : "104356",
"display" : "US Pelvis Perineum"
},
{
"code" : "104357",
"display" : "US Pelvis Scrotum Transrectal"
},
{
"code" : "104358",
"display" : "CT Chest Abdomen Pelvis Extremity"
},
{
"code" : "104359",
"display" : "US Abdomen Biophysical Profile Translabial and Transvaginal"
},
{
"code" : "104360",
"display" : "US Abdomen Obstetric Translabial and Transvaginal"
},
{
"code" : "104361",
"display" : "US Biophysical Profile Translabial and Transvaginal"
},
{
"code" : "104362",
"display" : "US Obstetric Translabial and Transvaginal"
},
{
"code" : "104363",
"display" : "US Facet Joint Injection"
},
{
"code" : "104364",
"display" : "US Femoral Vein Doppler"
},
{
"code" : "104365",
"display" : "XR Temporomandibular Joint Tomography"
},
{
"code" : "104366",
"display" : "XR Facial Bone Tomography"
},
{
"code" : "104367",
"display" : "XR Lumbar Spine Tomography"
},
{
"code" : "104368",
"display" : "XR Cervical Spine Tomography"
},
{
"code" : "104369",
"display" : "XR Thoracic Spine Tomography"
},
{
"code" : "104370",
"display" : "XR Shoulder Tomography Left"
},
{
"code" : "104371",
"display" : "XR Shoulder Tomography Right"
},
{
"code" : "104372",
"display" : "XR Upper Extremity Tomography Left"
},
{
"code" : "104373",
"display" : "XR Upper Extremity Tomography Right"
},
{
"code" : "104374",
"display" : "XR Pelvis Hip Tomography Left"
},
{
"code" : "104375",
"display" : "XR Pelvis Hip Tomography Right"
},
{
"code" : "104376",
"display" : "XR Lower Extremity Tomography Left"
},
{
"code" : "104377",
"display" : "XR Lower Extremity Tomography Right"
},
{
"code" : "104378",
"display" : "XR Femur Tomography Left"
},
{
"code" : "104379",
"display" : "XR Femur Tomography Right"
},
{
"code" : "104380",
"display" : "XR Rib Tomography Left"
},
{
"code" : "104381",
"display" : "XR Rib Tomography Right"
},
{
"code" : "104382",
"display" : "XR Sternum Tomography"
},
{
"code" : "104383",
"display" : "XR Lung Tomography"
},
{
"code" : "104384",
"display" : "XR Abdomen Tomography"
},
{
"code" : "104385",
"display" : "US Obstetric and Fetal Head Doppler"
},
{
"code" : "104386",
"display" : "US Abdomen Pelvis and Organ Transplant Doppler"
},
{
"code" : "104387",
"display" : "US Abdomen Pelvis and Renal Transplant Doppler"
},
{
"code" : "104388",
"display" : "US Pelvis and Renal Transplant Doppler"
},
{
"code" : "104389",
"display" : "US Cervical Spine"
},
{
"code" : "104391",
"display" : "US Thoracic Spine"
},
{
"code" : "104392",
"display" : "US Internal Mammary Artery Doppler"
},
{
"code" : "104393",
"display" : "MR Cervical Spine Brachial Plexus"
},
{
"code" : "104394",
"display" : "US Temporal Artery Doppler"
},
{
"code" : "104395",
"display" : "XR Chest Tomography"
},
{
"code" : "104396",
"display" : "US Saphenous Vein Doppler Bilateral"
},
{
"code" : "104397",
"display" : "XR Salivary Gland Left"
},
{
"code" : "104398",
"display" : "XR Salivary Gland Right"
},
{
"code" : "104399",
"display" : "XR Internal Auditory Canal Tomography"
},
{
"code" : "104400",
"display" : "CT Chest Abdomen Extremity Angiography"
},
{
"code" : "104401",
"display" : "MR Extremity Arthrography"
},
{
"code" : "104402",
"display" : "XR Ear Soft Tissue"
},
{
"code" : "104403",
"display" : "US Saphenous Vein Doppler Left"
},
{
"code" : "104404",
"display" : "US Saphenous Vein Doppler Right"
},
{
"code" : "104405",
"display" : "US Back Biopsy"
},
{
"code" : "104407",
