| Package | ca.on.mi.pkg |
| Resource Type | ValueSet |
| Id | local-mi-procedure-types |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=ca.on.mi.pkg@0.9.0-beta-4-testing&canonical=http://ontariohealth.ca/fhir/mi/ValueSet/local-procedure-type |
| URL | http://ontariohealth.ca/fhir/mi/ValueSet/local-procedure-type |
| Version | 1.0.0 |
| Status | active |
| Date | 2025-05-28T14:37:54+00:00 |
| Name | LocalProcedureType |
| Title | Local Procedure Types |
| Realm | ca |
| Description | This value set contains example local procedure codes contributed by sites to DIRs in HL7v2 OBR-4 to identify the procedure of the MI order or MI report. Each contributing site has their own set of local codes/code systems defined by OIDs. The listing below is an example of codes from one local coding system identified by OID 2.16.840.1.113883.3.239.33.3 (The Ottawa Hospital local procedure codes). |
| StructureDefinition | |
| ca-on-mi-profile-diagnosticReport | MI DiagnosticReport Profile |
| ca-on-mi-profile-serviceRequest | MI ServiceRequest Profile |
No resources found
No narrative content found in resource
FHIR{
"resourceType": "ValueSet",
"id": "local-mi-procedure-types",
"url": "http://ontariohealth.ca/fhir/mi/ValueSet/local-procedure-type",
"version": "1.0.0",
"name": "LocalProcedureType",
"title": "Local Procedure Types",
"status": "active",
"experimental": false,
"date": "2025-05-28T14:37:54+00:00",
"publisher": "Ontario Health",
"description": "This value set contains example local procedure codes contributed by sites to DIRs in HL7v2 OBR-4 to identify the procedure of the MI order or MI report. Each contributing site has their own set of local codes/code systems defined by OIDs. The listing below is an example of codes from one local coding system identified by OID 2.16.840.1.113883.3.239.33.3 (The Ottawa Hospital local procedure codes).",
"immutable": false,
"compose": {
"include": [
{
"system": "urn:oid:2.16.840.1.113883.3.239.33.3",
"concept": [
{
"Code": "AA00009910",
"Display": "ANGIO AORTA"
},
{
"Code": "AA20009910",
"Display": "ANGIO AORTA X2"
},
{
"Code": "AABDR09910",
"Display": "ABCESS DRAIN"
},
{
"Code": "AABDRS9910",
"Display": "ABCESS DRAIN/SINOGRAM"
},
{
"Code": "AABDRU9910",
"Display": "ABCESS DRAIN/US GUIDE"
},
{
"Code": "AALINJ9910",
"Display": "ALCOHOL INJECTION"
},
{
"Code": "AAMCHS9910",
"Display": "PTA MES/CEL/HEP X1/STENT"
},
{
"Code": "AANLS17000",
"Display": "MRI ARTHRO LT ANKLE 1S"
},
{
"Code": "AANLS17010",
"Display": "MRI ARTHRO LT ANKLE 1S"
},
{
"Code": "AANLS27000",
"Display": "MRI ARTHRO LT ANKLE 2S"
},
{
"Code": "AANLS27010",
"Display": "MRI ARTHRO LT ANKLE 2S"
},
{
"Code": "AANLS37000",
"Display": "MRI ARTHRO LT ANKLE 3S"
},
{
"Code": "AANLS37010",
"Display": "MRI ARTHRO LT ANKLE 3S"
},
{
"Code": "AANLS47000",
"Display": "MRI ARTHRO LT ANKLE 4S"
},
{
"Code": "AANLS47010",
"Display": "MRI ARTHRO LT ANKLE 4S"
},
{
"Code": "AANLS57000",
"Display": "MRI ARTHRO LT ANKLE 5S"
},
{
"Code": "AANLS57010",
"Display": "MRI ARTHRO LT ANKLE 5S"
},
{
"Code": "AANLS67000",
"Display": "MRI ARTHRO LT ANKLE 6+S"
},
{
"Code": "AANLS67010",
"Display": "MRI ARTHRO LT ANKLE 6+S"
},
{
"Code": "AANRS17000",
"Display": "MRI ARTHRO RT ANKLE 1S"
},
{
"Code": "AANRS17010",
"Display": "MRI ARTHRO RT ANKLE 1S"
},
{
"Code": "AANRS27000",
"Display": "MRI ARTHRO RT ANKLE 2S"
},
{
"Code": "AANRS27010",
"Display": "MRI ARTHRO RT ANKLE 2S"
},
{
"Code": "AANRS37000",
"Display": "MRI ARTHRO RT ANKLE 3S"
},
{
"Code": "AANRS37010",
"Display": "MRI ARTHRO RT ANKLE 3S"
},
{
"Code": "AANRS47000",
"Display": "MRI ARTHRO RT ANKLE 4S"
},
{
"Code": "AANRS47010",
"Display": "MRI ARTHRO RT ANKLE 4S"
},
{
"Code": "AANRS57000",
"Display": "MRI ARTHRO RT ANKLE 5S"
},
{
"Code": "AANRS57010",
"Display": "MRI ARTHRO RT ANKLE 5S"
},
{
"Code": "AANRS67000",
"Display": "MRI ARTHRO RT ANKLE 6+S"
},
{
"Code": "AANRS67010",
"Display": "MRI ARTHRO RT ANKLE 6+S"
},
{
"Code": "AASFAP9910",
"Display": "PTA SFA / POP"
},
{
"Code": "AB10009910",
"Display": "ANGIO BRONCHIAL X1"
},
{
"Code": "AB1A009910",
"Display": "ANGIO BRONCHIAL X1/AORTA"
},
{
"Code": "AB20009910",
"Display": "ANGIO BRONCHIAL X2"
},
{
"Code": "AB2A009910",
"Display": "ANGIO BRONCHIAL X2/AORTA"
},
{
"Code": "AB30009910",
"Display": "ANGIO BRONCHIAL X3"
},
{
"Code": "AB3A009910",
"Display": "ANGIO BRONCHIAL X3/AORTA"
},
{
"Code": "AB40009910",
"Display": "ANGIO BRONCHIAL X4"
},
{
"Code": "AB4A009910",
"Display": "ANGIO BRONCHIAL X4/AORTA"
},
{
"Code": "ABDBPC2500",
"Display": "CT ABDB W&W/O & PEL CONTRAST"
},
{
"Code": "ABDC2V1510",
"Display": "ABDOMEN CONTRAST (2+V)"
},
{
"Code": "ABDCON1510",
"Display": "ABDOMEN CONTRAST (1V)"
},
{
"Code": "ABDR009910",
"Display": "BILIARY DRAIN"
},
{
"Code": "ABDRGB9910",
"Display": "BILIARY DRAIN/GB"
},
{
"Code": "ABDRST9910",
"Display": "BILIARY DRAIN + STENT"
},
{
"Code": "ABDRUS9910",
"Display": "ABCESS DRAIN/US SINOGRAM"
},
{
"Code": "ABDRUS9910",
"Display": "ABCESS DRAIN/US SINOGRAM"
},
{
"Code": "ABILST9910",
"Display": "BILARY STENT"
},
{
"Code": "ABPELB2500",
"Display": "CT ABD & PEL W&W/O CONTRAST"
},
{
"Code": "ABPELC2500",
"Display": "CT ABD & PEL WITH CONTRAST"
},
{
"Code": "ABPELL3099",
"Display": "US ABDOMEN, LIMITED PELVIS"
},
{
"Code": "ABPELO2500",
"Display": "CT ABD & PEL W/O CONTRAST"
},
{
"Code": "ABRACH9910",
"Display": "FLUORO FOR BRACHYTHERAPY"
},
{
"Code": "ABSE107000",
"Display": "MRI ABDO 1S"
},
{
"Code": "ABSE107010",
"Display": "MRI ABDO 1S"
},
{
"Code": "ABSE1E7000",
"Display": "MRI ABDO 1S E"
},
{
"Code": "ABSE1E7010",
"Display": "MRI ABDO 1S E"
},
{
"Code": "ABSE207000",
"Display": "MRI ABDO 2S"
},
{
"Code": "ABSE207010",
"Display": "MRI ABDO 2S"
},
{
"Code": "ABSE2E7000",
"Display": "MRI ABDO 2S E"
},
{
"Code": "ABSE2E7010",
"Display": "MRI ABDO 2S E"
},
{
"Code": "ABSE307000",
"Display": "MRI ABDO 3S"
},
{
"Code": "ABSE307010",
"Display": "MRI ABDO 3S"
},
{
"Code": "ABSE3E7000",
"Display": "MRI ABDO 3S E"
},
{
"Code": "ABSE3E7010",
"Display": "MRI ABDO 3S E"
},
{
"Code": "ABSE407000",
"Display": "MRI ABDO 4S"
},
{
"Code": "ABSE407010",
"Display": "MRI ABDO 4S"
},
{
"Code": "ABSE4E7000",
"Display": "MRI ABDO 4S E"
},
{
"Code": "ABSE4E7010",
"Display": "MRI ABDO 4S E"
},
{
"Code": "ABSE507000",
"Display": "MRI ABDO 5+S"
},
{
"Code": "ABSE507010",
"Display": "MRI ABDO 5+S"
},
{
"Code": "ABSE5E7000",
"Display": "MRI ABDO 5+S E"
},
{
"Code": "ABSE5E7010",
"Display": "MRI ABDO 5+S E"
},
{
"Code": "ABWOPC2500",
"Display": "CT ABD W/O & PEL W&W/O"
},
{
"Code": "ABXABD9910",
"Display": "BIOPSY ABDOMEN"
},
{
"Code": "ABXBON9910",
"Display": "BIOPSY BONE"
},
{
"Code": "ABXFC09910",
"Display": "BIOPSY CHEST / FLUORO"
},
{
"Code": "ABXLG09910",
"Display": "BIOPSY LUNG"
},
{
"Code": "ABXREN9910",
"Display": "BIOPSY RENAL"
},
{
"Code": "ABXSP09910",
"Display": "BIOPSY SPINE"
},
{
"Code": "ABXTJL9910",
"Display": "BIOPSY TRANS JUG LIVER"
},
{
"Code": "ABXUC09910",
"Display": "BIOPSY CHEST / US"
},
{
"Code": "AC10009910",
"Display": "ANGIO CEREBRAL X1"
},
{
"Code": "AC1AR09910",
"Display": "ANGIO CEREBRAL X1 / ARCH"
},
{
"Code": "AC20009910",
"Display": "ANGIO CEREBRAL X2"
},
{
"Code": "AC2AR09910",
"Display": "ANGIO CEREBRAL X2 / ARCH"
},
{
"Code": "AC30009910",
"Display": "ANGIO CEREBRAL X3"
},
{
"Code": "AC3AR09910",
"Display": "ANGIO CEREBRAL X3 / ARCH"
},
{
"Code": "AC40009910",
"Display": "ANGIO CEREBRAL X4"
},
{
"Code": "AC4AR09910",
"Display": "ANGIO CEREBRAL X4 / ARCH"
},
{
"Code": "AC50009910",
"Display": "ANGIO CEREBRAL X5"
},
{
"Code": "AC5AR09910",
"Display": "ANGIO CEREBRAL X5 / ARCH"
},
{
"Code": "ACECO09910",
"Display": "CECOSTOMY"
},
{
"Code": "ACHEST9910",
"Display": "XRAY CXR"
},
{
"Code": "ACL0009910",
"Display": "CENTRAL LINE"
},
{
"Code": "ACLC009910",
"Display": "CENTRAL LINE / CXR"
},
{
"Code": "ACSPIN9910",
"Display": "XRAY C-SPINE"
},
{
"Code": "ACT0009910",
"Display": "CHEST/THORACENTESIS"
},
{
"Code": "ACTE019910",
"Display": "CHEST TUBE EFFUSION UNI"
},
{
"Code": "ACTE029910",
"Display": "CHEST TUBE EFFUSION BIL"
},
{
"Code": "ACTP009910",
"Display": "CHEST TUBE PNEUMO"
},
{
"Code": "ADAF209910",
"Display": "DIALYSIS PTA FISTULA x2"
},
{
"Code": "ADAF2S9910",
"Display": "DIALYSIS PTA FISTULA x2/STENT"
},
{
"Code": "ADCCHG9910",
"Display": "DIALYSIS PERM CATH CHANGE"
},
{
"Code": "ADCG109910",
"Display": "DIALYSIS CATHETEROGRAMX1"
},
{
"Code": "ADCG209910",
"Display": "DIALYSIS CATHETEROGRAMX2"
},
{
"Code": "ADCTEM9910",
"Display": "DIALYSIS CATH TEMP"
},
{
"Code": "ADCTUN9910",
"Display": "DIALYSIS CATH TUNNEL"
},
{
"Code": "ADDENU1510",
"Display": "ADDENDUM"
},
{
"Code": "ADFISG9910",
"Display": "DIALYSIS THROMBOLYSIS FISTULA"
},
{
"Code": "ADFIST9910",
"Display": "DIALYSIS FISTULOGRAM"
},
{
"Code": "ADFIST9910",
"Display": "DIALYSIS THROMBOLYSIS FISTULA"
},
{
"Code": "ADISC19910",
"Display": "DISCOGRAM 1 LEVEL"
},
{
"Code": "ADISC29910",
"Display": "DISCOGRAM 2 LEVELS"
},
{
"Code": "ADISC39910",
"Display": "DISCOGRAM 3 LEVELS"
},
{
"Code": "ADISK49910",
"Display": "DISCOGRAM 4 LEVELS"
},
{
"Code": "ADR0014000",
"Display": "ADRENAL, IODOCHOL"
},
{
"Code": "ADR0054000",
"Display": "ADRENAL, MIBG"
},
{
"Code": "ADR0064000",
"Display": "ADRENAL, MIBG, SPECT"
},
{
"Code": "ADSAAA9910",
"Display": "IV DSA AORTA / ARCH"
},
{
"Code": "ADSAC09910",
"Display": "IV DSA CEREBRAL"
},
{
"Code": "ADSAF09910",
"Display": "IV DSA FISTULOGRAM"
},
{
"Code": "ADSAIP9910",
"Display": "IV DSA ILIAC / PELVIC"
},
{
"Code": "ADSAP09910",
"Display": "IV DSA PERIPHERAL"
},
{
"Code": "ADSAR09910",
"Display": "IV DSA RENAL"
},
{
"Code": "ADSAS09910",
"Display": "IV DSA SPINAL"
},
{
"Code": "ADSASB9910",
"Display": "IV DSA SUBCLAV/BRACH"
},
{
"Code": "ADSMCH9910",
"Display": "IV DSA MES/CEL/HEP"
},
{
"Code": "ADTAF09910",
"Display": "DIALYSIS PTA FISTULA x1"
},
{
"Code": "ADTAFS9910",
"Display": "DIALYSIS PTA FISTULA x1/STENT"
},
{
"Code": "ADTCCH9910",
"Display": "DIALYSIS TEMP CATH CHANGE"
},
{
"Code": "ADVGDC9910",
"Display": "DIALYSIS AV GRAFT DECLOTTING"
},
{
"Code": "AE10009910",
"Display": "EMBOLIZATION X1"
},
{
"Code": "AE20009910",
"Display": "EMBOLIZATION X2"
},
{
"Code": "AE30009910",
"Display": "EMBOLIZATION X3"
},
{
"Code": "AE40009910",
"Display": "EMBOLIZATION X4"
},
{
"Code": "AE50009910",
"Display": "EMBOLIZATION X5"
},
{
"Code": "AECBSC9910",
"Display": "ANGIO BLEOMYCIN SCLEROTHERAPY"
},
{
"Code": "AECH009910",
"Display": "EMBO/HEPATIC CHEMOEMBOLIZATION"
},
{
"Code": "AEGDC19910",
"Display": "EMBOLIZATION GDC 1HR"
},
{
"Code": "AEGDC29910",
"Display": "EMBOLIZATION GDC 2HR"
},
{
"Code": "AEGDC39910",
"Display": "EMBOLIZATION GDC 3HR"
},
{
"Code": "AEGDC49910",
"Display": "EMBOLIZATION GDC 4HR"
},
{
"Code": "AELLS17000",
"Display": "MRI ARTHRO LT ELBOW 1S"
},
{
"Code": "AELLS17010",
"Display": "MRI ARTHRO LT ELBOW 1S"
},
{
"Code": "AELLS27000",
"Display": "MRI ARTHRO LT ELBOW 2S"
},
{
"Code": "AELLS27010",
"Display": "MRI ARTHRO LT ELBOW 2S"
},
{
"Code": "AELLS37000",
"Display": "MRI ARTHRO LT ELBOW 3S"
},
{
"Code": "AELLS37010",
"Display": "MRI ARTHRO LT ELBOW 3S"
},
{
"Code": "AELLS47000",
"Display": "MRI ARTHRO LT ELBOW 4S"
},
{
"Code": "AELLS47010",
"Display": "MRI ARTHRO LT ELBOW 4S"
},
{
"Code": "AELLS57000",
"Display": "MRI ARTHRO LT ELBOW 5S"
},
{
"Code": "AELLS57010",
"Display": "MRI ARTHRO LT ELBOW 5S"
},
{
"Code": "AELLS67000",
"Display": "MRI ARTHRO LT ELBOW 6+S"
},
{
"Code": "AELLS67010",
"Display": "MRI ARTHRO LT ELBOW 6+S"
},
{
"Code": "AELRS17000",
"Display": "MRI ARTHRO RT ELBOW 1S"
},
{
"Code": "AELRS17010",
"Display": "MRI ARTHRO RT ELBOW 1S"
},
{
"Code": "AELRS27000",
"Display": "MRI ARTHRO RT ELBOW 2S"
},
{
"Code": "AELRS27010",
"Display": "MRI ARTHRO RT ELBOW 2S"
},
{
"Code": "AELRS37000",
"Display": "MRI ARTHRO RT ELBOW 3S"
},
{
"Code": "AELRS37010",
"Display": "MRI ARTHRO RT ELBOW 3S"
},
{
"Code": "AELRS47000",
"Display": "MRI ARTHRO RT ELBOW 4S"
},
{
"Code": "AELRS47010",
"Display": "MRI ARTHRO RT ELBOW 4S"
},
{
"Code": "AELRS57000",
"Display": "MRI ARTHRO RT ELBOW 5S"
},
{
"Code": "AELRS57010",
"Display": "MRI ARTHRO RT ELBOW 5S"
},
{
"Code": "AELRS67000",
"Display": "MRI ARTHRO RT ELBOW 6+S"
},
{
"Code": "AELRS67010",
"Display": "MRI ARTHRO RT ELBOW 6S"
},
{
"Code": "AEPINJ9910",
"Display": "ANGIO EPIDURAL INJECTION"
},
{
"Code": "AEUF009910",
"Display": "EMBOLIZATION UTERINE FIBROID"
},
{
"Code": "AFALC09910",
"Display": "FALLOP TUBE CATH"
},
{
"Code": "AFB0009910",
"Display": "ANGIO FOREIGN BODY"
},
{
"Code": "AFINJ19910",
"Display": "FACET INJECTION X1"
},
{
"Code": "AFINJ29910",
"Display": "FACET INJECTION X2"
},
{
"Code": "AFINJ39910",
"Display": "FACET INJECTION X3"
},
{
"Code": "AFINJ49910",
"Display": "FACET INJECTION X4"
},
{
"Code": "AFLABD9910",
"Display": "FLUORO ABD"
},
{
"Code": "AFLC009910",
"Display": "FLUORO CHEST"
},
{
"Code": "AFLOD19910",
"Display": "FLOW DIVERTER"
},
{
"Code": "AFLSK09910",
"Display": "FLUORO SKEL"
},
{
"Code": "AFTABD9910",
"Display": "FEEDING TUBE / ABD"
},
{
"Code": "AG00009910",
"Display": "GASTROSTOMY"
},
{
"Code": "AGTCHG9910",
"Display": "GASTROSTOMY/GJ TUBE EXCHG"
},
{
"Code": "AHICK09910",
"Display": "HICKMAN CATH INSERT"
},
{
"Code": "AHILS17000",
"Display": "MRI ARTHRO LT HIP 1S"
},
{
"Code": "AHILS17010",
"Display": "MRI ARTHRO LT HIP 1S"
},
{
"Code": "AHILS27000",
"Display": "MRI ARTHRO LT HIP 2S"
},
{
"Code": "AHILS27010",
"Display": "MRI ARTHRO LT HIP 2S"
},
{
"Code": "AHILS37000",