"display" : "MR Upper Extremity Angiography with Contrast"
},
{
"code" : "104408",
"display" : "XR Femur Tomography"
},
{
"code" : "104409",
"display" : "XR Pelvis Hip Tomography"
},
{
"code" : "104410",
"display" : "MR Abdomen Pelvis Angiography"
},
{
"code" : "104411",
"display" : "MR Lower Extremity Angiography with Contrast"
},
{
"code" : "104412",
"display" : "MR Thigh Bilateral with Contrast"
},
{
"code" : "104413",
"display" : "XA Fistula Injection"
},
{
"code" : "104414",
"display" : "CT Spleen Aspiration"
},
{
"code" : "104415",
"display" : "US Spleen Aspiration"
},
{
"code" : "104416",
"display" : "US Breast Drainage"
},
{
"code" : "104417",
"display" : "US Ovarian Cyst Aspiration"
},
{
"code" : "104418",
"display" : "CT Axilla"
},
{
"code" : "104420",
"display" : "US Cyst Aspiration"
},
{
"code" : "104421",
"display" : "MR Skeleton"
},
{
"code" : "104422",
"display" : "MR Skeleton with Contrast"
},
{
"code" : "104423",
"display" : "US Thyroid Cyst Aspiration"
},
{
"code" : "104424",
"display" : "US Groin Transvaginal"
},
{
"code" : "104425",
"display" : "CT Pelvis Lower Extremity"
},
{
"code" : "104426",
"display" : "MR Pelvis Hip Bilateral with Contrast"
},
{
"code" : "104427",
"display" : "US Jugular Doppler"
},
{
"code" : "104428",
"display" : "US Biceps"
},
{
"code" : "104429",
"display" : "US Biceps Bilateral"
},
{
"code" : "104430",
"display" : "US Pelvis Groin Transvaginal"
},
{
"code" : "104431",
"display" : "US Abdomen Groin"
},
{
"code" : "104432",
"display" : "US Abdomen Groin Bilateral"
},
{
"code" : "104433",
"display" : "US Abdomen Pelvis Groin"
},
{
"code" : "104438",
"display" : "US Abdomen Pelvis Groin Bilateral"
},
{
"code" : "104439",
"display" : "CT Head Venography"
},
{
"code" : "104440",
"display" : "XR Upper Extremity Tomography"
},
{
"code" : "104441",
"display" : "RF Renal Cyst Aspiration"
},
{
"code" : "104442",
"display" : "XR Lower Extremity Tomography"
},
{
"code" : "104443",
"display" : "MR Extremity Venography"
},
{
"code" : "104444",
"display" : "XA Subclavian Venography"
},
{
"code" : "104445",
"display" : "XR Shoulder Tomography"
},
{
"code" : "104446",
"display" : "XR Hip Tomography"
},
{
"code" : "104447",
"display" : "XR Pelvis Tomography"
},
{
"code" : "104448",
"display" : "XR Skull Tomography"
},
{
"code" : "104449",
"display" : "XR Spine Tomography"
},
{
"code" : "104450",
"display" : "XA Superior Vena Cava Extremity"
},
{
"code" : "104451",
"display" : "MR Chest Lower Extremity Bilateral with Contrast"
},
{
"code" : "104452",
"display" : "MR Cervical Thoracic Lumbar Spine Pelvis"
},
{
"code" : "104453",
"display" : "CT Enterography with Contrast"
},
{
"code" : "104454",
"display" : "MR Pelvis Extremity Angiography"
},
{
"code" : "104455",
"display" : "MR Neck Venography"
},
{
"code" : "104456",
"display" : "MR Neck Venography with Contrast"
},
{
"code" : "104457",
"display" : "US Penile Pressure"
},
{
"code" : "104458",
"display" : "US Pericardiocentesis"
},
{
"code" : "104459",
"display" : "MR Thoracic Inlet"
},
{
"code" : "104460",
"display" : "MR Thoracic Inlet with Contrast"
},
{
"code" : "104461",
"display" : "RF Cyst Aspiration"
},
{
"code" : "104462",
"display" : "XR Soft Tissue"
},
{
"code" : "104463",
"display" : "MR Cholangiopancreatography with Contrast"
},
{
"code" : "104464",
"display" : "MR Thyroid with Contrast"
},
{
"code" : "104465",
"display" : "MR Calf with Contrast"