"Display": "MRI ARTHRO LT HIP 3S"
},
{
"Code": "AHILS37010",
"Display": "MRI ARTHRO LT HIP 3S"
},
{
"Code": "AHILS47000",
"Display": "MRI ARTHRO LT HIP 4S"
},
{
"Code": "AHILS47010",
"Display": "MRI ARTHRO LT HIP 4S"
},
{
"Code": "AHILS57000",
"Display": "MRI ARTHRO LT HIP 5S"
},
{
"Code": "AHILS57010",
"Display": "MRI ARTHRO LT HIP 5S"
},
{
"Code": "AHILS67000",
"Display": "MRI ARTHRO LT HIP 6+S"
},
{
"Code": "AHILS67010",
"Display": "MRI ARTHRO LT HIP 6+S"
},
{
"Code": "AHIPIN9910",
"Display": "HIP INJECTION"
},
{
"Code": "AHIPLA9910",
"Display": "ACETABULOPLASTY"
},
{
"Code": "AHIRS17000",
"Display": "MRI ARTHRO RT HIP 1S"
},
{
"Code": "AHIRS17010",
"Display": "MRI ARTHRO RT HIP 1S"
},
{
"Code": "AHIRS27000",
"Display": "MRI ARTHRO RT HIP 2S"
},
{
"Code": "AHIRS27010",
"Display": "MRI ARTHRO RT HIP 2S"
},
{
"Code": "AHIRS37000",
"Display": "MRI ARTHRO RT HIP 3S"
},
{
"Code": "AHIRS37010",
"Display": "MRI ARTHRO RT HIP 3S"
},
{
"Code": "AHIRS47000",
"Display": "MRI ARTHRO RT HIP 4S"
},
{
"Code": "AHIRS47010",
"Display": "MRI ARTHRO RT HIP 4S"
},
{
"Code": "AHIRS57000",
"Display": "MRI ARTHRO RT HIP 5S"
},
{
"Code": "AHIRS57010",
"Display": "MRI ARTHRO RT HIP 5S"
},
{
"Code": "AHIRS67000",
"Display": "MRI ARTHRO RT HIP 6+S"
},
{
"Code": "AHIRS67010",
"Display": "MRI ARTHRO RT HIP 6+S"
},
{
"Code": "AILP109910",
"Display": "ANGIO ILIAC / PELVIS X1"
},
{
"Code": "AILP1A9910",
"Display": "ANGIO ILIAC/PEL X1/AORTA"
},
{
"Code": "AILP209910",
"Display": "ANGIO ILIAC / PELVIS X2"
},
{
"Code": "AILP2A9910",
"Display": "ANGIO ILIAC/PEL X2/AORTA"
},
{
"Code": "AILP309910",
"Display": "ANGIO ILIAC / PELVIS X3"
},
{
"Code": "AILP3A9910",
"Display": "ANGIO ILIAC/PEL X3/AORTA"
},
{
"Code": "AILP409910",
"Display": "ANGIO ILIAC / PELVIS X4"
},
{
"Code": "AILP4A9910",
"Display": "ANGIO ILIAC/PEL X4/AORTA"
},
{
"Code": "AIVCF09910",
"Display": "IVC FILTER"
},
{
"Code": "AIVCR09910",
"Display": "AIVC RETRIEVAL"
},
{
"Code": "AKNLS17000",
"Display": "MRI ARTHRO LT KNEE 1S"
},
{
"Code": "AKNLS17010",
"Display": "MRI ARTHRO LT KNEE 1S"
},
{
"Code": "AKNLS27000",
"Display": "MRI ARTHRO LT KNEE 2S"
},
{
"Code": "AKNLS27010",
"Display": "MRI ARTHRO LT KNEE 2S"
},
{
"Code": "AKNLS37000",
"Display": "MRI ARTHRO LT KNEE 3S"
},
{
"Code": "AKNLS37010",
"Display": "MRI ARTHRO LT KNEE 3S"
},
{
"Code": "AKNLS47000",
"Display": "MRI ARTHRO LT KNEE 4S"
},
{
"Code": "AKNLS47010",
"Display": "MRI ARTHRO LT KNEE 4S"
},
{
"Code": "AKNLS57000",
"Display": "MRI ARTHRO LT KNEE 5S"
},
{
"Code": "AKNLS57010",
"Display": "MRI ARTHRO LT KNEE 5S"
},
{
"Code": "AKNLS67000",
"Display": "MRI ARTHRO LT KNEE 6+S"
},
{
"Code": "AKNLS67010",
"Display": "MRI ARTHRO LT KNEE 6+S"
},
{
"Code": "AKNRS17000",
"Display": "MRI ARTHRO RT KNEE 1S"
},
{
"Code": "AKNRS17010",
"Display": "MRI ARTHRO RT KNEE 1S"
},
{
"Code": "AKNRS27000",
"Display": "MRI ARTHRO RT KNEE 2S"
},
{
"Code": "AKNRS27010",
"Display": "MRI ARTHRO RT KNEE 2S"
},
{
"Code": "AKNRS37000",
"Display": "MRI ARTHRO RT KNEE 3S"
},
{
"Code": "AKNRS37010",
"Display": "MRI ARTHRO RT KNEE 3S"
},
{
"Code": "AKNRS47000",
"Display": "MRI ARTHRO RT KNEE 4S"
},
{
"Code": "AKNRS47010",
"Display": "MRI ARTHRO RT KNEE 4S"
},
{
"Code": "AKNRS57000",
"Display": "MRI ARTHRO RT KNEE 5S"
},
{
"Code": "AKNRS57010",
"Display": "MRI ARTHRO RT KNEE 5S"
},
{
"Code": "AKNRS67000",
"Display": "MRI ARTHRO RT KNEE 6+S"
},
{
"Code": "AKNRS67010",
"Display": "MRI ARTHRO RT KNEE 6+S"
},
{
"Code": "AKUB009910",
"Display": "XRAY ABD SINGLE"
},
{
"Code": "ALOOP09910",
"Display": "LOOPOGRAM"
},
{
"Code": "ALUMBP9910",
"Display": "LUMBAR PUNCTURE"
},
{
"Code": "ALYMPH9910",
"Display": "LYMPHANGIOGRAM"
},
{
"Code": "AMAMDU9910",
"Display": "MAMMARY DUCTOGRAM ANGIO SUITE"
},
{
"Code": "AMCH109910",
"Display": "ANGIO MES/CEL/HEP X1"
},
{
"Code": "AMCH1A9910",
"Display": "ANGIO MES/CEL/HEPX1/AORTA"
},
{
"Code": "AMCH209910",
"Display": "ANGIO MES/CEL/HEP X2"
},
{
"Code": "AMCH2A9910",
"Display": "ANGIO MES/CEL/HEPX2/AORTA"
},
{
"Code": "AMCH309910",
"Display": "ANGIO MES/CEL/HEP X3"
},
{
"Code": "AMCH3A9910",
"Display": "ANGIO MES/CEL/HEPX3/AORTA"
},
{
"Code": "AMCH409910",
"Display": "ANGIO MES/CEL/HEP X4"
},
{
"Code": "AMCH4A9910",
"Display": "ANGIO MES/CEL/HEPX4/AORTA"
},
{
"Code": "AMNDIX3040",
"Display": "AMNIOCENTESIS DIAGNOSTIC"
},
{
"Code": "AMNTHX3040",
"Display": "AMNIOCENTESIS THERAPEUTIC"
},
{
"Code": "AMNTWX3040",
"Display": "AMNIOCENTESIS TWINS"
},
{
"Code": "AMYELO9910",
"Display": "MYELOGRAM"
},
{
"Code": "ANAP009910",
"Display": "NEPH / ANT PYELO"
},
{
"Code": "ANBUS09910",
"Display": "NEPHROSTOMY BIL/US"
},
{
"Code": "ANEPGB9910",
"Display": "NEPHROSTOGRAM BIL"
},
{
"Code": "ANEPGU9910",
"Display": "NEPHROSTOGRAM UNI"
},
{
"Code": "ANEPHB9910",
"Display": "NEPHROSTOMY BIL"
},
{
"Code": "ANEPHS9910",
"Display": "NEPHROSTOMY/STENT"
},
{
"Code": "ANEPHU9910",
"Display": "NEPHROSTOMY UNI"
},
{
"Code": "ANEPSB9910",
"Display": "NEPH / STENT ONLY BIL"
},
{
"Code": "ANEPSU9910",
"Display": "NEPH / STENT ONLY UNI"
},
{
"Code": "ANGCON9910",
"Display": "ANGIO CONSULT"
},
{
"Code": "ANGPVE9910",
"Display": "PORTAL VEIN EMBOLIZATION"
},
{
"Code": "ANLS107000",
"Display": "MRI LT ANKLE 1S"
},
{
"Code": "ANLS107010",
"Display": "MRI LT ANKLE 1S"
},
{
"Code": "ANLS1E7000",
"Display": "MRI LT ANKLE 1SE"
},
{
"Code": "ANLS1E7010",
"Display": "MRI LT ANKLE 1SE"
},
{
"Code": "ANLS207000",
"Display": "MRI LT ANKLE 2S"
},
{
"Code": "ANLS207010",
"Display": "MRI LT ANKLE 2S"
},
{
"Code": "ANLS2E7000",
"Display": "MRI LT ANKLE 2SE"
},
{
"Code": "ANLS2E7010",
"Display": "MRI LT ANKLE 2SE"
},
{
"Code": "ANLS307000",
"Display": "MRI LT ANKLE 3S"
},
{
"Code": "ANLS307010",
"Display": "MRI LT ANKLE 3S"
},
{
"Code": "ANLS3E7000",
"Display": "MRI LT ANKLE 3SE"
},
{
"Code": "ANLS3E7010",
"Display": "MRI LT ANKLE 3SE"
},
{
"Code": "ANLS407000",
"Display": "MRI LT ANKLE 4S"
},
{
"Code": "ANLS407010",
"Display": "MRI LT ANKLE 4S"
},
{
"Code": "ANLS4E7000",
"Display": "MRI LT ANKLE 4SE"
},
{
"Code": "ANLS4E7010",
"Display": "MRI LT ANKLE 4SE"
},
{
"Code": "ANLS507000",
"Display": "MRI LT ANKLE 5S"
},
{
"Code": "ANLS507010",
"Display": "MRI LT ANKLE 5S"
},
{
"Code": "ANLS5E7000",
"Display": "MRI LT ANKLE 5SE"
},
{
"Code": "ANLS5E7010",
"Display": "MRI LT ANKLE 5SE"
},
{
"Code": "ANLS607000",
"Display": "MRI LT ANKLE 6+S"
},
{
"Code": "ANLS607010",
"Display": "MRI LT ANKLE 6+S"
},
{
"Code": "ANLS6E7000",
"Display": "MRI LT ANKLE 6+SE"
},
{
"Code": "ANLS6E7010",
"Display": "MRI LT ANKLE 6+SE"
},
{
"Code": "ANRP009910",
"Display": "NEPH / RETRO PYELO"
},
{
"Code": "ANRS107000",
"Display": "MRI RT ANKLE 1S"
},
{
"Code": "ANRS107010",
"Display": "MRI RT ANKLE 1S"
},
{
"Code": "ANRS1E7000",
"Display": "MRI RT ANKLE 1SE"
},
{
"Code": "ANRS1E7010",
"Display": "MRI RT ANKLE 1SE"
},
{
"Code": "ANRS207000",
"Display": "MRI RT ANKLE 2S"
},
{
"Code": "ANRS207010",
"Display": "MRI RT ANKLE 2S"
},
{
"Code": "ANRS2E7000",
"Display": "MRI RT ANKLE 2SE"
},
{
"Code": "ANRS2E7010",
"Display": "MRI RT ANKLE 2SE"
},
{
"Code": "ANRS307000",
"Display": "MRI RT ANKLE 3S"
},
{
"Code": "ANRS307010",
"Display": "MRI RT ANKLE 3S"
},
{
"Code": "ANRS3E7000",
"Display": "MRI RT ANKLE 3SE"
},
{
"Code": "ANRS3E7010",
"Display": "MRI RT ANKLE 3SE"
},
{
"Code": "ANRS407000",
"Display": "MRI RT ANKLE 4S"
},
{
"Code": "ANRS407010",
"Display": "MRI RT ANKLE 4S"
},
{
"Code": "ANRS4E7000",
"Display": "MRI RT ANKLE 4SE"
},
{
"Code": "ANRS4E7010",
"Display": "MRI RT ANKLE 4SE"
},
{
"Code": "ANRS507000",
"Display": "MRI RT ANKLE 5S"
},
{
"Code": "ANRS507010",
"Display": "MRI RT ANKLE 5S"
},
{
"Code": "ANRS5E7000",
"Display": "MRI RT ANKLE 5SE"
},
{
"Code": "ANRS5E7010",
"Display": "MRI RT ANKLE 5SE"
},
{
"Code": "ANRS607000",
"Display": "MRI RT ANKLE 6+S"
},
{
"Code": "ANRS607010",
"Display": "MRI RT ANKLE 6+S"
},
{
"Code": "ANRS6E7000",
"Display": "MRI RT ANKLE 6+SE"
},
{
"Code": "ANRS6E7010",
"Display": "MRI RT ANKLE 6+SE"
},
{
"Code": "ANSUS09910",
"Display": "NEPHROSTOMY/STENT/US"
},
{
"Code": "ANTBRE9910",
"Display": "NEPH TUBE REMOVAL"
},
{
"Code": "ANTCHB9910",
"Display": "NEPH TUBE CHANGE BIL"
},
{
"Code": "ANTCHU9910",
"Display": "NEPH TUBE CHANGE UNI"
},
{
"Code": "ANUYS09910",
"Display": "NEPHROSTOMY UNI/US"
},
{
"Code": "APACEC9910",
"Display": "PACER INSERT / CXR"
},
{
"Code": "APACER9910",
"Display": "PACER INSERT"
},
{
"Code": "APAMCH9910",
"Display": "PTA MES/CEL/HEP X1"
},
{
"Code": "APARA09910",
"Display": "PARACENTESIS"
},
{
"Code": "APCTHC9910",
"Display": "PORTACATH CHECK"
},
{
"Code": "APDCAT9910",
"Display": "ANGIO PD CATH MANIPULATION"
},
{
"Code": "APERBA9910",
"Display": "ANGIO PERI BIL / AORTA"
},
{
"Code": "APERIB9910",
"Display": "ANGIO PERIPHERAL BIL"
},
{
"Code": "APERIU9910",
"Display": "ANGIO PERIPHERAL UNI"
},
{
"Code": "APERUA9910",
"Display": "ANGIO PERI UNI / AORTA"
},
{
"Code": "APICCU9910",
"Display": "PICC US"
},
{
"Code": "APICFC9910",
"Display": "PICC FLUORO/CXR"
},
{
"Code": "APOREM9910",
"Display": "PORTACATH REMOVAL"
},
{
"Code": "APORTI9910",
"Display": "PORTACATH INSERTION"
},
{
"Code": "APT1009910",
"Display": "ANGIO PUL / THOR X1"
},
{
"Code": "APT1A09910",
"Display": "ANGIO PUL/THOR X1 AORTA"
},
{
"Code": "APT2009910",
"Display": "ANGIO PUL / THOR X2"
},
{
"Code": "APT2A09910",
"Display": "ANGIO PUL/THOR X2 AORTA"
},
{
"Code": "APT3009910",
"Display": "ANGIO PUL / THOR X3"
},
{
"Code": "APT3A09910",
"Display": "ANGIO PUL/THOR X3 AORTA"
},
{
"Code": "APT4009910",
"Display": "ANGIO PUL / THOR X4"
},
{
"Code": "APT4A09910",
"Display": "ANGIO PUL/THOR X4 AORTA"
},
{
"Code": "APTAA09910",
"Display": "PTA AORTA"
},
{
"Code": "APTAAS9910",
"Display": "PTA AORTA / STENT"
},
{
"Code": "APTAC09910",
"Display": "PTA CAROTID"
},
{
"Code": "APTAC29910",
"Display": "PTA CAROTID X2"
},
{
"Code": "APTACS9910",
"Display": "PTA CAROTID / STENT"
},
{
"Code": "APTACV9910",
"Display": "PTA CENTRAL VEINS"
},
{
"Code": "APTAF09910",
"Display": "PTA FISTULA X1"
},
{
"Code": "APTAFE9910",
"Display": "PTA FEMORAL"
},
{
"Code": "APTAFS9910",
"Display": "PTA FISTULA X1 / STENT"
},
{
"Code": "APTAIB9910",
"Display": "PTA ILIAC BIL"
},
{
"Code": "APTAIU9910",
"Display": "PTA ILIAC UNI X1"
},
{
"Code": "APTAR19910",
"Display": "PTA RENAL X1"
},
{
"Code": "APTAR29910",
"Display": "PTA RENAL X2"
},
{
"Code": "APTASB9910",
"Display": "PTA SUB / BRACH"
},
{
"Code": "APTATB9910",
"Display": "PTA TIBIAL"
},
{
"Code": "APTAV09910",
"Display": "PTA VERTEBRAL"
},
{
"Code": "APTAV29910",
"Display": "PTA VERTEBRAL X2"
},
{
"Code": "APTAVC9910",
"Display": "PTA VENA CAVA"
},
{
"Code": "APTAVS9910",
"Display": "PTA VERTEBRAL/STENT"
},
{
"Code": "APTC009910",
"Display": "CHOLANGIO / PTC"
},
{
"Code": "APTSE29910",
"Display": "TIPSS / EMB X2"
},
{
"Code": "APVSAM9910",
"Display": "PETROSAL VEIN SAMPLING"
},
{
"Code": "AR10009910",
"Display": "ANGIO RENAL X1"
},
{
"Code": "AR1A009910",
"Display": "ANGIO RENAL X1 / AORTA"
},
{
"Code": "AR20009910",
"Display": "ANGIO RENAL X2"
},
{
"Code": "AR2A009910",
"Display": "ANGIO RENAL X2 / AORTA"
},
{
"Code": "AR30009910",
"Display": "ANGIO RENAL X3"
},
{
"Code": "AR3A009910",
"Display": "ANGIO RENAL X3 / AORTA"
},
{
"Code": "AR40009910",
"Display": "ANGIO RENAL X4"
},
{
"Code": "AR4A009910",
"Display": "ANGIO RENAL X4 / AORTA"
},
{
"Code": "ARASS09910",
"Display": "RENIN ASSAY"
},
{
"Code": "ARFALU9910",
"Display": "RADIO FREQ ABLA LUNG"
},
{
"Code": "ARHIZ19910",
"Display": "RHIZOTOMY X 1"
},
{
"Code": "ARHIZ29910",
"Display": "RHIZOTOMY X 2 "
},
{
"Code": "ARHIZ39910",
"Display": "RHIZOTOMY X 3"
},
{
"Code": "ARHIZ49910",
"Display": "RHIZOTOMY X 4 "
},
{
"Code": "ARMV203099",
"Display": "US ARM VEINS X2"
},
{
"Code": "ARMVL03099",
"Display": "ARM VEINS/JUG/SVC LT"
},
{
"Code": "ARMVR03099",
"Display": "ARM VEINS/JUG/SVC RT"
},
{
"Code": "AS00009910",
"Display": "ANGIO SPINAL"
},
{
"Code": "ASA0009910",
"Display": "ANGIO SPINAL / AORTA"
},
{
"Code": "ASB1009910",
"Display": "ANGIO SUB / BRACHIAL X1"
},
{
"Code": "ASB1AR9910",
"Display": "ANGIO SUB/BRACH X1/ARCH"
},
{
"Code": "ASB2009910",
"Display": "ANGIO SUB / BRACHIAL X2"
},
{
"Code": "ASB3009910",
"Display": "ANGIO SUB / BRACHIAL X3"
},
{
"Code": "ASB3AR9910",
"Display": "ANGIO SUB/BRACH X3/ARCH"
},
{
"Code": "ASB4009910",
"Display": "ANGIO SUB / BRACHIAL X4"
},
{
"Code": "ASB4AR9910",
"Display": "ANGIO SUB/BRACH X4/ARCH"
},
{
"Code": "ASBRAR9910",
"Display": "ANGIO SUB/BRACH X2/ARCH"
},
{
"Code": "ASFAPS9910",
"Display": "PTA SFA / POP / STENT"
},
{
"Code": "ASG0009910",
"Display": "SWAN GANZ"
},
{
"Code": "ASGC009910",
"Display": "SWAN GANZ / CXR"
},
{
"Code": "ASHLS17000",
"Display": "MRI ARTHRO LT SHOULDER 1S"
},
{
"Code": "ASHLS17010",
"Display": "MRI ARTHRO LT SHOULDER 1S"
},
{
"Code": "ASHLS27000",
"Display": "MRI ARTHRO LT SHOULDER 2S"
},
{
"Code": "ASHLS27010",
"Display": "MRI ARTHRO LT SHOULDER 2S"
},
{
"Code": "ASHLS37000",
"Display": "MRI ARTHRO LT SHOULDER 3S"
},
{
"Code": "ASHLS37010",
"Display": "MRI ARTHRO LT SHOULDER 3S"
},
{
"Code": "ASHLS47000",
"Display": "MRI ARTHRO LT SHOULDER 4S"
},
{
"Code": "ASHLS47010",
"Display": "MRI ARTHRO LT SHOULDER 4S"
},
{
"Code": "ASHLS57000",
"Display": "MRI ARTHRO LT SHOULDER 5S"
},
{
"Code": "ASHLS57010",
"Display": "MRI ARTHRO LT SHOULDER 5S"
},
{
"Code": "ASHLS67000",
"Display": "MRI ARTHRO LT SHOULDER 6+S"
},
{
"Code": "ASHLS67010",
"Display": "MRI ARTHRO LT SHOULDER 6+S"
},
{
"Code": "ASHRS17000",
"Display": "MRI ARTHRO RT SHOULDER 1S"
},
{
"Code": "ASHRS17010",
"Display": "MRI ARTHRO RT SHOULDER 1S"
},
{
"Code": "ASHRS27000",
"Display": "MRI ARTHRO RT SHOULDER 2S"
},
{
"Code": "ASHRS27010",
"Display": "MRI ARTHRO RT SHOULDER 2S"
},
{
"Code": "ASHRS37000",
"Display": "MRI ARTHRO RT SHOULDER 3S"
},
{
"Code": "ASHRS37010",
"Display": "MRI ARTHRO RT SHOULDER 3S"
},
{
"Code": "ASHRS47000",
"Display": "MRI ARTHRO RT SHOULDER 4S"
},
{
"Code": "ASHRS47010",
"Display": "MRI ARTHRO RT SHOULDER 4S"
},
{
"Code": "ASHRS57000",
"Display": "MRI ARTHRO RT SHOULDER 5S"
},
{
"Code": "ASHRS57010",
"Display": "MRI ARTHRO RT SHOULDER 5S"
},
{
"Code": "ASHRS67000",
"Display": "MRI ARTHRO RT SHOULDER 6+S"
},
{
"Code": "ASHRS67010",
"Display": "MRI ARTHRO RT SHOULDER 6+S"
},
{
"Code": "ASIAL09910",
"Display": "SIALOGRAM"
},
{
"Code": "ASINO09910",
"Display": "SINOGRAM"
},
{
"Code": "ASPCTH9910",
"Display": "SUPRAPUBIC CATH"
},
{
"Code": "ASTNTB9910",
"Display": "STENTOGRAM BIL"
},
{
"Code": "ASTNTU9910",
"Display": "STENTOGRAM UNI"
},
{
"Code": "ATABDT9910",
"Display": "THROMBOLYSIS ABD / THOR"
},
{
"Code": "ATAC2S9910",
"Display": "PTA CAROTID X2\\STENT"
},
{
"Code": "ATAF209910",
"Display": "PTA FISTULA X2"
},
{
"Code": "ATAF2S9910",
"Display": "PTA FISTULA X2 / STENT"
},
{
"Code": "ATAIBS9910",
"Display": "PTA ILIAC BIL / STENT"
},
{
"Code": "ATAIU29910",
"Display": "PTA ILIAC UNI X2"
},
{
"Code": "ATAIUS9910",
"Display": "PTA ILIAC UNI X1/STENT"
},
{
"Code": "ATAR1S9910",
"Display": "PTA RENAL X1 / STENT"
},
{
"Code": "ATAR2S9910",
"Display": "PTA RENAL X2 / STENT"
},
{
"Code": "ATASBS9910",
"Display": "PTA SUB / BRACH / STENT"
},
{
"Code": "ATAV2S9910",
"Display": "PTA VERTEBRAL X2/STENT"
},
{
"Code": "ATAVCS9910",
"Display": "PTA VENA CAVA / STENT"
},
{
"Code": "ATC1009910",
"Display": "THROMBOLYSIS/CER 1"
},
{
"Code": "ATC2009910",
"Display": "THROMBOLYSIS/CER 2"
},
{
"Code": "ATC3009910",
"Display": "THROMBOLYSIS/CER 3"
},
{
"Code": "ATC4009910",
"Display": "THROMBOLYSIS/CER 4"
},
{
"Code": "ATCHG09910",
"Display": "TUBE CHANGE"
},
{
"Code": "ATFIST9910",
"Display": "THROMBOLYSIS FISTULA"
},
{
"Code": "ATIPSS9910",
"Display": "TIPSS"
},
{
"Code": "ATIU2S9910",
"Display": "PTA ILIAC UNI X2 / STENT"
},
{
"Code": "ATLA009910",
"Display": "ANGIO TLA"
},
{
"Code": "ATPERI9910",
"Display": "THROMBOLYSIS PERI"
},
{
"Code": "ATPSE19910",
"Display": "TIPSS / EMB X1"
},
{
"Code": "ATRCK09910",
"Display": "THROMBOLYSIS RECHECK"
},
{
"Code": "ATTUBE9910",
"Display": "CHOLANGIO / T-TUBE"
},
{
"Code": "ATUBR9910",
"Display": "TUBE REMOVAL"
},
{
"Code": "ATUBRE9910",
"Display": "TUBE REMOVAL"
},
{
"Code": "AUABDL9910",
"Display": "US ADB LIM"
},
{
"Code": "AUSC009910",
"Display": "US CHEST"
},
{
"Code": "AUSMAR9910",
"Display": "US MARKING/GUIDANCE"
},
{
"Code": "AVB0009910",
"Display": "ANGIO VENOGRAM BIL"
},
{
"Code": "AVC0009910",
"Display": "ANGIO VENA CAVA"
},
{
"Code": "AVCS009910",
"Display": "VENOUS CATH STRIPPING"
},
{
"Code": "AVERT09910",
"Display": "VERTEBROPLASTY"
},
{
"Code": "AVGDC09910",
"Display": "AV GRAFT DECLOTTING"
},
{
"Code": "AVSAM19910",
"Display": "ADRENAL VEIN SAMPLING X 1"
},
{
"Code": "AVSAM29910",
"Display": "ADRENAL VEIN SAMPLING X 2"
},
{
"Code": "AVSAM39910",
"Display": "ADRENAL VEIN SAMPLING X 3"
},
{
"Code": "AVSAM49910",
"Display": "ADRENAL VEIN SAMPLING X 4"
},
{
"Code": "AVU0009910",
"Display": "ANGIO VENOGRAM UNI"
},
{
"Code": "AWADA09910",
"Display": "WADA STUDY"
},
{
"Code": "AWRLS17000",
"Display": "MRI ARTHRO LT WRIST 1S"
},
{
"Code": "AWRLS17010",
"Display": "MRI ARTHRO LT WRIST 1S"
},
{
"Code": "AWRLS27000",
"Display": "MRI ARTHRO LT WRIST 2S"
},
{
"Code": "AWRLS27010",
"Display": "MRI ARTHRO LT WRIST 2S"
},
{
"Code": "AWRLS37000",
"Display": "MRI ARTHRO LT WRIST 3S"
},
{
"Code": "AWRLS37010",
"Display": "MRI ARTHRO LT WRIST 3S"
},
{
"Code": "AWRLS47000",
"Display": "MRI ARTHRO LT WRIST 4S"
},
{
"Code": "AWRLS47010",
"Display": "MRI ARTHRO LT WRIST 4S"
},
{
"Code": "AWRLS57000",
"Display": "MRI ARTHRO LT WRIST 5S"
},
{
"Code": "AWRLS57010",
"Display": "MRI ARTHRO LT WRIST 5S"
},
{
"Code": "AWRLS67000",
"Display": "MRI ARTHRO LT WRIST 6+S"
},
{
"Code": "AWRLS67010",
"Display": "MRI ARTHRO LT WRIST 6+S"
},
{
"Code": "AWRRS17000",
"Display": "MRI ARTHRO RT WRIST 1S"
},
{
"Code": "AWRRS17010",
"Display": "MRI ARTHRO RT WRIST 1S"
},
{
"Code": "AWRRS27000",
"Display": "MRI ARTHRO RT WRIST 2S"
},
{
"Code": "AWRRS27010",
"Display": "MRI ARTHRO RT WRIST 2S"
},
{
"Code": "AWRRS37000",
"Display": "MRI ARTHRO RT WRIST 3S"
},
{
"Code": "AWRRS37010",
"Display": "MRI ARTHRO RT WRIST 3S"
},
{
"Code": "AWRRS47000",
"Display": "MRI ARTHRO RT WRIST 4S"
},
{
"Code": "AWRRS47010",
"Display": "MRI ARTHRO RT WRIST 4S"
},
{
"Code": "AWRRS57000",
"Display": "MRI ARTHRO RT WRIST 5S"
},
{
"Code": "AWRRS57010",
"Display": "MRI ARTHRO RT WRIST 5S"
},
{
"Code": "AWRRS67000",
"Display": "MRI ARTHRO RT WRIST 6+S"
},
{
"Code": "AWRRS67010",
"Display": "MRI ARTHRO RT WRIST 6+S"
},
{
"Code": "AXIBIL1520",
"Display": "US AXILLA BILATERAL"
},
{
"Code": "AXIBIT1520",
"Display": "TMIST US AXILLA BILATERAL"
},
{
"Code": "AXILLA1520",
"Display": "US AXILLA"
},
{
"Code": "AXILLT1520",
"Display": "TMIST US AXILLA "
},
{
"Code": "AXSKAB7000",
"Display": "MRI AXSKEL ADD SEQ ABDO"
},
{
"Code": "AXSKAB7010",
"Display": "MRI AXSKEL ADD SEQ ABDO"
},
{
"Code": "AXSKEL7000",
"Display": "MRI AXIAL SKELETON"
},
{
"Code": "AXSKEL7010",
"Display": "MRI AXIAL SKELETON"
},
{
"Code": "AXSKPE7000",
"Display": "MRI AXSKEL ADD SEQ PELVIS"
},
{
"Code": "AXSKPE7010",
"Display": "MRI AXSKEL ADD SEQ PELVIS"
},
{
"Code": "AXSKSP7000",
"Display": "MRI AXSKEL ADD SEQ CO SPINE B"
},
{
"Code": "AXSKSP7010",
"Display": "MRI AXSKEL ADD SEQ CO SPINE B"
},
{
"Code": "AXSKTH7000",
"Display": "MRI AXSKEL ADD SEQ THORAX"
},
{
"Code": "AXSKTH7010",
"Display": "MRI AXSKEL ADD SEQ THORAX"
},
{
"Code": "BIFS107000",
"Display": "MRI BIL FEMUR 1S"
},
{
"Code": "BIFS107010",
"Display": "MRI BIL FEMUR 1S"
},
{
"Code": "BIFS1E7000",
"Display": "MRI BIL FEMUR 1SE"
},
{
"Code": "BIFS1E7010",
"Display": "MRI BIL FEMUR 1SE"
},
{
"Code": "BIFS207000",
"Display": "MRI BIL FEMUR 2S"
},
{
"Code": "BIFS207010",
"Display": "MRI BIL FEMUR 2S"
},
{
"Code": "BIFS2E7000",
"Display": "MRI BIL FEMUR 2SE"
},
{
"Code": "BIFS2E7010",
"Display": "MRI BIL FEMUR 2SE"
},
{
"Code": "BIFS307000",
"Display": "MRI BIL FEMUR 3S"
},
{
"Code": "BIFS307010",
"Display": "MRI BIL FEMUR 3S"
},
{
"Code": "BIFS3E7000",
"Display": "MRI BIL FEMUR 3SE"
},
{
"Code": "BIFS3E7010",
"Display": "MRI BIL FEMUR 3SE"
},
{
"Code": "BIFS407000",
"Display": "MRI BIL FEMUR 4S"
},
{
"Code": "BIFS407010",
"Display": "MRI BIL FEMUR 4S"
},
{
"Code": "BIFS4E7000",
"Display": "MRI BIL FEMUR 4SE"
},
{
"Code": "BIFS4E7010",
"Display": "MRI BIL FEMUR 4SE"
},
{
"Code": "BIFS507000",
"Display": "MRI BIL FEMUR 5S"
},
{
"Code": "BIFS507010",
"Display": "MRI BIL FEMUR 5S"
},
{
"Code": "BIFS5E7000",
"Display": "MRI BIL FEMUR 5SE"
},
{
"Code": "BIFS5E7010",
"Display": "MRI BIL FEMUR 5SE"
},
{
"Code": "BIFS607000",
"Display": "MRI BIL FEMUR 6+S"
},
{
"Code": "BIFS607010",
"Display": "MRI BIL FEMUR 6+S"
},
{
"Code": "BIFS6E7000",
"Display": "MRI BIL FEMUR 6+SE"
},
{
"Code": "BIFS6E7010",
"Display": "MRI BIL FEMUR 6+SE"
},
{
"Code": "BIL0014000",
"Display": "BILIARY, FLOW"
},
{
"Code": "BIL0024000",
"Display": "BILIARY, FLOW, CCK, QU"
},
{
"Code": "BITS107000",
"Display": "MRI BIL TIBFIB 1S"
},
{
"Code": "BITS107010",
"Display": "MRI BIL TIBFIB 1S"
},
{
"Code": "BITS1E7000",
"Display": "MRI BIL TIBFIB 1SE"
},
{
"Code": "BITS1E7010",
"Display": "MRI BIL TIBFIB 1SE"
},
{
"Code": "BITS207000",
"Display": "MRI BIL TIBFIB 2S"
},
{
"Code": "BITS207010",
"Display": "MRI BIL TIBFIB 2S"
},
{
"Code": "BITS2E7000",
"Display": "MRI BIL TIBFIB 2SE"
},
{
"Code": "BITS2E7010",
"Display": "MRI BIL TIBFIB 2SE"
},
{
"Code": "BITS307000",
"Display": "MRI BIL TIBFIB 3S"
},
{
"Code": "BITS307010",
"Display": "MRI BIL TIBFIB 3S"
},
{
"Code": "BITS3E7000",
"Display": "MRI BIL TIBFIB 3SE"
},
{
"Code": "BITS3E7010",
"Display": "MRI BIL TIBFIB 3SE"
},
{
"Code": "BITS407000",
"Display": "MRI BIL TIBFIB 4S"
},
{
"Code": "BITS407010",
"Display": "MRI BIL TIBFIB 4S"
},
{
"Code": "BITS4E7000",
"Display": "MRI BIL TIBFIB 4SE"
},
{
"Code": "BITS4E7010",
"Display": "MRI BIL TIBFIB 4SE"
},
{
"Code": "BITS507000",
"Display": "MRI BIL TIBFIB 5S"
},
{
"Code": "BITS507010",
"Display": "MRI BIL TIBFIB 5S"
},
{
"Code": "BITS5E7000",
"Display": "MRI BIL TIBFIB 5SE"
},
{
"Code": "BITS5E7010",
"Display": "MRI BIL TIBFIB 5SE"
},
{
"Code": "BITS607000",
"Display": "MRI BIL TIBFIB 6+S"
},
{
"Code": "BITS607010",
"Display": "MRI BIL TIBFIB 6+S"
},
{
"Code": "BITS6E7000",
"Display": "MRI BIL TIBFIB 6+SE"
},
{
"Code": "BITS6E7010",
"Display": "MRI BIL TIBFIB 6+SE"
},
{
"Code": "BMD1FU4000",
"Display": "BMD, 1 SITE, FOLLOW-UP"
},
{
"Code": "BMD1H04000",
"Display": "BMD, 1 SITE, HIGH RISK"
},
{
"Code": "BMD1L04000",
"Display": "BMD, 1 SITE, LOW RISK"
},
{
"Code": "BMD1X04000",
"Display": "BONE MINERAL DENSITY"
},
{
"Code": "BMD2FU4000",
"Display": "BMD, 2 SITES, FOLLOW-UP"
},
{
"Code": "BMD2H04000",
"Display": "BMD, 2 SITES, HIGH RISK"
},
{
"Code": "BMD2L04000",
"Display": "BMD, 2 SITES, LOW RISK"
},
{
"Code": "BMD3H04000",
"Display": "BMD, 3 SITES, HIGH RISK"
},
{
"Code": "BMD3L04000",
"Display": "BMD, 3 SITES, LOW RISK"
},
{
"Code": "BONSS14000",
"Display": "BONE SS"
},
{
"Code": "BONSS24000",
"Display": "BONE SS, FLOW, POOL"
},
{
"Code": "BONSS34000",
"Display": "BONE SS, SPECT"
},
{
"Code": "BONSS44000",
"Display": "BONE SS, FL, POOL, SPECT"
},
{
"Code": "BONSS64000",
"Display": "BONE SS, FLOW, POOL, QU"
},
{
"Code": "BONWB14000",
"Display": "BONE WB"
},
{
"Code": "BONWB24000",
"Display": "BONE WB, FLOW, POOL"
},
{
"Code": "BONWB34000",
"Display": "BONE WB, SPECT"
},
{
"Code": "BONWB44000",
"Display": "BONE WB, FL, POOL, SPECT"
},
{
"Code": "BONWB54000",
"Display": "BONE WB, QU"
},
{
"Code": "BONWB64000",
"Display": "BONE WB, FLOW, POOL, QU"
},
{
"Code": "BOWEL03099",
"Display": "US/BOWEL/PEL/ABD"
},
{
"Code": "BRAIN14000",
"Display": "BRAIN SCAN, SPECT"
},
{
"Code": "BRAIN44000",
"Display": "BRAIN SCAN, FLOW"
},
{
"Code": "BRAIN54000",
"Display": "BRAIN SCAN, FLOW, POOL"
},
{
"Code": "BRS1E07000",
"Display": "MRI BREAST 1S E"
},
{
"Code": "BRS2E07000",
"Display": "MRI BREAST 2S E"
},
{
"Code": "BRS3E07000",
"Display": "MRI BREAST 3S E"
},
{
"Code": "BRS4E07000",
"Display": "MRI BREAST 4S E"
},
{
"Code": "BRS5E07000",
"Display": "MRI BREAST 5+S E"
},
{
"Code": "BRSE107000",
"Display": "MRI BREAST 1S"
},
{
"Code": "BRSE207000",
"Display": "MRI BREAST 2S"
},
{
"Code": "BRSE307000",
"Display": "MRI BREAST 3S"
},
{
"Code": "BRSE407000",
"Display": "MRI BREAST 4S"
},
{
"Code": "BRSE507000",
"Display": "MRI BREAST 5+S"
},
{
"Code": "BSSWBC4000",
"Display": "BONE SS, FL, POOL, WBCSS"
},
{
"Code": "BV00004000",
"Display": "BLOOD VOLUME"
},
{
"Code": "BWBWBC4000",
"Display": "BONE WB, FLOW, POOL, WBC"
},
{
"Code": "BX00073099",
"Display": "BX / COMPLETE ABD"
},
{
"Code": "BX00103099",
"Display": "TRANS.BX.NO TRUS"
},
{
"Code": "BX10001510",
"Display": "BIOPSY - HEAD/NECK"
},
{
"Code": "BX20001510",
"Display": "BIOPSY - SPINE"
},
{
"Code": "BX30001510",
"Display": "BIOPSY - SHOULDER/UP EXT"
},
{
"Code": "BX40001510",
"Display": "BIOPSY - PELVIS/LO EXT"
},
{
"Code": "BX50001510",
"Display": "BIOPSY - CHEST"
},
{
"Code": "BX60001510",
"Display": "BIOPSY-GI"
},
{
"Code": "BX70001510",
"Display": "BIOPSY-GU"
},
{
"Code": "BXPELC3099",
"Display": "US BX/COMPLETE PELVIS"
},
{
"Code": "BXPELL3099",
"Display": "US BX/ LIMITED PELVIS"
},
{
"Code": "C14U004000",
"Display": "C-14 BREATH TEST, UREA"
},
{
"Code": "C14X004000",
"Display": "C-14 BREATH TEST, XYLOSE"
},
{
"Code": "CABBPC2500",
"Display": "CT ABD W&WO & PEL CONTRAST"
},
{
"Code": "CABPB02500",
"Display": "CT ABD & PELVIS W&W/O CONTRAST"
},
{
"Code": "CABPC02500",
"Display": "CT ABD & PELVIS CONTRAST"
},
{
"Code": "CABPNC2500",
"Display": "CT ABD & PELVIS W/O CONTRAST"
},
{
"Code": "CAT ABD",
"Display": "CT ABDOMEN"
},
{
"Code": "CAT EXT",
"Display": "CT EXTREMITY"
},
{
"Code": "CAT HEAD",
"Display": "CT HEAD"
},
{
"Code": "CAT NECK",
"Display": "CT NECK"
},
{
"Code": "CAT PEL",
"Display": "CT PELVIS"
},
{
"Code": "CAT SPINE",
"Display": "CT SPINE"
},
{
"Code": "CAT THO",
"Display": "CT THORAX"
},
{
"Code": "CEFANC2500",
"Display": "CT ENT FACIAL BONES NC"
},
{
"Code": "CEFX1N2500",
"Display": "CT ENT FACIAL BONESX1 NC"
},
{
"Code": "CEORC02500",
"Display": "CT ENT ORBITS C"
},
{
"Code": "CEORNC2500",
"Display": "CT ENT ORBITS NC"
},
{
"Code": "CEOX1C2500",
"Display": "CT ENT ORBITSX1 C"
},
{
"Code": "CEOX1N2500",
"Display": "CT ENT ORBITSX1 NC"
},
{
"Code": "CESICC2500",
"Display": "CT ENT SINUS C"
},
{
"Code": "CESINC2500",
"Display": "CT ENT SINUS NC"
},
{
"Code": "CESX1C2500",
"Display": "CT ENT SINUS X1 C"
},
{
"Code": "CESX1N2500",
"Display": "CT ENT SINUSX1 NC"
},
{
"Code": "CETBNC2500",
"Display": "CT ENT T BONES NC"
},
{
"Code": "CETMJB2500",
"Display": "CT ENT TMJ BIL"
},
{
"Code": "CHKAOF1510",
"Display": "CHEST KAO FEED"
},
{
"Code": "CHM",
"Display": "BIL RIBS (2+V)"
},
{
"Code": "CHVISA1510",
"Display": "CHEST VISA"
},
{
"Code": "CMACJL2500",
"Display": "CT MSK A/C JOINT LT"
},
{
"Code": "CMACJR2500",
"Display": "CT MSK A/C JOINT RT"
},
{
"Code": "CMANKB2500",
"Display": "CT MSK ANKLE BIL."