},
{
"code" : "104466",
"display" : "MR Calf Bilateral with Contrast"
},
{
"code" : "104467",
"display" : "MR Thigh with Contrast"
},
{
"code" : "104468",
"display" : "US Abdomen Lower Extremity Vascular Doppler Bilateral"
},
{
"code" : "104469",
"display" : "US Abdomen Lower Extremity Vascular Doppler Left"
},
{
"code" : "104470",
"display" : "US Abdomen Lower Extremity Vascular Doppler Right"
},
{
"code" : "104471",
"display" : "CT Thoracic Myelography"
},
{
"code" : "104472",
"display" : "US Abdomen Lower Extremity Venous Doppler Left"
},
{
"code" : "104473",
"display" : "US Abdomen Lower Extremity Venous Doppler Right"
},
{
"code" : "104474",
"display" : "US Abdomen Pelvis Lower Extremity Venous Doppler Left"
},
{
"code" : "104475",
"display" : "US Abdomen Pelvis Lower Extremity Venous Doppler Right"
},
{
"code" : "104476",
"display" : "US Pelvis Lower Extremity Venous Doppler Left"
},
{
"code" : "104477",
"display" : "US Pelvis Lower Extremity Venous Doppler Right"
},
{
"code" : "104478",
"display" : "US Femoral Vascular Doppler"
},
{
"code" : "104479",
"display" : "MR Thigh"
},
{
"code" : "104480",
"display" : "MR Calf Left with Contrast"
},
{
"code" : "104481",
"display" : "MR Calf Right with Contrast"
},
{
"code" : "104482",
"display" : "NM Transcapillary Escape Rate"
},
{
"code" : "104483",
"display" : "US Scrotum Aspiration"
},
{
"code" : "104484",
"display" : "US Toe"
},
{
"code" : "104485",
"display" : "US Toe Left"
},
{
"code" : "104486",
"display" : "US Toe Right"
},
{
"code" : "104487",
"display" : "US Finger Left"
},
{
"code" : "104488",
"display" : "US Finger Right"
},
{
"code" : "104489",
"display" : "US Renal Vascular Doppler"
},
{
"code" : "104491",
"display" : "DI Procedure"
},
{
"code" : "104492",
"display" : "DI Consult"
},
{
"code" : "104493",
"display" : "US Abdomen Pelvis Lower Extremity"
},
{
"code" : "104494",
"display" : "XA Femoral Artery Stent"
},
{
"code" : "104495",
"display" : "XA Popliteal Artery Stent"
},
{
"code" : "104496",
"display" : "XA Femoral Iliac Artery Stent"
},
{
"code" : "104497",
"display" : "XA Renal Iliac Angioplasty"
},
{
"code" : "104498",
"display" : "XA Popliteal Angioplasty"
},
{
"code" : "104499",
"display" : "DI Abdomen"
},
{
"code" : "104500",
"display" : "DI Lower Extremity"
},
{
"code" : "104501",
"display" : "DI Pelvis"
},
{
"code" : "104502",
"display" : "DI Head"
},
{
"code" : "104503",
"display" : "DI Upper Extremity"
},
{
"code" : "104504",
"display" : "DI Chest"
},
{
"code" : "104505",
"display" : "DI Spine"
},
{
"code" : "104506",
"display" : "DI Neck"
},
{
"code" : "104507",
"display" : "CT Salivary Glands"
},
{
"code" : "104508",
"display" : "CT Salivary Glands with Contrast"
},
{
"code" : "104509",
"display" : "CT Abdomen Pelvis Upper Extremity Angiography"
},
{
"code" : "104510",
"display" : "CT Head Spine Chest Abdomen Pelvis Lower Extremity"
},
{
"code" : "104511",
"display" : "XA Pelvis Angioplasty"
},
{
"code" : "104512",
"display" : "CT Neck Drainage"
},
{
"code" : "104513",
"display" : "XA Spine Angioplasty"
},
{
"code" : "104514",
"display" : "RF Pyeloplasty"
},
{
"code" : "104515",
"display" : "RF Ventriculostomy"
},
{
"code" : "104516",
"display" : "CT Spine Chest Abdomen Pelvis"
},
{
"code" : "104517",
"display" : "CT Spine Chest Abdomen Pelvis with Contrast"
},
{
"code" : "104518",
"display" : "CT Chest Extremity"
},
{