},
{
"Code": "CMANKL2500",
"Display": "CT MSK ANKLE LT"
},
{
"Code": "CMANKR2500",
"Display": "CT MSK ANKLE RT"
},
{
"Code": "CMANTF2500",
"Display": "CT MSK ANTEVERSION FEMUR"
},
{
"Code": "CMANTT2500",
"Display": "CT MSK ANTEVERSION TIBIA"
},
{
"Code": "CMELAL2500",
"Display": "CT MSK ELBOW ARTHRO LT"
},
{
"Code": "CMELAR2500",
"Display": "CT MSK ELBOW ARTHRO RT"
},
{
"Code": "CMELBL2500",
"Display": "CT MSK ELBOW LT"
},
{
"Code": "CMELBR2500",
"Display": "CT MSK ELBOW RT"
},
{
"Code": "CMFEML2500",
"Display": "CT MSK FEMUR LT"
},
{
"Code": "CMFEMR2500",
"Display": "CT MSK FEMUR RT"
},
{
"Code": "CMFETB2500",
"Display": "CT MSK FEET BILATERAL"
},
{
"Code": "CMFORL2500",
"Display": "CT MSK FOREARM LT"
},
{
"Code": "CMFORR2500",
"Display": "CT MSK FOREARM RT"
},
{
"Code": "CMFOTL2500",
"Display": "CT MSK FOOT LT"
},
{
"Code": "CMFOTR2500",
"Display": "CT MSK FOOT RT"
},
{
"Code": "CMHANL2500",
"Display": "CT MSK HAND LT"
},
{
"Code": "CMHANR2500",
"Display": "CT MSK HAND RT"
},
{
"Code": "CMHIXB2500",
"Display": "CT MSK HIP BILATERAL"
},
{
"Code": "CMHIXL2500",
"Display": "CT MSK HIP LEFT"
},
{
"Code": "CMHIXR2500",
"Display": "CT MSK HIP RIGHT"
},
{
"Code": "CMHUML2500",
"Display": "CT MSK HUMERUS LT"
},
{
"Code": "CMHUMR2500",
"Display": "CT MSK HUMERUS RT"
},
{
"Code": "CMKNAL2500",
"Display": "CT MSK KNEE ARTHRO LT"
},
{
"Code": "CMKNAR2500",
"Display": "CT MSK KNEE ARTHRO RT"
},
{
"Code": "CMKNEB2500",
"Display": "CT MSK KNEE BIL"
},
{
"Code": "CMKNEL2500",
"Display": "CT MSK KNEE LT"
},
{
"Code": "CMKNER2500",
"Display": "CT MSK KNEE RT"
},
{
"Code": "CMLEGL2500",
"Display": "CT MSK LEG LENGTH"
},
{
"Code": "CMPELC2500",
"Display": "CT MSK PELVIS/THIGH CONTRAST"
},
{
"Code": "CMPENC2500",
"Display": "CT MSK PELVIS W/O CONT"
},
{
"Code": "CMPTBB2500",
"Display": "CT MSK PELVIS/THIGH W&W/O BIL"
},
{
"Code": "CMPTNC2500",
"Display": "CT MSK PELVIS/THIGH W/O CONT"
},
{
"Code": "CMSCJB2500",
"Display": "CT MSK STERNOCLAV JTS BIL"
},
{
"Code": "CMSHAL2500",
"Display": "CT MSK SHOULDER ARTHRO LT"
},
{
"Code": "CMSHAR2500",
"Display": "CT MSK SHOULDER ARTHRO RT"
},
{
"Code": "CMSHOL2500",
"Display": "CT MSK SHOULDER LT"
},
{
"Code": "CMSHOR2500",
"Display": "CT MSK SHOULDER RT"
},
{
"Code": "CMSIJT2500",
"Display": "CT MSK SI JOINTS W/O CONT"
},
{
"Code": "CMTIFL2500",
"Display": "CT MSK TIBFIB LT"
},
{
"Code": "CMTIFR2500",
"Display": "CT MSK TIBFIB RT"
},
{
"Code": "CMTMJB2500",
"Display": "CT MSK TMJ BIL"
},
{
"Code": "CMWRAL2500",
"Display": "CT MSK WRIST ARTHRO LT"
},
{
"Code": "CMWRAR2500",
"Display": "CT MSK WRIST ARTHRO RT"
},
{
"Code": "CMWRSB2500",
"Display": "CT MSK WRIST BIL"
},
{
"Code": "CMWRSL2500",
"Display": "CT MSK WRIST LT"
},
{
"Code": "CMWRSR2500",
"Display": "CT MSK WRIST RT"
},
{
"Code": "CSE1007000",
"Display": "MRI CARDIAC 1S"
},
{
"Code": "CSE1007010",
"Display": "MRI CARDIAC 1S"
},
{
"Code": "CSE1E07000",
"Display": "MRI CARDIAC 1S E"
},
{
"Code": "CSE1E07010",
"Display": "MRI CARDIAC 1S E"
},
{
"Code": "CSE1EG7000",
"Display": "MRI CARDIAC 1S E GATED"
},
{
"Code": "CSE1EG7010",
"Display": "MRI CARDIAC 1S E GATED"
},
{
"Code": "CSE1G07000",
"Display": "MRI CARDIAC 1S GATED"
},
{
"Code": "CSE1G07010",
"Display": "MRI CARDIAC 1S GATED"
},
{
"Code": "CSE2007000",
"Display": "MRI CARDIAC 2S"
},
{
"Code": "CSE2007010",
"Display": "MRI CARDIAC 2S"
},
{
"Code": "CSE2E07000",
"Display": "MRI CARDIAC 2S E"
},
{
"Code": "CSE2E07010",
"Display": "MRI CARDIAC 2S E"
},
{
"Code": "CSE2EG7000",
"Display": "MRI CARDIAC 2S E GATED"
},
{
"Code": "CSE2EG7010",
"Display": "MRI CARDIAC 2S E GATED"
},
{
"Code": "CSE2G07000",
"Display": "MRI CARDIAC 2S GATED"
},
{
"Code": "CSE2G07010",
"Display": "MRI CARDIAC 2S GATED"
},
{
"Code": "CSE3007000",
"Display": "MRI CARDIAC 3S"
},
{
"Code": "CSE3007010",
"Display": "MRI CARDIAC 3S"
},
{
"Code": "CSE3E07000",
"Display": "MRI CARDIAC 3S E"
},
{
"Code": "CSE3E07010",
"Display": "MRI CARDIAC 3S E"
},
{
"Code": "CSE3EG7000",
"Display": "MRI CARDIAC 3S E GATED"
},
{
"Code": "CSE3EG7010",
"Display": "MRI CARDIAC 3S E GATED"
},
{
"Code": "CSE3G07000",
"Display": "MRI CARDIAC 3S GATED"
},
{
"Code": "CSE3G07010",
"Display": "MRI CARDIAC 3S GATED"
},
{
"Code": "CSE4007000",
"Display": "MRI CARDIAC 4S"
},
{
"Code": "CSE4007010",
"Display": "MRI CARDIAC 4S"
},
{
"Code": "CSE4E07000",
"Display": "MRI CARDIAC 4S E"
},
{
"Code": "CSE4E07010",
"Display": "MRI CARDIAC 4S E"
},
{
"Code": "CSE4EG7000",
"Display": "MRI CARDIAC 4S E GATED"
},
{
"Code": "CSE4EG7010",
"Display": "MRI CARDIAC 4S E GATED"
},
{
"Code": "CSE4G07000",
"Display": "MRI CARDIAC 4S GATED"
},
{
"Code": "CSE4G07010",
"Display": "MRI CARDIAC 4S GATED"
},
{
"Code": "CSE5007000",
"Display": "MRI CARDIAC 5+S"
},
{
"Code": "CSE5007010",
"Display": "MRI CARDIAC 5+S"
},
{
"Code": "CSE5E07000",
"Display": "MRI CARDIAC 5S+ E"
},
{
"Code": "CSE5E07010",
"Display": "MRI CARDIAC 5S+ E"
},
{
"Code": "CSE5EG7000",
"Display": "MRI CARDIAC 5+S E GATED"
},
{
"Code": "CSE5EG7010",
"Display": "MRI CARDIAC 5+S E GATED"
},
{
"Code": "CSE5EG7010",
"Display": "MRI CARDIAC 5+S E GATED"
},
{
"Code": "CSE5G07000",
"Display": "MRI CARDIAC 5+S GATED"
},
{
"Code": "CSE5G07010",
"Display": "MRI CARDIAC 5+S GATED"
},
{
"Code": "CSF0014000",
"Display": "CSF CIRC, IN-111"
},
{
"Code": "CSF0034000",
"Display": "CSF CIRC, SHUNT, INJECTION"
},
{
"Code": "CSF01A4000",
"Display": "CSF CIRC, IN-111, LP"
},
{
"Code": "CT3DCA2500",
"Display": "SUPP CARDIAC CT REPORT"
},
{
"Code": "CTA3DB2500",
"Display": "CT THORACIC AORTA +3D W&W/O"
},
{
"Code": "CTA3DW2500",
"Display": "CT THORACIC AORTA +3D WITH CON"
},
{
"Code": "CTA3WO2500",
"Display": "CT THORACIC AORTA +3D W/O CONT"
},
{
"Code": "CTANTF2500",
"Display": "CT ANTEVERSION FEMUR"
},
{
"Code": "CTANTT2500",
"Display": "CT ANTEVERSION TIBIA"
},
{
"Code": "CTAW712500",
"Display": "CT ABD WITH CONTRAST"
},
{
"Code": "CTAWO12500",
"Display": "CT ABD W/O CONTRAST"
},
{
"Code": "CTAWWO2500",
"Display": "CT ABD W & W/O CONTRAST"
},
{
"Code": "CTBX712500",
"Display": "CT GUIDANCE OF BIOPSY"
},
{
"Code": "CTBXBN2500",
"Display": "CT BIOPSY BONE"
},
{
"Code": "CTBXLG2500",
"Display": "CT BIOPSY LUNG"
},
{
"Code": "CTCARB2500",
"Display": "CT CARDIAC W & W/O CONTRAST"
},
{
"Code": "CTCARC2500",
"Display": "CT CARDIAC CONTRAST"
},
{
"Code": "CTCARN2500",
"Display": "CT CARDIAC W/O CONTRAST"
},
{
"Code": "CTCASC2500",
"Display": "CT CALCIUM SCORE"
},
{
"Code": "CTCHW12500",
"Display": "CT COMP HEAD WITH CONTRAST"
},
{
"Code": "CTCHWO2500",
"Display": "CT COMP HEAD W/O CONTRAST"
},
{
"Code": "CTCHWW2500",
"Display": "CT COMP HEAD W & W/O CONTRAST"
},
{
"Code": "CTCISD2500",
"Display": "CT CISTERNOGRAM DELAY"
},
{
"Code": "CTCLOW2500",
"Display": "CT COLONOGRAPHY LOW DOSE"
},
{
"Code": "CTCOLD2500",
"Display": "CT COLONOGRAPHY DIAGNOSTIC"
},
{
"Code": "CTCOLS2500",
"Display": "CT COLONOGRAPHY SCREENING"
},
{
"Code": "CTCPT52500",
"Display": "CT-CHEST W/O CONTRAST"
},
{
"Code": "CTCW712500",
"Display": "CARDIAC CT WITH CONTRAST"
},
{
"Code": "CTCWO12500",
"Display": "CARDIAC CT W/O CONTRAST"
},
{
"Code": "CTCWWO2500",
"Display": "CARDIAC CT W & W/O CONTRAST"
},
{
"Code": "CTDEAB2500",
"Display": "CT DUAL ENERGY ABDOMEN"
},
{
"Code": "CTDEAP2500",
"Display": "CT DUAL ENERGY ABD PEL"
},
{
"Code": "CTDELA2500",
"Display": "CT DELAYED ABD SCAN"
},
{
"Code": "CTDENT2500",
"Display": "CT DENTAL NO CONTRAST SELF PAY"
},
{
"Code": "CTDEPL2500",
"Display": "CT DUAL ENERGY PELVIS"
},
{
"Code": "CTDRX12500",
"Display": "CT CATH PLACEMENT/DRAINAGE X 1"
},
{
"Code": "CTEW712500",
"Display": "CT EXT WITH CONTRAST"
},
{
"Code": "CTEWO12500",
"Display": "CT EXT W/O CONTRAST"
},
{
"Code": "CTEWWO2500",
"Display": "CT EXT W & W/O CONTRAST"
},
{
"Code": "CTFEMB2500",
"Display": "CT MSK FEMUR BILATERAL"
},
{
"Code": "CTHRES2500",
"Display": "CT THOR HI RES NC"
},
{
"Code": "CTHW712500",
"Display": "CT HEAD WITH CONTRAST"
},
{
"Code": "CTHWO12500",
"Display": "CT HEAD W/O CONTRAST"
},
{
"Code": "CTHWWO2500",
"Display": "CT HEAD W & W/O CONTRAST"
},
{
"Code": "CTMINJ2500",
"Display": "CT MSK INJECTION"
},
{
"Code": "CTMKSB2500",
"Display": "CT MSK SHOULDER BILATERAL"
},
{
"Code": "CTNINJ2500",
"Display": "CT NEURO INJECTION"
},
{
"Code": "CTNW712500",
"Display": "CT NECK WITH CONTRAST"
},
{
"Code": "CTNWO12500",
"Display": "CT NECK W/O CONTRAST"
},
{
"Code": "CTNWWO2500",
"Display": "CT NECK WITH & W/O CONTRAST"
},
{
"Code": "CTP3DW2500",
"Display": "CT THORAX PE +3D WITH CONTRAST"
},
{
"Code": "CTP3WO2500",
"Display": "CT THORAX PE +3D W/O CONTRAST"
},
{
"Code": "CTPEC02500",
"Display": "THORAX PE CONTRAST"
},
{
"Code": "CTPERF2500",
"Display": "CT HEAD PERFUSION"
},
{
"Code": "CTPEW12500",
"Display": "CT THORAX PE WITH CONTRAST"
},
{
"Code": "CTPEWO2500",
"Display": "CT THORAX PE W/O CONTRAST"
},
{
"Code": "CTPEWW2500",
"Display": "CT THORAX PE W&W/O CONTRAST"
},
{
"Code": "CTPVC02500",
"Display": "THORAX PUL.VEIN CONTRAST"
},
{
"Code": "CTPW712500",
"Display": "CT PELVIS WITH CONTRAST"
},
{
"Code": "CTPWO12500",
"Display": "CT PELVIS W/O CONTRAST"
},
{
"Code": "CTPWWO2500",
"Display": "CT PELVIS W & W/O CONTRAST"
},
{
"Code": "CTRFAB2500",
"Display": "CT RADIO FREQ ABLA BONE"
},
{
"Code": "CTRFAM2500",
"Display": "CT RADIO FREQ ABLA MASS"
},
{
"Code": "CTS3DC2500",
"Display": "CT THORAX & STERNUM RC+3D WITH"
},
{
"Code": "CTS3DS2500",
"Display": "CT THORAX & STERNUM RC +3D W/O"
},
{
"Code": "CTSPW12500",
"Display": "CT SPINE WITH CONTRAST"
},
{
"Code": "CTSPWO2500",
"Display": "CT SPINE W/O CONTRAST"
},
{
"Code": "CTSPWW2500",
"Display": "CT SPINE W&W/O CONTRAST"
},
{
"Code": "CTTAVB2500",
"Display": "CT TAVI W & W/O CONTRAST"
},
{
"Code": "CTTAVC2500",
"Display": "CT TAVI WITH CONTRAST"
},
{
"Code": "CTTAVI2500",
"Display": "CT TAVI"
},
{
"Code": "CTTHPE2500",
"Display": "THORAX PE W&W/O CONT"
},
{
"Code": "CTTW712500",
"Display": "CT THORAX WITH CONTRAST"
},
{
"Code": "CTTWO12500",
"Display": "CT THORAX W/O CONTRAST"
},
{
"Code": "CTTWWO2500",
"Display": "CT THORAX W & W/O CONTRAST"
},
{
"Code": "CTVABB2500",
"Display": "CT VASCULAR W/WO CONTRAST"
},
{
"Code": "CTVABC2500",
"Display": "CT VASCULAR ABD W CONTRAST"
},
{
"Code": "CTVANC2500",
"Display": "CT VASCULAR ABD WO CONTRAST"
},
{
"Code": "CTVEXC2500",
"Display": "CT VASCULAR EXT CONTRAST"
},
{
"Code": "CTVRLC2500",
"Display": "CT VAS RUNOFF LOWER C"
},
{
"Code": "CTVRUC2500",
"Display": "CT VAS RUNOFF UPPER C"
},
{
"Code": "CVABB02500",
"Display": "CT VASCULAR ABD B"
},
{
"Code": "CVABC02500",
"Display": "CT VASCULAR ABD C"
},
{
"Code": "CVABNC2500",
"Display": "CT VASCULAR ABD NC"
},
{
"Code": "CVEXTC2500",
"Display": "CT VASCULAR EXT C"
},
{
"Code": "CVRLC2500",
"Display": "CT VAS RUNOFF LOWER C"
},
{
"Code": "CVRUC2500",
"Display": "CT VAS RUNOFF UPPER C"
},
{
"Code": "CVS00X3040",
"Display": "CHORIONIC VILLUS SAMPLING"
},
{
"Code": "CVTHB02500",
"Display": "CT VASCULAR THOR B"
},
{
"Code": "CVTHC02500",
"Display": "CT VASCULAR THOR C"
},
{
"Code": "CVTHNC2500",
"Display": "CT VASCULAR THOR NC"
},
{
"Code": "CYSTAX3040",
"Display": "CYST ASPIRATION"
},
{
"Code": "ELLS107000",
"Display": "MRI LT ELBOW 1S"
},
{
"Code": "ELLS107010",
"Display": "MRI LT ELBOW 1S"
},
{
"Code": "ELLS1E7000",
"Display": "MRI LT ELBOW 1SE"
},
{
"Code": "ELLS1E7010",
"Display": "MRI LT ELBOW 1SE"
},
{
"Code": "ELLS207000",
"Display": "MRI LT ELBOW 2S"
},
{
"Code": "ELLS207010",
"Display": "MRI LT ELBOW 2S"
},
{
"Code": "ELLS2E7000",
"Display": "MRI LT ELBOW 2SE"
},
{
"Code": "ELLS2E7010",
"Display": "MRI LT ELBOW 2SE"
},
{
"Code": "ELLS307000",
"Display": "MRI LT ELBOW 3S"
},
{
"Code": "ELLS307010",
"Display": "MRI LT ELBOW 3S"
},
{
"Code": "ELLS3E7000",
"Display": "MRI LT ELBOW 3SE"
},
{
"Code": "ELLS3E7010",
"Display": "MRI LT ELBOW 3SE"
},
{
"Code": "ELLS407000",
"Display": "MRI LT ELBOW 4S"
},
{
"Code": "ELLS407010",
"Display": "MRI LT ELBOW 4S"
},
{
"Code": "ELLS4E7000",
"Display": "MRI LT ELBOW 4SE"
},
{
"Code": "ELLS4E7010",
"Display": "MRI LT ELBOW 4SE"
},
{
"Code": "ELLS507000",
"Display": "MRI LT ELBOW 5S"
},
{
"Code": "ELLS507010",
"Display": "MRI LT ELBOW 5S"
},
{
"Code": "ELLS5E7000",
"Display": "MRI LT ELBOW 5SE"
},
{
"Code": "ELLS5E7010",
"Display": "MRI LT ELBOW 5SE"
},
{
"Code": "ELLS607000",
"Display": "MRI LT ELBOW 6+S"
},
{
"Code": "ELLS607010",
"Display": "MRI LT ELBOW 6+S"
},
{
"Code": "ELLS6E7000",
"Display": "MRI LT ELBOW 6+SE"
},
{
"Code": "ELLS6E7010",
"Display": "MRI LT ELBOW 6+SE"
},
{
"Code": "ELRS107000",
"Display": "MRI RT ELBOW 1S"
},
{
"Code": "ELRS107010",
"Display": "MRI RT ELBOW 1S"
},
{
"Code": "ELRS1E7000",
"Display": "MRI RT ELBOW 1SE"
},
{
"Code": "ELRS1E7010",
"Display": "MRI RT ELBOW 1SE"
},
{
"Code": "ELRS207000",
"Display": "MRI RT ELBOW 2S"
},
{
"Code": "ELRS207010",
"Display": "MRI RT ELBOW 2S"
},
{
"Code": "ELRS2E7000",
"Display": "MRI RT ELBOW 2SE"
},
{
"Code": "ELRS2E7010",
"Display": "MRI RT ELBOW 2SE"
},
{
"Code": "ELRS307000",
"Display": "MRI RT ELBOW 3S"
},
{
"Code": "ELRS307010",
"Display": "MRI RT ELBOW 3S"
},
{
"Code": "ELRS3E7000",
"Display": "MRI RT ELBOW 3SE"
},
{
"Code": "ELRS3E7010",
"Display": "MRI RT ELBOW 3SE"
},
{
"Code": "ELRS407000",
"Display": "MRI RT ELBOW 4S"
},
{
"Code": "ELRS407010",
"Display": "MRI RT ELBOW 4S"
},
{
"Code": "ELRS4E7000",
"Display": "MRI RT ELBOW 4SE"
},
{
"Code": "ELRS4E7010",
"Display": "MRI RT ELBOW 4SE"
},
{
"Code": "ELRS507000",
"Display": "MRI RT ELBOW 5S"
},
{
"Code": "ELRS507010",
"Display": "MRI RT ELBOW 5S"
},
{
"Code": "ELRS5E7000",
"Display": "MRI RT ELBOW 5SE"
},
{
"Code": "ELRS5E7010",
"Display": "MRI RT ELBOW 5SE"