"code" : "104519",
"display" : "CT Chest Extremity with Contrast"
},
{
"code" : "104520",
"display" : "RF Lung Biopsy Bilateral"
},
{
"code" : "104521",
"display" : "CT Abdomen Pelvis Lower Extremity Bilateral with Contrast"
},
{
"code" : "104522",
"display" : "CT Abdomen Pelvis Lower Extremity Left with Contrast"
},
{
"code" : "104523",
"display" : "CT Abdomen Pelvis Lower Extremity Right with Contrast"
},
{
"code" : "104524",
"display" : "CT Abdomen Pelvis Lower Extremity"
},
{
"code" : "104525",
"display" : "CT Upper Extremity Drainage"
},
{
"code" : "104526",
"display" : "CT Upper Extremity Drainage Left"
},
{
"code" : "104527",
"display" : "CT Upper Extremity Drainage Right"
},
{
"code" : "104528",
"display" : "CT Lower Extremity Drainage"
},
{
"code" : "104529",
"display" : "CT Lower Extremity Drainage Left"
},
{
"code" : "104530",
"display" : "CT Lower Extremity Drainage Right"
},
{
"code" : "104531",
"display" : "CT Lumbosacral Spine with Contrast"
},
{
"code" : "104532",
"display" : "CT Upper Extremity Angiography Left"
},
{
"code" : "104533",
"display" : "CT Upper Extremity Angiography Right"
},
{
"code" : "104534",
"display" : "CT Scapula"
},
{
"code" : "104535",
"display" : "RF Endopyelotomy"
},
{
"code" : "104536",
"display" : "US Parathyroid"
},
{
"code" : "104537",
"display" : "XA Chest Angioplasty"
},
{
"code" : "104538",
"display" : "CT Abdomen Pelvis Lower Extremity with Contrast"
},
{
"code" : "104539",
"display" : "CT Abdomen Pelvis Upper Extremity"
},
{
"code" : "104540",
"display" : "CT Abdomen Pelvis Upper Extremity with Contrast"
},
{
"code" : "104541",
"display" : "CT Abdomen Pelvis Upper Extremity Bilateral with Contrast"
},
{
"code" : "104542",
"display" : "CT Abdomen Pelvis Upper Extremity Left with Contrast"
},
{
"code" : "104543",
"display" : "CT Abdomen Pelvis Upper Extremity Right with Contrast"
},
{
"code" : "104544",
"display" : "Mammo Tomosynthesis"
},
{
"code" : "104545",
"display" : "Mammo Tomosynthesis Bilateral"
},
{
"code" : "104546",
"display" : "Mammo Tomosynthesis Left"
},
{
"code" : "104547",
"display" : "Mammo Tomosynthesis Right"
},
{
"code" : "104548",
"display" : "MR Prostate Biopsy"
},
{
"code" : "104549",
"display" : "RF Sacroiliac Joint Arthrography"
},
{
"code" : "104550",
"display" : "RF Sacroiliac Joint Arthrography Bilateral"
},
{
"code" : "104551",
"display" : "RF Sacroiliac Joint Arthrography Left"
},
{
"code" : "104552",
"display" : "RF Sacroiliac Joint Arthrography Right"
},
{
"code" : "104553",
"display" : "CT Chest Lower Extremity with Contrast"
},
{
"code" : "104554",
"display" : "US Abdomen Lower Extremity Arterial Doppler Bilateral"
},
{
"code" : "104555",
"display" : "US Abdomen Lower Extremity Arterial Doppler Left"
},
{
"code" : "104556",
"display" : "US Abdomen Lower Extremity Arterial Doppler Right"
},
{
"code" : "104557",
"display" : "US Abdomen Pelvis Lower Extremity Vascular Doppler"
},
{
"code" : "104558",
"display" : "US Rectum"
},
{
"code" : "104559",
"display" : "US Scrotum Biopsy"
},
{
"code" : "104560",
"display" : "US Rectum Biopsy"
},
{
"code" : "104561",
"display" : "US Fetal Head Doppler"
},
{
"code" : "104562",
"display" : "US Embolization"
},
{
"code" : "104563",
"display" : "CT Lower Extremity Angiography Left"
},
{
"code" : "104564",
"display" : "CT Lower Extremity Angiography Right"
}
],
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.