},
{
"Code": "ELRS607000",
"Display": "MRI RT ELBOW 6+S"
},
{
"Code": "ELRS607010",
"Display": "MRI RT ELBOW 6+S"
},
{
"Code": "ELRS6E7000",
"Display": "MRI RT ELBOW 6+SE"
},
{
"Code": "ELRS6E7010",
"Display": "MRI RT ELBOW 6+SE"
},
{
"Code": "EMP01G1510",
"Display": "CHEST STAFF"
},
{
"Code": "EMP01H1510",
"Display": "EMPLOYEE CXR"
},
{
"Code": "EMSE107000",
"Display": "MRI MULTI-EXTREMITY 1S"
},
{
"Code": "EMSE107010",
"Display": "MRI MULTI-EXTREMITY 1S "
},
{
"Code": "EMSE1E7000",
"Display": "MRI MULTI-EXTREMITY 1S E"
},
{
"Code": "EMSE1E7010",
"Display": "MRI MULTI-EXTREMITY 1S E"
},
{
"Code": "EMSE207000",
"Display": "MRI MULTI-EXTREMITY 2S"
},
{
"Code": "EMSE207010",
"Display": "MRI MULTI-EXTREMITY 2S"
},
{
"Code": "EMSE2E7000",
"Display": "MRI MULTI-EXTREMITY 2S E"
},
{
"Code": "EMSE2E7010",
"Display": "MRI MULTI-EXTREMITY 2S E"
},
{
"Code": "EMSE307000",
"Display": "MRI MULTI-EXTREMITY 3S"
},
{
"Code": "EMSE307010",
"Display": "MRI MULTI-EXTREMITY 3S "
},
{
"Code": "EMSE3E7000",
"Display": "MRI MULTI-EXTREMITY 3S E"
},
{
"Code": "EMSE3E7010",
"Display": "MRI MULTI-EXTREMITY 3S E"
},
{
"Code": "EMSE407000",
"Display": "MRI MULTI-EXTREMITY 4S"
},
{
"Code": "EMSE407010 ",
"Display": "MRI MULTI-EXTREMITY 4S"
},
{
"Code": "EMSE4E7000",
"Display": "MRI MULTI-EXTREMITY 4S E"
},
{
"Code": "EMSE4E7010",
"Display": "MRI MULTI-EXTREMITY 4S E"
},
{
"Code": "EMSE507000",
"Display": "MRI MULTI-EXTREMITY 5+S"
},
{
"Code": "EMSE507010",
"Display": "MRI MULTI-EXTREMITY 5+S"
},
{
"Code": "EMSE5E7000",
"Display": "MRI MULTI-EXTREMITY 5+S E"
},
{
"Code": "EMSE5E7010",
"Display": "MRI MULTI-EXTREMITY 5+S E"
},
{
"Code": "ENABDO3099",
"Display": "US ENDO ABDOMEN"
},
{
"Code": "ENS1E07000",
"Display": "MRI ENDO 1S E"
},
{
"Code": "ENSE107000",
"Display": "MRI ENDO 1S"
},
{
"Code": "ENSE207000",
"Display": "MRI ENDO 2S"
},
{
"Code": "ENSE2E7000",
"Display": "MRI ENDO S2 E"
},
{
"Code": "ENSE307000",
"Display": "MRI ENDO 3S"
},
{
"Code": "ENSE3E7000",
"Display": "MRI ENDO 3S E"
},
{
"Code": "ENSE407000",
"Display": "MRI ENDO 4S"
},
{
"Code": "ENSE4E7000",
"Display": "MRI ENDO 4S E"
},
{
"Code": "ENSE507000",
"Display": "MRI ENDO 5+S"
},
{
"Code": "ENSE5E7000",
"Display": "MRI ENDO 5+S E"
},
{
"Code": "ESO0004000",
"Display": "OESOPHAGEAL MOTILITY"
},
{
"Code": "ESOPHA4001",
"Display": "ESOPHAGEAL CANCER PET"
},
{
"Code": "EXSE107000",
"Display": "MRI EXTREMITY 1S"
},
{
"Code": "EXSE107010",
"Display": "MRI EXTREMITY 1S"
},
{
"Code": "EXSE1E7000",
"Display": "MRI EXTREMITY 1S E"
},
{
"Code": "EXSE1E7010",
"Display": "MRI EXTREMITY 1S E"
},
{
"Code": "EXSE207000",
"Display": "MRI EXTREMITY 2S"
},
{
"Code": "EXSE207010",
"Display": "MRI EXTREMITY 2S"
},
{
"Code": "EXSE2E7000",
"Display": "MRI EXTREMITY 2S E"
},
{
"Code": "EXSE2E7010",
"Display": "MRI EXTREMITY 2S E"
},
{
"Code": "EXSE307000",
"Display": "MRI EXTREMITY 3S"
},
{
"Code": "EXSE307010",
"Display": "MRI EXTREMITY 3S"
},
{
"Code": "EXSE3E7000",
"Display": "MRI EXTREMITY 3S E"
},
{
"Code": "EXSE3E7010",
"Display": "MRI EXTREMITY 3S E"
},
{
"Code": "EXSE407000",
"Display": "MRI EXTREMITY 4S"
},
{
"Code": "EXSE407010",
"Display": "MRI EXTREMITY 4S"
},
{
"Code": "EXSE4E7000",
"Display": "MRI EXTREMITY 4S E"
},
{
"Code": "EXSE4E7010",
"Display": "MRI EXTREMITY 4S E"
},
{
"Code": "EXSE507000",
"Display": "MRI EXTREMITY 5S"
},
{
"Code": "EXSE507010",
"Display": "MRI EXTREMITY 5S"
},
{
"Code": "EXSE5E7000",
"Display": "MRI EXTREMITY 5S E"
},
{
"Code": "EXSE5E7010",
"Display": "MRI EXTREMITY 5S E"
},
{
"Code": "EXSE607000",
"Display": "MRI EXTREMITY 6+S"
},
{
"Code": "EXSE607010",
"Display": "MRI EXTREMITY 6+S"
},
{
"Code": "EXSE6E7000",
"Display": "MRI EXTREMITY 6+S E"
},
{
"Code": "EXSE6E7010",
"Display": "MRI EXTREMITY 6+S E"
},
{
"Code": "FALS107010",
"Display": "MRI LT RAD/ULNA 1S"
},
{
"Code": "FALS1E7010",
"Display": "MRI LT RAD/ULNA 1SE"
},
{
"Code": "FALS207010",
"Display": "MRI LT RAD/ULNA 2S"
},
{
"Code": "FALS2E7010",
"Display": "MRI LT RAD/ULNA 2SE"
},
{
"Code": "FALS307010",
"Display": "MRI LT RAD/ULNA 3S"
},
{
"Code": "FALS3E7010",
"Display": "MRI LT RAD/ULNA 3SE"
},
{
"Code": "FALS407010",
"Display": "MRI LT RAD/ULNA 4S"
},
{
"Code": "FALS4E7010",
"Display": "MRI LT RAD/ULNA 4SE"
},
{
"Code": "FALS507010",
"Display": "MRI LT RAD/ULNA 5S"
},
{
"Code": "FALS5E7010",
"Display": "MRI LT RAD/ULNA 5SE"
},
{
"Code": "FALS607010",
"Display": "MRI LT RAD/ULNA 6+S"
},
{
"Code": "FALS6E7010",
"Display": "MRI LT RAD/ULNA 6+SE"
},
{
"Code": "FARS107010",
"Display": "MRI RT RAD/ULNA 1S"
},
{
"Code": "FARS1E7010",
"Display": "MRI RT RAD/ULNA 1SE"
},
{
"Code": "FARS207010",
"Display": "MRI RT RAD/ULNA 2S"
},
{
"Code": "FARS2E7010",
"Display": "MRI RT RAD/ULNA 2SE"
},
{
"Code": "FARS307010",
"Display": "MRI RT RAD/ULNA 3S"
},
{
"Code": "FARS3E7010",
"Display": "MRI RT RAD/ULNA 3SE"
},
{
"Code": "FARS407010",
"Display": "MRI RT RAD/ULNA 4S"
},
{
"Code": "FARS4E7010",
"Display": "MRI RT RAD/ULNA 4SE"
},
{
"Code": "FARS507010",
"Display": "MRI RT RAD/ULNA 5S"
},
{
"Code": "FARS5E7010",
"Display": "MRI RT RAD/ULNA 5SE"
},
{
"Code": "FARS607010",
"Display": "MRI RT RAD/ULNA 6+S"
},
{
"Code": "FARS6E7010",
"Display": "MRI RT RAD/ULNA 6+SE"
},
{
"Code": "FELS107000",
"Display": "MRI LT FEMUR 1S"
},
{
"Code": "FELS107010",
"Display": "MRI LT FEMUR 1S"
},
{
"Code": "FELS1E7000",
"Display": "MRI LT FEMUR 1SE"
},
{
"Code": "FELS1E7010",
"Display": "MRI LT FEMUR 1SE"
},
{
"Code": "FELS207000",
"Display": "MRI LT FEMUR 2S"
},
{
"Code": "FELS207010",
"Display": "MRI LT FEMUR 2S"
},
{
"Code": "FELS2E7000",
"Display": "MRI LT FEMUR 2SE"
},
{
"Code": "FELS2E7010",
"Display": "MRI LT FEMUR 2SE"
},
{
"Code": "FELS307000",
"Display": "MRI LT FEMUR 3S"
},
{
"Code": "FELS307010",
"Display": "MRI LT FEMUR 3S"
},
{
"Code": "FELS3E7000",
"Display": "MRI LT FEMUR 3SE"
},
{
"Code": "FELS3E7010",
"Display": "MRI LT FEMUR 3SE"
},
{
"Code": "FELS407000",
"Display": "MRI LT FEMUR 4S"
},
{
"Code": "FELS407010",
"Display": "MRI LT FEMUR 4S"
},
{
"Code": "FELS4E7000",
"Display": "MRI LT FEMUR 4SE"
},
{
"Code": "FELS4E7010",
"Display": "MRI LT FEMUR 4SE"
},
{
"Code": "FELS507000",
"Display": "MRI LT FEMUR 5S"
},
{
"Code": "FELS507010",
"Display": "MRI LT FEMUR 5S"
},
{
"Code": "FELS5E7000",
"Display": "MRI LT FEMUR 5SE"
},
{
"Code": "FELS5E7010",
"Display": "MRI LT FEMUR 5SE"
},
{
"Code": "FELS607000",
"Display": "MRI LT FEMUR 6+S"
},
{
"Code": "FELS607010 ",
"Display": "MRI LT FEMUR 6+S"
},
{
"Code": "FELS6E7000",
"Display": "MRI LT FEMUR 6+SE"
},
{
"Code": "FELS6E7010",
"Display": "MRI LT FEMUR 6+SE"
},
{
"Code": "FERS107000",
"Display": "MRI RT FEMUR 1S"
},
{
"Code": "FERS107010",
"Display": "MRI RT FEMUR 1S"
},
{
"Code": "FERS1E7000",
"Display": "MRI RT FEMUR 1SE"
},
{
"Code": "FERS1E7010",
"Display": "MRI RT FEMUR 1SE"
},
{
"Code": "FERS207000",
"Display": "MRI RT FEMUR 2S"
},
{
"Code": "FERS207010",
"Display": "MRI RT FEMUR 2S"
},
{
"Code": "FERS2E7000",
"Display": "MRI RT FEMUR 2SE"
},
{
"Code": "FERS2E7010",
"Display": "MRI RT FEMUR 2SE"
},
{
"Code": "FERS307000",
"Display": "MRI RT FEMUR 3S"
},
{
"Code": "FERS307010",
"Display": "MRI RT FEMUR 3S"
},
{
"Code": "FERS3E7000",
"Display": "MRI RT FEMUR 3SE"
},
{
"Code": "FERS3E7010",
"Display": "MRI RT FEMUR 3SE"
},
{
"Code": "FERS407000",
"Display": "MRI RT FEMUR 4S"
},
{
"Code": "FERS407010",
"Display": "MRI RT FEMUR 4S"
},
{
"Code": "FERS4E7000",
"Display": "MRI RT FEMUR 4SE"
},
{
"Code": "FERS4E7010",
"Display": "MRI RT FEMUR 4SE"
},
{
"Code": "FERS507000",
"Display": "MRI RT FEMUR 5S"
},
{
"Code": "FERS507010",
"Display": "MRI RT FEMUR 5S"
},
{
"Code": "FERS5E7000",
"Display": "MRI RT FEMUR 5SE"
},
{
"Code": "FERS5E7010",
"Display": "MRI RT FEMUR 5SE"
},
{
"Code": "FERS607000",
"Display": "MRI RT FEMUR 6+S"
},
{
"Code": "FERS607010",
"Display": "MRI RT FEMUR 6+S"
},
{
"Code": "FERS6E7000",
"Display": "MRI RT FEMUR 6+SE"
},
{
"Code": "FERS6E7010",
"Display": "MRI RT FEMUR 6+SE"
},
{
"Code": "FLOW004000",
"Display": "FLOW"
},
{
"Code": "FTIF1H1510",
"Display": "FEED.TUBE/FLUORO"
},
{
"Code": "FTLS107000",
"Display": "MRI LT FOOT 1S"
},
{
"Code": "FTLS107010",
"Display": "MRI LT FOOT 1S"
},
{
"Code": "FTLS1E7000",
"Display": "MRI LT FOOT 1SE"
},
{
"Code": "FTLS1E7010",
"Display": "MRI LT FOOT 1SE"
},
{
"Code": "FTLS207000",
"Display": "MRI LT FOOT 2S"
},
{
"Code": "FTLS207010",
"Display": "MRI LT FOOT 2S"
},
{
"Code": "FTLS2E7000",
"Display": "MRI LT FOOT 2SE"
},
{
"Code": "FTLS2E7010",
"Display": "MRI LT FOOT 2SE"
},
{
"Code": "FTLS307000",
"Display": "MRI LT FOOT 3S"
},
{
"Code": "FTLS307010",
"Display": "MRI LT FOOT 3S"
},
{
"Code": "FTLS3E7000",
"Display": "MRI LT FOOT 3SE"
},
{
"Code": "FTLS3E7010",
"Display": "MRI LT FOOT 3SE"
},
{
"Code": "FTLS407000",
"Display": "MRI LT FOOT 4S"
},
{
"Code": "FTLS407010",
"Display": "MRI LT FOOT 4S"
},
{
"Code": "FTLS4E7000",
"Display": "MRI LT FOOT 4SE"
},
{
"Code": "FTLS4E7010",
"Display": "MRI LT FOOT 4SE"
},
{
"Code": "FTLS507000",
"Display": "MRI LT FOOT 5S"
},
{
"Code": "FTLS507010",
"Display": "MRI LT FOOT 5S"
},
{
"Code": "FTLS5E7000",
"Display": "MRI LT FOOT 5SE"
},
{
"Code": "FTLS5E7010",
"Display": "MRI LT FOOT 5SE"
},
{
"Code": "FTLS607000",
"Display": "MRI LT FOOT 6+S"
},
{
"Code": "FTLS607010",
"Display": "MRI LT FOOT 6+S"
},
{
"Code": "FTLS6E7000",
"Display": "MRI LT FOOT 6+SE"
},
{
"Code": "FTLS6E7010",
"Display": "MRI LT FOOT 6+SE"
},
{
"Code": "FTRS107000",
"Display": "MRI RT FOOT 1S"
},
{
"Code": "FTRS107010",
"Display": "MRI RT FOOT 1S"
},
{
"Code": "FTRS1E7000",
"Display": "MRI RT FOOT 1SE"
},
{
"Code": "FTRS1E7010",
"Display": "MRI RT FOOT 1SE"
},
{
"Code": "FTRS207000",
"Display": "MRI RT FOOT 2S"
},
{
"Code": "FTRS207010",
"Display": "MRI RT FOOT 2S"
},
{
"Code": "FTRS2E7000",
"Display": "MRI RT FOOT 2SE"
},
{
"Code": "FTRS2E7010",
"Display": "MRI RT FOOT 2SE"
},
{
"Code": "FTRS307000",
"Display": "MRI RT FOOT 3S"
},
{
"Code": "FTRS307010",
"Display": "MRI RT FOOT 3S"
},
{
"Code": "FTRS3E7000",
"Display": "MRI RT FOOT 3SE"
},
{
"Code": "FTRS3E7010",
"Display": "MRI RT FOOT 3SE"
},
{
"Code": "FTRS407000",
"Display": "MRI RT FOOT 4S"
},
{
"Code": "FTRS407010",
"Display": "MRI RT FOOT 4S"
},
{
"Code": "FTRS4E7000",
"Display": "MRI RT FOOT 4SE"
},
{
"Code": "FTRS4E7010",
"Display": "MRI RT FOOT 4SE"
},
{
"Code": "FTRS507000",
"Display": "MRI RT FOOT 5S"
},
{
"Code": "FTRS507010",
"Display": "MRI RT FOOT 5S"
},
{
"Code": "FTRS5E7000",
"Display": "MRI RT FOOT 5SE"
},
{
"Code": "FTRS5E7010",
"Display": "MRI RT FOOT 5SE"
},
{
"Code": "FTRS607000",
"Display": "MRI RT FOOT 6+S"
},
{
"Code": "FTRS607010",
"Display": "MRI RT FOOT 6+S"
},
{
"Code": "FTRS6E7000",
"Display": "MRI RT FOOT 6+SE"
},
{
"Code": "FTRS6E7010",
"Display": "MRI RT FOOT 6+SE"
},
{
"Code": "G001A01510",
"Display": "SKULL 4 VIEWS"
},
{
"Code": "G001S01510",
"Display": "OR SKULL 4 VIEWS"
},
{
"Code": "G003A01510",
"Display": "SELLA TURCICA"
},
{
"Code": "G003S01510",
"Display": "OR SELLA TURCICA"
},
{
"Code": "G004A01510",
"Display": "FACIAL BONES 3+"
},
{
"Code": "G005A01510",
"Display": "NOSE MIN. 2"
},
{
"Code": "G006A01510",
"Display": "MANDIBLE-MIN. 3"
},
{
"Code": "G007A01510",
"Display": "TM JOINTS"
},
{
"Code": "G008A01510",
"Display": "SINUSES-MIN. 3"
},
{
"Code": "G009A01510",
"Display": "SKULL 5 OR >"
},
{
"Code": "G010A01510",
"Display": "MASTOIDS BIL 6"
},
{
"Code": "G011A01510",
"Display": "INT.AUD.MEATI"
},
{
"Code": "G012A01510",
"Display": "MANDIBLE 4 OR >"
},
{
"Code": "G016AL1510",
"Display": "EYE-FOREIGN BODY LT"
},
{
"Code": "G016AR1510",
"Display": "EYE-FOREIGN BODY RT"
},
{
"Code": "G018A01510",
"Display": "OPTIC FORAMINA"
},
{
"Code": "G019A01510",
"Display": "SALIVARY GLAND"
},
{
"Code": "G020A01510",
"Display": "NECK/SOFT TISSUE"
},
{
"Code": "G020S01510",
"Display": "OR NECK/SOFT TISSUE"
},
{
"Code": "G025A01510",
"Display": "C-SPINE 2 OR 3"
},
{
"Code": "G025S01510",
"Display": "OR C-SPINE 2 OR 3"
},
{
"Code": "G027A01510",
"Display": "SPINE, THORACIC (2V)"
},
{
"Code": "G027S01510",
"Display": "OR SPINE, THORACIC (2V)"
},
{
"Code": "G028011510",
"Display": "SPINE, LUMBAR PTH STUDY"
},
{
"Code": "G028A01510",
"Display": "SPINE, LUMBOSACRAL (2-3V)"
},
{
"Code": "G028S01510",
"Display": "OR SPINE, LUMBOSACRAL (2-3V)"
},
{
"Code": "G031A01510",
"Display": "ENT SPINE, 2+ LONG FILMS"
},
{
"Code": "G032A01510",
"Display": "ENT.SPINE, SCOL (4+V)"
},
{
"Code": "G033A01510",
"Display": "ENT SPINE LONG FILM"
},
{
"Code": "G034A01510",
"Display": "SPINE, SACRUM/COCCYX (2V)"
},
{
"Code": "G034S01510",
"Display": "SPINE, SACRUM/COCCYX (2V)"
},
{
"Code": "G035A01510",
"Display": "SACRO-ILIAC JOINTS (2-3V)"
},
{
"Code": "G035S01510",
"Display": "SACRO-ILIAC JOINTS (2-3V)"
},
{
"Code": "G036A01510",
"Display": "PELVIS (HIP) (1V)"
},
{
"Code": "G036S01510",
"Display": "OR PELVIS (HIP) (1V)"
},
{
"Code": "G037A01510",
"Display": "PELVIS (HIP) (2V)"
},
{
"Code": "G037S01510",
"Display": "OR PELVIS (HIP) (2V)"
},
{
"Code": "G038A01510",
"Display": "PELVIS (HIP) (3V)"
},
{
"Code": "G038S01510",
"Display": "OR PELVIS (HIP) (3V)"
},
{
"Code": "G039AB1510",
"Display": "RIBS (2+V) BIL"
},
{
"Code": "G039AL1510",
"Display": "RIBS (2+V) LT"
},
{
"Code": "G039AR1510",
"Display": "RIBS (2+V) RT"
},
{
"Code": "G040A01510",
"Display": "STERNUM (2+V)"
},
{
"Code": "G040A11510",
"Display": "STERNUM (1V)"
},
{
"Code": "G045AB1510",
"Display": "CLAVICLE BILATERAL"
},
{
"Code": "G045AL1510",
"Display": "CLAVICLE (2 V) LT"
},
{
"Code": "G045AR1510",
"Display": "CLAVICLE (2V) RT"
},
{
"Code": "G045PB1510",
"Display": "CLAVICLE PEDIATRIC BIL."
},
{
"Code": "G045SL1510",
"Display": "OR CLAVICLE (2 V) LT"
},
{
"Code": "G045SR1510",
"Display": "OR CLAVICLE (2V) RT"
},
{
"Code": "G046AL1510",
"Display": "AC JOINTS (2V) LT"
},
{
"Code": "G046AR1510",
"Display": "AC JOINTS (2V) RT"
},
{
"Code": "G046SL1510",
"Display": "AC JOINTS (2V) LT"
},
{
"Code": "G046SR1510",
"Display": "AC JOINTS (2V) RT"
},
{
"Code": "G047001510",
"Display": "HYSTEROSALPINGOGRAM"
},
{
"Code": "G047A01510",
"Display": "SC JOINTS (2-3V)"
},
{
"Code": "G048AL1510",
"Display": "SHOULDER (2V) LT"
},
{
"Code": "G048AR1510",
"Display": "SHOULDER (2V) RT"
},
{
"Code": "G048SL1510",
"Display": "OR SHOULDER (2V) LT"
},
{
"Code": "G048SR1510",
"Display": "OR SHOULDER (2V) RT"
},
{
"Code": "G049AL1510",
"Display": "SCAPULA (2V) LT"
},
{
"Code": "G049AR1510",
"Display": "SCAPULA (2V) RT"
},
{
"Code": "G049SL1510",
"Display": "SCAPULA (2V) LT"
},
{
"Code": "G049SR1510",
"Display": "SCAPULA (2V) RT"
},
{
"Code": "G050AL1510",
"Display": "HUMERUS (2V) LT"
},
{
"Code": "G050AR1510",
"Display": "HUMERUS (2V) RT"
},
{
"Code": "G050SL1510",
"Display": "OR HUMERUS (2V) LT"
},
{
"Code": "G050SR1510",
"Display": "OR HUMERUS (2V) RT"
},
{
"Code": "G051AL1510",
"Display": "ELBOW (2V) LT"
},
{
"Code": "G051AR1510",
"Display": "ELBOW (2V) RT"
},
{
"Code": "G051SL1510",
"Display": "OR ELBOW (2V) LT"
},
{
"Code": "G051SR1510",
"Display": "OR ELBOW (2V) RT"
},
{
"Code": "G052AB1510",
"Display": "FOREARM (2V) BIL"
},
{
"Code": "G052AL1510",
"Display": "FOREARM (2V) LT"
},
{
"Code": "G052AR1510",
"Display": "FOREARM (2V) RT"
},
{
"Code": "G052SL1510",
"Display": "OR FOREARM (2V) LT"
},
{
"Code": "G052SR1510",
"Display": "OR FOREARM (2V) RT"
},
{
"Code": "G053AB1510",
"Display": "WRIST (2-3V) BIL "
},
{
"Code": "G053AL1510",
"Display": "WRIST (2-3V) LT"
},
{
"Code": "G053AR1510",
"Display": "WRIST (2-3V) RT"
},
{
"Code": "G053SL1510",
"Display": "OR WRIST (2-3V) LT"
},
{
"Code": "G053SR1510",
"Display": "OR WRIST (2-3V) RT"
},
{
"Code": "G054AB1510",
"Display": "HAND (2-3V) BIL"
},
{
"Code": "G054AL1510",
"Display": "HAND (2-3V) LT"
},
{
"Code": "G054AR1510",
"Display": "HAND (2-3V) RT"
},
{
"Code": "G054SL1510",
"Display": "OR HAND (2-3V) LT"
},
{
"Code": "G054SR1510",
"Display": "OR HAND (2-3V) RT"
},
{
"Code": "G055AB1510",
"Display": "WRIST + HAND (2-3V) BIL"
},
{
"Code": "G056AL1510",
"Display": "FINGER/THUMB (2V) LT"
},
{
"Code": "G056AR1510",
"Display": "FINGER/THUMB (2V) RT"
},
{
"Code": "G056SL1510",
"Display": "OR FINGER/THUMB (2V) LT"
},
{
"Code": "G056SR1510",
"Display": "OR FINGER/THUMB (2V) RT"
},
{
"Code": "G057A01510",
"Display": "SKELETAL BONE AGE (1V)"
},
{
"Code": "G058A01510",
"Display": "SKELETAL BONE AGE (2+V)"
},
{
"Code": "G060AB1510",
"Display": "FEMUR(2V)BILATERAL"
},
{
"Code": "G060AL1510",
"Display": "HIP UNILAT (2+V) LT"
},
{
"Code": "G060AR1510",
"Display": "HIP UNILAT (2+V) RT"
},
{
"Code": "G060SL1510",
"Display": "OR HIP UNILAT (2+V) LT"
},
{
"Code": "G060SR1510",
"Display": "OR HIP UNILAT (2+V) RT"
},
{
"Code": "G063AL1510",
"Display": "FEMUR (2V) LT"
},
{
"Code": "G063AR1510",
"Display": "FEMUR (2V) RT"
},
{
"Code": "G063SL1510",
"Display": "OR FEMUR (2V) LT"
},
{
"Code": "G063SR1510",
"Display": "OR FEMUR (2V) RT"
},
{
"Code": "G064A01510",
"Display": "ORTHO (LEG LENGTH)"
},
{
"Code": "G064S01510",
"Display": "OR ORTHO (LEG LENGTH)"
},
{
"Code": "G065AB1510",
"Display": "KNEE INC. PAT. (2V) BIL"
},
{
"Code": "G065AL1510",
"Display": "KNEE INC. PAT. (2V) LT"
},
{
"Code": "G065AR1510",
"Display": "KNEE INC. PAT. (2V) RT"
},
{
"Code": "G066AL1510",
"Display": "TIB/FIB (2V) LT"
},
{
"Code": "G066AR1510",
"Display": "TIB/FIB (2V) RT"
},
{
"Code": "G066SL1510",
"Display": "OR TIB/FIB (2V) LT"
},
{
"Code": "G066SR1510",
"Display": "OR TIB/FIB (2V) RT"
},
{
"Code": "G067AB1510",
"Display": "ANKLE (2-3V) BIL"
},
{
"Code": "G067AL1510",
"Display": "ANKLE (2-3V) LT"
},
{
"Code": "G067AR1510",
"Display": "ANKLE (2-3V) RT"
},
{
"Code": "G067SL1510",
"Display": "OR ANKLE (2-3V) LT"
},
{
"Code": "G067SR1510",
"Display": "OR ANKLE (2-3V) RT"
},
{
"Code": "G068AB1510",
"Display": "CALCANEUS (2V) BIL"
},
{
"Code": "G068AL1510",
"Display": "CALCANEUS (2V) LT"
},
{
"Code": "G068AR1510",
"Display": "CALCANEUS (2V) RT"
},
{
"Code": "G068SL1510",
"Display": "OR CALCANEUS (2V) LT"
},
{
"Code": "G068SR1510",
"Display": "OR CALCANEUS (2V) RT"
},
{
"Code": "G069AB1510",
"Display": "FOOT (2-3V) BIL"
},
{
"Code": "G069AL1510",
"Display": "FOOT (2-3V) LT"
},
{
"Code": "G069AR1510",
"Display": "FOOT (2-3V) RT"
},
{
"Code": "G069SL1510",
"Display": "OR FOOT (2-3V) LT"
},
{
"Code": "G069SR1510",
"Display": "OR FOOT (2-3V) RT"
},
{
"Code": "G072AL1510",
"Display": "TOE (2V) LT"
},
{
"Code": "G072AR1510",
"Display": "TOE (2V) RT"
},
{
"Code": "G072SL1510",
"Display": "OR TOE (2V) LT"
},
{
"Code": "G072SR1510",
"Display": "OR TOE (2V) RT"
},
{
"Code": "G090A01510",
"Display": "CHEST (1V)"
},
{
"Code": "G091A01510",
"Display": "CHEST (2V)"
},
{
"Code": "G092A01510",
"Display": "CHEST (3+V)"
},
{
"Code": "G096A01510",
"Display": "THORACIC INLET (2+V)"
},
{
"Code": "G100A01510",
"Display": "ABDOMEN/KUB (1V)"
},
{
"Code": "G101A01510",
"Display": "ABDOMEN/KUB (2+V)"
},
{
"Code": "G103001510",
"Display": "GI DOUBLE + SB"
},
{
"Code": "G104A01510",
"Display": "GI DOUBLE CONTRAST"
},
{
"Code": "G105A01510",
"Display": "PALATOPHARYNGEAL ANALYSIS"
},
{
"Code": "G106001510",
"Display": "PHARYNX & ESOPHAGUS"
},
{
"Code": "G106A01510",
"Display": "EYE-FOREIGN BODY"
},
{
"Code": "G107A01510",
"Display": "OESOPHAGUS"
},
{
"Code": "G108001510",
"Display": "GI SINGLE CONTRAST"
},
{
"Code": "G109001510",
"Display": "GI SINGLE + SB"
},
{
"Code": "G110A01510",
"Display": "HYPOTONIC DUOD"
},
{
"Code": "G111A01510",
"Display": "SMALL BOWEL"
},
{
"Code": "G112A01510",
"Display": "BE SINGLE CONTRAST"
},
{
"Code": "G113A01510",
"Display": "BE AIR CONTRAST"
},
{
"Code": "G114A01510",
"Display": "GALLBLADDER (NO SCOUT)"
},
{
"Code": "G116A11510",
"Display": "T-TUBE CHOLANGIOGRAM"
},
{
"Code": "G117A01510",
"Display": "OPERATIVE CHOL"
},
{
"Code": "G117S01510",
"Display": "OR OPERATIVE CHOL"
},
{
"Code": "G122A01510",
"Display": "PTC"
},
{
"Code": "G123A01510",
"Display": "OPERATIVE PANCREATOGRAM"
},
{
"Code": "G123S01510",
"Display": "OR OPERATIVE PANCREATOGRAM"
},
{
"Code": "G129001510",
"Display": "PYELOGRAM, RETRO"
},
{
"Code": "G129011510",
"Display": "PYELOGRAM-RETRO, BIL"
},
{
"Code": "G130A01510",
"Display": "IVP INC. SCOUT"
},
{
"Code": "G131A01510",
"Display": "CYSTOURETHRO. (NO CATH)"
},
{
"Code": "G134001510",
"Display": "URETHRO-RETRO"
},
{
"Code": "G135001510",
"Display": "CYSTO (CATHETER)"
},
{
"Code": "G135011510",
"Display": "CYSTO - STRESS/VOID (CATH)"
},
{
"Code": "G138001510",
"Display": "PERC ANTE-PYELO"
},
{
"Code": "G139001510",
"Display": "P NEPHROSTOMY"
},
{
"Code": "G143001510",
"Display": "SURVEY, OBS-GYNE FILM"
},
{
"Code": "G154001510",
"Display": "PENIS"
},
{
"Code": "G156L01510",
"Display": "BURSOGRAM FLUORO-LO"
},
{
"Code": "G156U01510",
"Display": "BURSOGRAM FLUORO-UP"
},
{
"Code": "G160001510",
"Display": "CAROTID ANGIO UNI"
},
{
"Code": "G163001510",
"Display": "DACROCYSTOGRAM"
},
{
"Code": "G164A01510",
"Display": "DISCO 1 OR > LEV."
},
{
"Code": "G167A01510",
"Display": "SINO./FIST."
},
{
"Code": "G170001510",
"Display": "LARYNGOGRAM"
},
{
"Code": "G171001510",
"Display": "LYMPHANGIOGRAM"
},
{
"Code": "G173001510",
"Display": "MYELOGRAM"
},
{
"Code": "G1740L1510",
"Display": "VENOGRAM UNILATERAL LT"
},
{
"Code": "G1740R1510",
"Display": "VENOGRAM UNILATERAL RT"
},
{
"Code": "G175001510",
"Display": "VENOGRAM BILATERAL"
},
{
"Code": "G176A01510",
"Display": "SIALOGRAM"
},
{
"Code": "G190001510",
"Display": "PANOREX"
},
{
"Code": "G190D01510",
"Display": "PANOREX"
},
{
"Code": "G191A01510",
"Display": "NEPH./INTES.CON"
},
{
"Code": "G195001510",
"Display": "FLUORO CHEST"
},
{
"Code": "G196001510",
"Display": "FLUORO SKELETAL"
},
{
"Code": "G197A01510",
"Display": "FLUORO ABDOMINAL"
},
{
"Code": "G200LL1510",
"Display": "ARTHRO-LOWER LT"
},
{
"Code": "G200LR1510",
"Display": "ARTHRO-LOWER RT"
},
{
"Code": "G200UL1510",
"Display": "ARTHRO-UPPER LT"
},
{
"Code": "G200UR1510",
"Display": "ARTHRO-UPPER RT"
},
{
"Code": "G201A01510",
"Display": "OR BREAST BX SPECIMEN"
},
{
"Code": "G202A01510",
"Display": "C-SPINE 4 OR 5"
},
{
"Code": "G203A01510",
"Display": "C-SPINE 6 OR >"
},
{
"Code": "G204A01510",
"Display": "SPINE, THORACIC (3+V)"
},
{
"Code": "G204S01510",
"Display": "OR SPINE, THORACIC (3+V)"
},
{
"Code": "G205A01510",
"Display": "SPINE, LUMBOSACRAL (4-5V)"
},
{
"Code": "G206A01510",
"Display": "SPINE, LUMBOSACRAL (6+V)"
},
{
"Code": "G207A01510",
"Display": "SACRUM/COCCYX (3+V)"
},
{
"Code": "G207S01510",
"Display": "SACRUM/COCCYX (3+V)"
},
{
"Code": "G208A01510",
"Display": "SACRO-ILIAC JOINTS (4+V)"
},
{
"Code": "G208S01510",
"Display": "SACRO-ILIAC JOINTS (4+V)"
},
{
"Code": "G209AL1510",
"Display": "CLAVICLE (3+V) LT"
},
{
"Code": "G209AR1510",
"Display": "CLAVICLE (3+V) RT"
},
{
"Code": "G209SL1510",
"Display": "OR CLAVICLE (3+V) LT"
},
{
"Code": "G210A01510",
"Display": "AC JOINTS BIL"
},
{
"Code": "G211A01510",
"Display": "SC JOINTS (4+V)"
},
{
"Code": "G212AL1510",
"Display": "SHOULDER (3+V) LT"
},
{
"Code": "G212AR1510",
"Display": "SHOULDER (3+V) RT"
},
{
"Code": "G212SL1510",
"Display": "OR SHOULDER (3+V) LT"
},
{
"Code": "G212SR1510",
"Display": "OR SHOULDER (3+V) RT"
},
{
"Code": "G213AL1510",
"Display": "SCAPULA (3+V) LT"
},
{
"Code": "G213AR1510",
"Display": "SCAPULA (3+V) RT"
},
{
"Code": "G213SL1510",
"Display": "SCAPULA (3+V) LT"
},
{
"Code": "G213SR1510",
"Display": "SCAPULA (3+V) RT"
},
{
"Code": "G214AL1510",
"Display": "HUMERUS (3+V) LT"
},
{
"Code": "G214AR1510",
"Display": "HUMERUS (3+V) RT"
},
{
"Code": "G214SL1510",
"Display": "OR HUMERUS (3+V) LT"
},
{
"Code": "G214SR1510",
"Display": "OR HUMERUS (3+V) RT"
},
{
"Code": "G215AL1510",
"Display": "ELBOW (3-4V) LT"
},
{
"Code": "G215AR1510",
"Display": "ELBOW (3-4V) RT"
},
{
"Code": "G215SL1510",
"Display": "OR ELBOW (3-4V) LT"
},
{
"Code": "G215SR1510",
"Display": "OR ELBOW (3-4V) RT"
},
{
"Code": "G216AL1510",
"Display": "ELBOW (5+V) LT"
},
{
"Code": "G216AR1510",
"Display": "ELBOW (5+V) RT"
},
{
"Code": "G217AL1510",
"Display": "FOREARM (3+V) LT"
},
{
"Code": "G217AR1510",
"Display": "FOREARM (3+V) RT"
},
{
"Code": "G217SL1510",
"Display": "OR FOREARM (3+V) LT"
},
{
"Code": "G217SR1510",
"Display": "OR FOREARM (3+V) RT"
},
{
"Code": "G218AB1510",
"Display": "WRIST (4+V) BIL"
},
{
"Code": "G218AL1510",
"Display": "WRIST (4+V) LT"
},
{
"Code": "G218AR1510",
"Display": "WRIST (4+V) RT"
},
{
"Code": "G219AB1510",
"Display": "HAND (4+V) BIL"
},
{
"Code": "G219AL1510",
"Display": "HAND (4+V) LT"
},
{
"Code": "G219AR1510",
"Display": "HAND (4+V) RT"
},
{
"Code": "G220AB1510",
"Display": "WRIST + HAND (4+V) BIL"
},
{
"Code": "G221AL1510",
"Display": "FINGER/THUMB (3+V) LT"
},
{
"Code": "G221AR1510",
"Display": "FINGER/THUMB (3V+) RT"
},
{
"Code": "G221SL1510",
"Display": "OR FINGER/THUMB (3+V) LT"
},
{
"Code": "G221SR1510",
"Display": "OR FINGER/THUMB (3V+) RT"
},
{
"Code": "G223AL1510",
"Display": "FEMUR (3+V) LT"
},
{
"Code": "G223AR1510",
"Display": "FEMUR (3+V) RT"
},
{
"Code": "G223SL1510",
"Display": "OR FEMUR (3+V) LT"
},
{
"Code": "G223SR1510",
"Display": "OR FEMUR (3+V) RT"
},
{
"Code": "G224AB1510",
"Display": "KNEE INC. PAT. (3-4V) BIL"
},
{
"Code": "G224AL1510",
"Display": "KNEE INC. PAT. (3-4V) LT"
},
{
"Code": "G224AR1510",
"Display": "KNEE INC. PAT. (3-4V) RT"
},
{
"Code": "G224SL1510",
"Display": "OR KNEE INC. PAT. (3-4V) LT"
},
{
"Code": "G224SR1510",
"Display": "OR KNEE INC. PAT. (3-4V) RT"
},
{
"Code": "G225AB1510",
"Display": "KNEE INC. PAT. (5+V) BIL"
},
{
"Code": "G225AL1510",
"Display": "KNEE INC. PAT. (5+V) LT"
},
{
"Code": "G225AR1510",
"Display": "KNEE INC. PAT. (5+V) RT"
},
{
"Code": "G225SL1510",
"Display": "OR KNEE INC. PAT. (5+V) LT"
},
{
"Code": "G225SR1510",
"Display": "OR KNEE INC. PAT. (5+V) RT"
},
{
"Code": "G226AL1510",
"Display": "TIB/FIB (3+V) LT"
},
{
"Code": "G226AR1510",
"Display": "TIB/FIB (3+V) RT"
},
{
"Code": "G226SL1510",
"Display": "OR TIB/FIB (3+V) LT"
},
{
"Code": "G226SR1510",
"Display": "OR TIB/FIB (3+V) RT"
},
{
"Code": "G227AB1510",
"Display": "ANKLE (4+V)BIL"
},
{
"Code": "G227AL1510",
"Display": "ANKLE (4+V) LT"
},
{
"Code": "G227AR1510",
"Display": "ANKLE (4+V) RT"
},
{
"Code": "G228AB1510",
"Display": "CALCANEUS (3+V) BIL"
},
{
"Code": "G228AL1510",
"Display": "CALCANEUS (3+V) LT"
},
{
"Code": "G228AR1510",
"Display": "CALCANEUS (3+V) RT"
},
{
"Code": "G228SL1510",
"Display": "OR CALCANEUS (3+V) LT"
},
{
"Code": "G228SR1510",
"Display": "OR CALCANEUS (3+V) RT"
},
{
"Code": "G229AB1510",
"Display": "FOOT (4+V) BIL"
},
{
"Code": "G229AL1510",
"Display": "FOOT (4+V) LT"
},
{
"Code": "G229AR1510",
"Display": "FOOT (4+V) RT"
},
{
"Code": "G230AL1510",
"Display": "TOE (3+V) LT"
},
{
"Code": "G230AR1510",
"Display": "TOE (3+V) RT"
},
{
"Code": "G230SL1510",
"Display": "OR TOE (3+V) LT"
},
{
"Code": "G230SR1510",
"Display": "OR TOE (3+V) RT"
},
{
"Code": "GALSS14000",
"Display": "GALLIUM SS"
},
{
"Code": "GALSS24000",
"Display": "GALLIUM SS, SPECT"
},
{
"Code": "GALWB14000",
"Display": "GALLIUM WB"
},
{
"Code": "GALWB24000",
"Display": "GALLIUM WB, SPECT"
},
{
"Code": "GALWB34000",
"Display": "WHOLE BODY GA-67 WITH SPECT"
},
{
"Code": "GEN ACJTS",
"Display": "AC JOINTS"
},
{
"Code": "GEN ANKLE",
"Display": "ANKLE"
},
{
"Code": "GEN ARTFL",
"Display": "ARTHRO FLUORO"
},
{
"Code": "GEN BONE",
"Display": "SKELETAL BONE AGE"
},
{
"Code": "GEN CAL",
"Display": "CALCANEUS"
},
{
"Code": "GEN CERV",
"Display": "SPINE, CERVICAL"
},
{
"Code": "GEN CLAV",
"Display": "CLAVICLE"
},
{
"Code": "GEN ELBOW",
"Display": "ELBOW"
},
{
"Code": "GEN FEMUR",
"Display": "FEMUR"
},
{
"Code": "GEN FINGR",
"Display": "FINGER OR THUMB"
},
{
"Code": "GEN FOOT",
"Display": "FOOT"
},
{
"Code": "GEN FORE",
"Display": "FOREARM"
},
{
"Code": "GEN GB",
"Display": "GALLBLADDER"
},
{
"Code": "GEN HAND",
"Display": "HAND"
},
{
"Code": "GEN HUMER",
"Display": "HUMERUS"
},
{
"Code": "GEN KNEE",
"Display": "KNEE INC PATELLA"
},
{
"Code": "GEN LUMB",
"Display": "SPINE, LUMBOSACRAL"
},
{
"Code": "GEN MAND",
"Display": "MANDIBLE"
},
{
"Code": "GEN PEL",
"Display": "PELVIS &/OR HIP"
},
{
"Code": "GEN SAC",
"Display": "SPINE, SACRUM/COCCYX"
},
{
"Code": "GEN SCAP",
"Display": "SCAPULA"
},
{
"Code": "GEN SCJTS",
"Display": "SC JOINTS"
},
{
"Code": "GEN SHLDR",
"Display": "SHOULDER"
},
{
"Code": "GEN SIJTS",
"Display": "SACRO-ILIAC JOINTS"
},
{
"Code": "GEN SKULL",
"Display": "SKULL"
},
{
"Code": "GEN T&F",
"Display": "TIBIA AND FIBULA"
},
{
"Code": "GEN THOR",
"Display": "SPINE, THORACIC"
},
{
"Code": "GEN TOE",
"Display": "TOE"
},
{
"Code": "GEN VENO",
"Display": "VENOGRAM"
},
{
"Code": "GEN WRHND",
"Display": "WRIST & HAND"
},
{
"Code": "GEN WRIST",
"Display": "WRIST"
},
{
"Code": "GESPHX1510",
"Display": "GI & ESOPHAGUS + PHARYNX"
},
{
"Code": "GFR0004000",
"Display": "GFR"
},
{
"Code": "GI00011510",
"Display": "GI TUBE INSERTION/CHANGE"
},
{
"Code": "GI00021510",
"Display": "GI TUBE CHECK"
},
{
"Code": "GI001S1510",
"Display": "ABCESS DRAINAGE"
},
{
"Code": "GI002S1510",
"Display": "CATHETER RECHECK"
},
{
"Code": "GI003S1510",
"Display": "E.R.C.P."
},
{
"Code": "GI004S1510",
"Display": "POUCHOGRAM -GI"
},
{
"Code": "GI006S1510",
"Display": "FEEDING TUBE INSERTION"
},
{
"Code": "GIASP04000",
"Display": "GASTROESOPH ASPIRATION"
},
{
"Code": "GIBLE04000",
"Display": "GI BLEED, RBC, FLOW"
},
{
"Code": "GIEMP04000",
"Display": "GASTRIC EMPTYING"
},
{
"Code": "GIMEC04000",
"Display": "MECKELS"
},
{
"Code": "GIMECF4000",
"Display": "MECKELS, FLOW"
},
{
"Code": "GIREF04000",
"Display": "GASTROESOPH REFLUX, QU"
},
{
"Code": "GM051L1510",
"Display": "GMINICELBOW(2V)LT"
},
{
"Code": "GM051R1510",
"Display": "GMINICELBOW(2V)RT"
},
{
"Code": "GM052L1510",
"Display": "GMINICFOREARM(2V)LT"
},
{
"Code": "GM052R1510",
"Display": "GMINICFOREARM(2V)RT"
},
{
"Code": "GM053L1510",
"Display": "GMINICWRIST(2-3V) LT"
},
{
"Code": "GM053R1510",
"Display": "GMINICWRIST(2-3V) RT"
},
{
"Code": "GM054L1510",
"Display": "GMINICHAND(2-3V) LT"
},
{
"Code": "GM054R1510",
"Display": "GMINICHAND(2-3V) RT"
},
{
"Code": "GM056L1510",
"Display": "GMINICFINGER/THUMB(2V)LT"
},
{
"Code": "GM056R1510",
"Display": "GMINICFINGER/THUMB(2V)RT"
},
{
"Code": "GM065L1510",
"Display": "GMINICKNEEINC.PAT(2V)LT"
},
{
"Code": "GM065R1510",
"Display": "GMINICKNEEINC.PAT(2V)RT"
},
{
"Code": "GM066L1510",
"Display": "GMINICTIBFIB(2-3V)LT"
},
{
"Code": "GM066R1510",
"Display": "GMINICTIBFIB(2-3V)RT"
},
{
"Code": "GM067L1510",
"Display": "GMINICANKLE(2-3V)LT"
},
{
"Code": "GM067R1510",
"Display": "GMINICANKLE(2-3V)RT"
},
{
"Code": "GM069L1510",
"Display": "GMINIC FOOT(2-3)LT"
},
{
"Code": "GM069R1510",
"Display": "GMINIC FOOT(2-3V)RT"
},
{
"Code": "GM072L1510",
"Display": "GMINICTOE(2-3V)LT"
},
{
"Code": "GM072R1510",
"Display": "GMINICTOE(2-3V)RT"
},
{
"Code": "GMRABD7010",
"Display": "MRI ABDOMEN"
},
{
"Code": "GMRCAR7010",
"Display": "MRI CARDIAC"
},
{
"Code": "GMREXE7010",
"Display": "MRI EXTREMITY"
},
{
"Code": "GMRHEA7010",
"Display": "MRI HEAD"
},
{
"Code": "GMRNEC7010",
"Display": "MRI NECK"
},
{
"Code": "GMRPEL7010",
"Display": "MRI PELVIS"
},
{
"Code": "GMRSPI7010",
"Display": "MRI SPINE"
},
{
"Code": "GMRTHO7010",
"Display": "MRI THORAX"
},
{
"Code": "GRAFT03099",
"Display": "GRAFT STUDY"
},
{
"Code": "GSVSHS1510",
"Display": "SV SHUNT SURVEY"
},
{
"Code": "GU00011510",
"Display": "GU TUBE INSERTION/CHANGE"
},
{
"Code": "GU00021510",
"Display": "GU TUBE CHECK"
},
{
"Code": "GU001S1510",
"Display": "VIDEO-URODYNAMICS"
},
{
"Code": "GU003S1510",
"Display": "POUCHOGRAM - GU"
},
{
"Code": "GU004G1510",
"Display": "IVP / TOMO"
},
{
"Code": "GXRABD1510",
"Display": "ACUTE ABDO SERIES"
},
{
"Code": "GXRSBC1510",
"Display": "SMALL BOWEL CHALLENGE"
},
{
"Code": "GYN0021510",
"Display": "VAGINOGRAM"
},
{
"Code": "H001A01510",
"Display": "SKULL (4V)"
},
{
"Code": "H003A01510",
"Display": "SELLA TURCICA"
},
{
"Code": "H004A01510",
"Display": "FACIAL BONES (3V)"
},
{
"Code": "H005A01510",
"Display": "NOSE MIN. (2V)"
},
{
"Code": "H007A01510",
"Display": "TM JOINTS"
},
{
"Code": "H008A01510",
"Display": "SINUSES MIN. (3V)"
},
{
"Code": "H009A01510",
"Display": "SKULL (5+V)"
},
{
"Code": "H010A01510",
"Display": "MASTOIDS BIL. (6V)"
},
{
"Code": "H011A01510",
"Display": "INT.AUD.MEATI"
},
{
"Code": "H016AL1510",
"Display": "LT EYE-FOREIGN BODY"
},
{
"Code": "H016AR1510",
"Display": "RT EYE-FOREIGN BODY"
},
{
"Code": "H017AL1510",
"Display": "LT EYE, LOCAL-ADD"
},
{
"Code": "H017AR1510",
"Display": "RT EYE, LOCAL-ADD"
},
{
"Code": "H018A01510",
"Display": "OPTIC FORAMINA"
},
{
"Code": "H019A01510",
"Display": "SALVARY GLAND"
},
{
"Code": "H020A01510",
"Display": "NECK/SOFT TISS"
},
{
"Code": "H025A01510",
"Display": "C-SPINE (2-3V)"
},
{
"Code": "H028A01510",
"Display": "LS SPINE (2-3V)"
},
{
"Code": "H031A01510",
"Display": "ENTIRE SPINE (2+V)"
},
{
"Code": "H033A01510",
"Display": "ENTIRE SPINE (LONG FILM)"
},
{
"Code": "H034A01510",
"Display": "SACRUM/COCCYX (2V)"
},
{
"Code": "H035A01510",
"Display": "SI JNTS. (2-3V)"
},
{
"Code": "H036A01510",
"Display": "PELVIS (HIP) 1V"
},
{
"Code": "H037A01510",
"Display": "PELVIS (HIP) 2V"
},
{
"Code": "H038A01510",
"Display": "PELVIS (HIP) 3+V"
},
{
"Code": "H039AL1510",
"Display": "LT RIBS (2+V)"
},
{
"Code": "H039AR1510",
"Display": "RT RIBS (2+V)"
},
{
"Code": "H040A01510",
"Display": "STERNUM (2+V)"
},
{
"Code": "H045AL1510",
"Display": "LT CLAVICLE (2V)"
},
{
"Code": "H045AR1510",
"Display": "RT CLAVICLE (2V)"
},
{
"Code": "H046A01510",
"Display": "AC JNTS BIL 2"
},
{
"Code": "H047A01510",
"Display": "SC. JNTS. BIL (2-3V)"
},
{
"Code": "H048AL1510",
"Display": "LT SHOULDER (2V)"
},
{
"Code": "H048AR1510",
"Display": "RT SHOULDER (2V)"
},
{
"Code": "H049AL1510",
"Display": "LT SCAPULA (2V)"
},
{
"Code": "H049AR1510",
"Display": "RT SCAPULA (2V)"
},
{
"Code": "H050AL1510",
"Display": "LT HUMERUS-1JNT-2V"
},
{
"Code": "H050AR1510",
"Display": "RT HUMERUS-1JNT-2V"
},
{
"Code": "H051AL1510",
"Display": "LT ELBOW 2 VIEWS"
},
{
"Code": "H051AR1510",
"Display": "RT ELBOW 2 VIEWS"
},
{
"Code": "H052AL1510",
"Display": "LT FOREARM (2V)"
},
{
"Code": "H052AR1510",
"Display": "RT FOREARM (2V)"
},
{
"Code": "H053AL1510",
"Display": "LT WRIST (2-3V)"
},
{
"Code": "H053AR1510",
"Display": "RT WRIST (2-3V)"
},
{
"Code": "H054AL1510",
"Display": "LT HAND (2-3V)"
},
{
"Code": "H054AR1510",
"Display": "RT HAND (2-3V)"
},
{
"Code": "H055AL1510",
"Display": "LT WRIST-HAND (2-3V)"
},
{
"Code": "H055AR1510",
"Display": "RT WRIST-HAND (2-3V)"
},
{
"Code": "H056AL1510",
"Display": "LT FINGER/THUMB 2V"
},
{
"Code": "H056AR1510",
"Display": "RT FINGER/THUMB 2V"
},
{
"Code": "H057A01510",
"Display": "S.SURV.BONE 1"
},
{
"Code": "H058A01510",
"Display": "S.SURV.BONE 2>"
},
{
"Code": "H060AL1510",
"Display": "LT HIP-UNILAT (2+V)"
},
{
"Code": "H060AR1510",
"Display": "RT HIP-UNILAT (2+V)"
},
{
"Code": "H063AL1510",
"Display": "LT FEMUR INC 1JNT2"
},
{
"Code": "H063AR1510",
"Display": "RT FEMUR INC 1JNT2"
},
{
"Code": "H065AL1510",
"Display": "LT KNEE INC.PAT. (2V)"
},
{
"Code": "H065AR1510",
"Display": "RT KNEE INC.PAT. (2V)"
},
{
"Code": "H066AL1510",
"Display": "LT TIB/FIB.JNT (2V)"
},
{
"Code": "H066AR1510",
"Display": "RT TIB/FIB.JNT (2V)"
},
{
"Code": "H067AL1510",
"Display": "LT ANKLE (2-3V)"
},
{
"Code": "H067AR1510",
"Display": "RT ANKLE (2-3V)"
},
{
"Code": "H068AL1510",
"Display": "LT CALCANEUS (2V)"
},
{
"Code": "H068AR1510",
"Display": "RT CALCANEUS (2V)"
},
{
"Code": "H069AL1510",
"Display": "LT FOOT (2-3V)"
},
{
"Code": "H069AR1510",
"Display": "RT FOOT (2-3V)"
},
{
"Code": "H072AL1510",
"Display": "LT TOE (2V)"
},
{
"Code": "H072AR1510",
"Display": "RT TOE (2V)"
},
{
"Code": "H080A01510",
"Display": "SKEL. SURV. BASIC"
},
{
"Code": "H081111510",
"Display": "SKEL. SURV.CA"
},
{
"Code": "H081A51510",
"Display": "SKEL. SURV. RHEUM"
},
{
"Code": "H081A71510",
"Display": "SKEL. SURV. RENAL"
},
{
"Code": "H090A01510",
"Display": "CHEST 1V"
},
{
"Code": "H091A01510",
"Display": "CHEST 2V"
},
{
"Code": "H092A01510",
"Display": "CHEST 3V"
},
{
"Code": "H096A01510",
"Display": "THORACIC INLET (2+V)"
},
{
"Code": "H100A01510",
"Display": "ABD. SINGLE"
},
{
"Code": "H101A01510",
"Display": "ABD 2 > / KUB"
},
{
"Code": "H104A01510",
"Display": "GI DOUBLE CONTRAST"
},
{
"Code": "H105A01510",
"Display": "SWALLOWING STUDY"
},
{
"Code": "H107A01510",
"Display": "OESOPHAGUS"
},
{
"Code": "H109A01510",
"Display": "OES.STOM. SB"
},
{
"Code": "H111A01510",
"Display": "SMALL BOWEL"
},
{
"Code": "H112A01510",
"Display": "BE SINGLE CONTRAST"
},
{
"Code": "H113A01510",
"Display": "BE AIR CONTRAST"
},
{
"Code": "H114A01510",
"Display": "GALLBLADDER"
},
{
"Code": "H116A01510",
"Display": "T-TUBE CHOL."
},
{
"Code": "H130A01510",
"Display": "IVP INC. SCOUT"
},
{
"Code": "H131A01510",
"Display": "CYSTO - URETHRO."
},
{
"Code": "H135A01510",
"Display": "CYSTO - VOID/STRE"
},
{
"Code": "H137A01510",
"Display": "CYSTO (CATHETER)"
},
{
"Code": "H158A01510",
"Display": "BRONCH-UNILAT"
},
{
"Code": "H159A01510",
"Display": "BRONCH-BILAT"
},
{
"Code": "H167A01510",
"Display": "SINO./FIST."
},
{
"Code": "H174A01510",
"Display": "VENOGRAM-UNI"
},
{
"Code": "H195A01510",
"Display": "FLUORO / CHEST"
},
{
"Code": "H197A01510",
"Display": "FLUORO / ABD"
},
{
"Code": "H202A01510",
"Display": "C-SPINE (4-5V)"
},
{
"Code": "H203A01510",
"Display": "C-SPINE (6+V)"
},
{
"Code": "H204A01510",
"Display": "T-SPINE (3+V)"
},
{
"Code": "H205A01510",
"Display": "LS SPINE (4-5V)"
},
{
"Code": "H206A01510",
"Display": "LS SPINE (6+V)"
},
{
"Code": "H207A01510",
"Display": "SACRUM/COCCYX (3V)"
},
{
"Code": "H208A01510",
"Display": "SI JNTS. (4+V)"
},
{
"Code": "H209AL1510",
"Display": "LT CLAVICLE (3+V)"
},
{
"Code": "H209AR1510",
"Display": "RT CLAVICLE (3+V)"
},
{
"Code": "H210A01510",
"Display": "AC JNTS BIL 3>"
},
{
"Code": "H211A01510",
"Display": "SC. JNTS. BIL (4+V)"
},
{
"Code": "H212AL1510",
"Display": "LT SHOULDER (3+V)"
},
{
"Code": "H212AR1510",
"Display": "RT SHOULDER (3+V)"
},
{
"Code": "H213AL1510",
"Display": "LT SCAPULA (3+V)"
},
{
"Code": "H213AR1510",
"Display": "RT SCAPULA (3+V)"
},
{
"Code": "H214AL1510",
"Display": "LT HUMERUS-JNT-3+V"
},
{
"Code": "H214AR1510",
"Display": "RT HUMERUS-JNT-3+V"
},
{
"Code": "H215AL1510",
"Display": "LT ELBOW 3 OR 4"
},
{
"Code": "H215AR1510",
"Display": "RT ELBOW 3 OR 4"
},
{
"Code": "H216AL1510",
"Display": "LT ELBOW 5 OR >"
},
{
"Code": "H216AR1510",
"Display": "RT ELBOW 5 OR >"
},
{
"Code": "H217AL1510",
"Display": "LT FOREARM (3+V)"
},
{
"Code": "H217AR1510",
"Display": "RT FOREARM (3+V)"
},
{
"Code": "H218AL1510",
"Display": "LT WRIST (4+V)"
},
{
"Code": "H218AR1510",
"Display": "RT WRIST (4+V)"
},
{
"Code": "H219AL1510",
"Display": "LT HAND (4+V)"
},
{
"Code": "H219AR1510",
"Display": "RT HAND (4+V)"
},
{
"Code": "H220AL1510",
"Display": "LT WRIST-HAND (4+V)"
},
{
"Code": "H220AR1510",
"Display": "RT WRIST-HAND (4+V)"
},
{
"Code": "H221AL1510",
"Display": "LT FINGER/THUMB 3+V"
},
{
"Code": "H221AR1510",
"Display": "RT FINGER/THUMB 3+V"
},
{
"Code": "H223AL1510",
"Display": "LT FEMUR INCL 1JNT3"
},
{
"Code": "H223AR1510",
"Display": "RT FEMUR INCL 1JNT3"
},
{
"Code": "H224AL1510",
"Display": "LT KNEE INC.PAT. (3-4V)"
},
{
"Code": "H224AR1510",
"Display": "RT KNEE INC.PAT.(3-4V)"
},
{
"Code": "H225AL1510",
"Display": "LT KNEE INC.PAT. (5+V)"
},
{
"Code": "H225AR1510",
"Display": "RT KNEE INC.PAT. (5+V)"
},
{
"Code": "H226AL1510",
"Display": "LT TIB/FIB.JNT (3+V)"
},
{
"Code": "H226AR1510",
"Display": "RT TIB/FIB.JNT (3+V)"
},
{
"Code": "H227AL1510",
"Display": "LT ANKLE (4+V)"
},
{
"Code": "H227AR1510",
"Display": "RT ANKLE (4+V)"
},
{
"Code": "H228AL1510",
"Display": "LT CALCANEUS (3+V)"
},
{
"Code": "H228AR1510",
"Display": "RT CALCANEUS (3+V)"
},
{
"Code": "H229AL1510",
"Display": "LT FOOT (4+V)"
},
{
"Code": "H229AR1510",
"Display": "RT FOOT (4+V)"
},
{
"Code": "H230AL1510",
"Display": "LT TOE (3+V)"
},
{
"Code": "H230AR1510",
"Display": "RT TOE (3+V)"
},
{
"Code": "HALS107000",
"Display": "MRI LT HAND 1S"
},
{
"Code": "HALS107010",
"Display": "MRI LT HAND 1S"
},
{
"Code": "HALS1E7000",
"Display": "MRI LT HAND 1SE"
},
{
"Code": "HALS1E7010",
"Display": "MRI LT HAND 1SE"
},
{
"Code": "HALS207000",
"Display": "MRI LT HAND 2S"
},
{
"Code": "HALS207010",
"Display": "MRI LT HAND 2S"
},
{
"Code": "HALS2E7000",
"Display": "MRI LT HAND 2SE"
},
{
"Code": "HALS2E7010",
"Display": "MRI LT HAND 2SE"
},
{
"Code": "HALS307000",
"Display": "MRI LT HAND 3S"
},
{
"Code": "HALS307010",
"Display": "MRI LT HAND 3S"
},
{
"Code": "HALS3E7000",
"Display": "MRI LT HAND 3SE"
},
{
"Code": "HALS3E7010",
"Display": "MRI LT HAND 3SE"
},
{
"Code": "HALS407000",
"Display": "MRI LT HAND 4S"
},
{
"Code": "HALS407010",
"Display": "MRI LT HAND 4S"
},
{
"Code": "HALS4E7000",
"Display": "MRI LT HAND 4SE"
},
{
"Code": "HALS4E7010",
"Display": "MRI LT HAND 4SE"
},
{
"Code": "HALS507000",
"Display": "MRI LT HAND 5S"
},
{
"Code": "HALS507010",
"Display": "MRI LT HAND 5S"
},
{
"Code": "HALS5E7000",
"Display": "MRI LT HAND 5SE"
},
{
"Code": "HALS5E7010",
"Display": "MRI LT HAND 5SE"
},
{
"Code": "HALS607000",
"Display": "MRI LT HAND 6+S"
},
{
"Code": "HALS607010",
"Display": "MRI LT HAND 6+S"
},
{
"Code": "HALS6E7000",
"Display": "MRI LT HAND 6+SE"
},
{
"Code": "HALS6E7010",
"Display": "MRI LT HAND 6+SE"
},
{
"Code": "HARS107000",
"Display": "MRI RT HAND 1S"
},
{
"Code": "HARS107010",
"Display": "MRI RT HAND 1S"
},
{
"Code": "HARS1E7000",
"Display": "MRI RT HAND 1SE"
},
{
"Code": "HARS1E7010",
"Display": "MRI RT HAND 1SE"
},
{
"Code": "HARS207000",
"Display": "MRI RT HAND 2S"
},
{
"Code": "HARS207010",
"Display": "MRI RT HAND 2S"
},
{
"Code": "HARS2E7000",
"Display": "MRI RT HAND 2SE"
},
{
"Code": "HARS2E7010",
"Display": "MRI RT HAND 2SE"
},
{
"Code": "HARS307000",
"Display": "MRI RT HAND 3S"
},
{
"Code": "HARS307010",
"Display": "MRI RT HAND 3S"
},
{
"Code": "HARS3E7000",
"Display": "MRI RT HAND 3SE"
},
{
"Code": "HARS3E7010",
"Display": "MRI RT HAND 3SE"
},
{
"Code": "HARS407000",
"Display": "MRI RT HAND 4S"
},
{
"Code": "HARS407010",
"Display": "MRI RT HAND 4S"
},
{
"Code": "HARS4E7000",
"Display": "MRI RT HAND 4SE"
},
{
"Code": "HARS4E7010",
"Display": "MRI RT HAND 4SE"
},
{
"Code": "HARS507000",
"Display": "MRI RT HAND 5S"
},
{
"Code": "HARS507010",
"Display": "MRI RT HAND 5S"
},
{
"Code": "HARS5E7000",
"Display": "MRI RT HAND 5SE"
},
{
"Code": "HARS5E7010",
"Display": "MRI RT HAND 5SE"
},
{
"Code": "HARS607000",
"Display": "MRI RT HAND 6+S"
},
{
"Code": "HARS607010",
"Display": "MRI RT HAND 6+S"
},
{
"Code": "HARS6E7000",
"Display": "MRI RT HAND 6+SE"
},
{
"Code": "HARS6E7010",
"Display": "MRI RT HAND 6+SE"
},
{
"Code": "HCHKA01510",
"Display": "CHEST KAO "
},
{
"Code": "HCMPNC2500",
"Display": "CT MSK PELVIS W/O CONTRAST"
},
{
"Code": "HCMSIJ2500",
"Display": "CT MSK SI JOINTS W/O CONTRAST"
},
{
"Code": "HCTANL2500",
"Display": "CT MSK ANKLE LT "
},
{
"Code": "HCTANR2500",
"Display": "CT MSK ANKLE RT "
},
{
"Code": "HCTELL2500",
"Display": "CT MSK ELBOW LT "
},
{
"Code": "HCTELR2500",
"Display": "CT MSK ELBOW RT "
},
{
"Code": "HCTENB2500",
"Display": "CT ENTEROGRAPHY B"
},
{
"Code": "HCTENB2500",
"Display": "CT ENTEROGRAPHY B"
},
{
"Code": "HCTENC2500",
"Display": "CT ENTEROGRAPHY C"
},
{
"Code": "HCTENC2500",
"Display": "CT ENTEROGRAPHY C"
},
{
"Code": "HCTENN2500",
"Display": "CT ENTEROGRAPHY NC"
},
{
"Code": "HCTENN2500",
"Display": "CT ENTEROGRAPHY NC"
},
{
"Code": "HCTFAN2500",
"Display": "CT ENT FACIAL BONES NC"
},
{
"Code": "HCTFML2500",
"Display": "CT MSK FEMUR LT "
},
{
"Code": "HCTFMR2500",
"Display": "CT MSK FEMUR RT "
},
{
"Code": "HCTFOL2500",
"Display": "CT MSK FOREARM LT "
},
{
"Code": "HCTFOR2500",
"Display": "CT MSK FOREARM RT "
},
{
"Code": "HCTFTL2500",
"Display": "CT MSK FOOT LT "
},
{
"Code": "HCTFTR2500",
"Display": "CT MSK FOOT RT "
},
{
"Code": "HCTHIR2500",
"Display": "CT THORAX HI RES W/O CONTRAST"
},
{
"Code": "HCTHNL2500",
"Display": "CT MSK HAND LT "
},
{
"Code": "HCTHNR2500",
"Display": "CT MSK HAND RT "
},
{
"Code": "HCTJOL2500",
"Display": "CT MSK A/C JOINT LT"
},
{
"Code": "HCTJOR2500",
"Display": "CT MSK A/C JOINT RT"
},
{
"Code": "HCTKNL2500",
"Display": "CT MSK KNEE LT "
},
{
"Code": "HCTKNR2500",
"Display": "CT MSK KNEE RT "
},
{
"Code": "HCTORC2500",
"Display": "CT ENT ORBITS C"
},
{
"Code": "HCTORN2500",
"Display": "CT ENT ORBITS NC"
},
{
"Code": "HCTPEC2500",
"Display": "CT MSK PELVIS W/O CONTRAST"
},
{
"Code": "HCTSHL2500",
"Display": "CT MSK SHOULDER LT"
},
{
"Code": "HCTSHR2500",
"Display": "CT MSK SHOULDER RT"
},
{
"Code": "HCTSIC2500",
"Display": "CT ENT SINUS C"
},
{
"Code": "HCTSIN2500",
"Display": "CT ENT SINUS NC"
},
{
"Code": "HCTTBN2500",
"Display": "CT ENT T BONES NC"
},
{
"Code": "HCTTMJ2500",
"Display": "CT ENT TMJ BIL"
},
{
"Code": "HCTVTB2500",
"Display": "CT VASCULAR THOR B"
},
{
"Code": "HCTWRL2500",
"Display": "CT MSK WRIST LT "
},
{
"Code": "HCTWRR2500",
"Display": "CT MSK WRIST RT "
},
{
"Code": "HDS1EG7000",
"Display": "MRI BRAIN 1S E GATED"
},
{
"Code": "HDS1EG7010",
"Display": "MRI BRAIN 1S E GATED"
},
{
"Code": "HDS2EG7000",
"Display": "MRI BRAIN 2S E GATED"
},
{
"Code": "HDS2EG7010",
"Display": "MRI BRAIN 2S E GATED"
},
{
"Code": "HDS3EG7000",
"Display": "MRI BRAIN 3S E GATED"
},
{
"Code": "HDS3EG7010",
"Display": "MRI BRAIN 3S E GATED"
},
{
"Code": "HDS4EG7000",
"Display": "MRI BRAIN 4S E GATED"
},
{
"Code": "HDS4EG7010",
"Display": "MRI BRAIN 4S E GATED"
},
{
"Code": "HDS5EG7000",
"Display": "MRI BRAIN 5S E GATED"
},
{
"Code": "HDS5EG7010",
"Display": "MRI BRAIN 5S E GATED"
},
{
"Code": "HDS6EG7000",
"Display": "MRI BRAIN 6+S E GATED"
},
{
"Code": "HDS6EG7010",
"Display": "MRI BRAIN 6+S E GATED"
},
{
"Code": "HDSE107000",
"Display": "MRI BRAIN 1S"
},
{
"Code": "HDSE107010",
"Display": "MRI BRAIN 1S"
},
{
"Code": "HDSE1E7000",
"Display": "MRI BRAIN 1S E"
},
{
"Code": "HDSE1E7010",
"Display": "MRI BRAIN 1S E"
},
{
"Code": "HDSE1G7000",
"Display": "MRI BRAIN 1S GATED"
},
{
"Code": "HDSE207000",
"Display": "MRI BRAIN 2S"
},
{
"Code": "HDSE207010",
"Display": "MRI BRAIN 2S"
},
{
"Code": "HDSE2E7000",
"Display": "MRI BRAIN 2S E"
},
{
"Code": "HDSE2E7010",
"Display": "MRI BRAIN 2S E"
},
{
"Code": "HDSE2G7000",
"Display": "MRI BRAIN 2S GATED"
},
{
"Code": "HDSE2G7010",
"Display": "MRI BRAIN 2S GATED"
},
{
"Code": "HDSE307000",
"Display": "MRI BRAIN 3S"
},
{
"Code": "HDSE307010",
"Display": "MRI BRAIN 3S"
},
{
"Code": "HDSE3E7000",
"Display": "MRI BRAIN 3S E"
},
{
"Code": "HDSE3E7010",
"Display": "MRI BRAIN 3S E"
},
{
"Code": "HDSE3G7000",
"Display": "MRI BRAIN 3S GATED"
},
{
"Code": "HDSE3G7010",
"Display": "MRI BRAIN 3S GATED "
},
{
"Code": "HDSE407000",
"Display": "MRI BRAIN 4S"
},
{
"Code": "HDSE407010",
"Display": "MRI BRAIN 4S"
},
{
"Code": "HDSE4E7000",
"Display": "MRI BRAIN 4S E"
},
{
"Code": "HDSE4E7010",
"Display": "MRI BRAIN 4S E"
},
{
"Code": "HDSE4G7000",
"Display": "MRI BRAIN 4S GATED"
},
{
"Code": "HDSE4G7010",
"Display": "MRI BRAIN 4S GATED"
},
{
"Code": "HDSE507000",
"Display": "MRI BRAIN 5S"
},
{
"Code": "HDSE507010",
"Display": "MRI BRAIN 5S"
},
{
"Code": "HDSE5E7000",
"Display": "MRI BRAIN 5S E"
},
{
"Code": "HDSE5E7010",
"Display": "MRI BRAIN 5S E"
},
{
"Code": "HDSE5G7000",
"Display": "MRI BRAIN 5S GATED"
},
{
"Code": "HDSE5G7010",
"Display": "MRI BRAIN 5S GATED"
},
{
"Code": "HDSE607000",
"Display": "MRI BRAIN 6+S"
},
{
"Code": "HDSE607010",
"Display": "MRI BRAIN 6+S"
},
{
"Code": "HDSE6E7000",
"Display": "MRI BRAIN 6+S E"
},
{
"Code": "HDSE6E7010",
"Display": "MRI BRAIN 6+S E"
},
{
"Code": "HDSE6G7000",
"Display": "MRI BRAIN 6+S GATED"
},
{
"Code": "HDSE6G7010",
"Display": "MRI BRAIN 6+S GATED"
},
{
"Code": "HIGA2B1510",
"Display": "BIL ANKLE (2-3V)"
},
{
"Code": "HIGA4B1510",
"Display": "BIL ANKLE (4+V)"
},
{
"Code": "HIGC2B1510",
"Display": "BIL WRIST-HAND (2-3V)"
},
{
"Code": "HIGC4B1510",
"Display": "BIL WRIST-HAND (4+V)"
},
{
"Code": "HIGEFB1510",
"Display": "EYE-FOREIGN BODY"
},
{
"Code": "HIGF2B1510",
"Display": "BIL FOOT (2-3V)"
},
{
"Code": "HIGF4B1510",
"Display": "BIL FOOT (4+V)"
},
{
"Code": "HIGH2B1510",
"Display": "BIL HAND (2-3V)"
},
{
"Code": "HIGH4B1510",
"Display": "BIL HAND (4+V)"
},
{
"Code": "HIGW2B1510",
"Display": "BIL WRIST (2-3V)"
},
{
"Code": "HIGW4B1510",
"Display": "BIL WRIST (4+V)"
},
{
"Code": "HILS107000",
"Display": "MRI LT HIP 1S"
},
{
"Code": "HILS107010",
"Display": "MRI LT HIP 1S"
},
{
"Code": "HILS1E7000",
"Display": "MRI LT HIP 1SE"
},
{
"Code": "HILS1E7010",
"Display": "MRI LT HIP 1SE"
},
{
"Code": "HILS207000",
"Display": "MRI LT HIP 2S"
},
{
"Code": "HILS207010",
"Display": "MRI LT HIP 2S"
},
{
"Code": "HILS2E7000",
"Display": "MRI LT HIP 2SE"
},
{
"Code": "HILS2E7010",
"Display": "MRI LT HIP 2SE"
},
{
"Code": "HILS307000",
"Display": "MRI LT HIP 3S"
},
{
"Code": "HILS307010",
"Display": "MRI LT HIP 3S"
},
{
"Code": "HILS3E7000",
"Display": "MRI LT HIP 3SE"
},
{
"Code": "HILS3E7010",
"Display": "MRI LT HIP 3SE"
},
{
"Code": "HILS407000",
"Display": "MRI LT HIP 4S"
},
{
"Code": "HILS407010",
"Display": "MRI LT HIP 4S"
},
{
"Code": "HILS4E7000",
"Display": "MRI LT HIP 4SE"
},
{
"Code": "HILS4E7010",
"Display": "MRI LT HIP 4SE"
},
{
"Code": "HILS507000",
"Display": "MRI LT HIP 5S"
},
{
"Code": "HILS507010",
"Display": "MRI LT HIP 5S"
},
{
"Code": "HILS5E7000",
"Display": "MRI LT HIP 5SE"
},
{
"Code": "HILS5E7010",
"Display": "MRI LT HIP 5SE"
},
{
"Code": "HILS607000",
"Display": "MRI LT HIP 6+S"
},
{
"Code": "HILS607010",
"Display": "MRI LT HIP 6+S"
},
{
"Code": "HILS6E7000",
"Display": "MRI LT HIP 6+SE"
},
{
"Code": "HILS6E7010",
"Display": "MRI LT HIP 6+SE"
},
{
"Code": "HIMAN31510",
"Display": "MANDIBLE 3 VIEWS"
},
{
"Code": "HIRS107000",
"Display": "MRI RT HIP 1S"
},
{
"Code": "HIRS107010",
"Display": "MRI RT HIP 1S"
},
{
"Code": "HIRS1E7000",
"Display": "MRI RT HIP 1SE"
},
{
"Code": "HIRS1E7010",
"Display": "MRI RT HIP 1SE"
},
{
"Code": "HIRS207000",
"Display": "MRI RT HIP 2S"
},
{
"Code": "HIRS207010",
"Display": "MRI RT HIP 2S"
},
{
"Code": "HIRS2E7000",
"Display": "MRI RT HIP 2SE"
},
{
"Code": "HIRS2E7010",
"Display": "MRI RT HIP 2SE"
},
{
"Code": "HIRS307000",
"Display": "MRI RT HIP 3S"
},
{
"Code": "HIRS307010",
"Display": "MRI RT HIP 3S"
},
{
"Code": "HIRS3E7000",
"Display": "MRI RT HIP 3SE"
},
{
"Code": "HIRS3E7010",
"Display": "MRI RT HIP 3SE"
},
{
"Code": "HIRS407000",
"Display": "MRI RT HIP 4S"
},
{
"Code": "HIRS407010",
"Display": "MRI RT HIP 4S"
},
{
"Code": "HIRS4E7000",
"Display": "MRI RT HIP 4SE"
},
{
"Code": "HIRS4E7010",
"Display": "MRI RT HIP 4SE"
},
{
"Code": "HIRS507000",
"Display": "MRI RT HIP 5S"
},
{
"Code": "HIRS507010",
"Display": "MRI RT HIP 5S"
},
{
"Code": "HIRS5E7000",
"Display": "MRI RT HIP 5SE"
},
{
"Code": "HIRS5E7010",
"Display": "MRI RT HIP 5SE"
},
{
"Code": "HIRS607000",
"Display": "MRI RT HIP 6+S"
},
{
"Code": "HIRS607010",
"Display": "MRI RT HIP 6+S"
},
{
"Code": "HIRS6E7000",
"Display": "MRI RT HIP 6+SE"
},
{
"Code": "HIRS6E7010",
"Display": "MRI RT HIP 6+SE"
},
{
"Code": "HMRSUP7010",
"Display": "SUPP CARDIAC MRI REPORT"
},
{
"Code": "HORFAB1510",
"Display": "OR FLUORO ABDOMINAL"
},
{
"Code": "HORFCH1510",
"Display": "OR FLUORO CHEST"
},
{
"Code": "HORPAL1510",
"Display": "OR PERI ANGIO (UNI) LT"
},
{
"Code": "HORPAR1510",
"Display": "OR PERI ANGIO (UNI) RT"
},
{
"Code": "HORVSC1510",
"Display": "OR VASC. STENT"
},
{
"Code": "HPBLBS2015",
"Display": "OBSP HAMPTON PARK BILATERAL"
},
{
"Code": "HPBLHR2015",
"Display": "OBSP HAMPTON PARK BIL HI RISK"
},
{
"Code": "HPTCOL9920",
"Display": "PET COLORECTAL CANCER"
},
{
"Code": "HPTESO9920",
"Display": "PET ESOPHAGEAL CANCER"
},
{
"Code": "HPTGER9920",
"Display": "PET GERM CELL CANCER"
},
{
"Code": "HPTHLY9920",
"Display": "PET HODGKIN LYMPHOMA"
},
{
"Code": "HPTLYM9920",
"Display": "PET PRE-TREAT LYMPHOMA"
},
{
"Code": "HPTNHL9920",
"Display": "PET NON-HODGKIN LYMPHOMA"
},
{
"Code": "HPTNSC9920",
"Display": "PET NON-SMALL CELL LUNG CANCER"
},
{
"Code": "HPTSCL9920",
"Display": "PET SMALL CELL LUNG CANCER"
},
{
"Code": "HPTSPN9920",
"Display": "PET SOLITARY PULMONARY NODULE"
},
{
"Code": "HPTTHY9920",
"Display": "PET THYROID CANCER"
},
{
"Code": "HPULBS2015",
"Display": "OBSP HAMPTON PARK UNILATERAL"
},
{
"Code": "HPULHR2015",
"Display": "OBSP HAMPTON PARK UNI HI RISK"
},
{
"Code": "HRLCS12500",
"Display": "CT HighRiskLungCancerScreen"
},
{
"Code": "HRT0014000",
"Display": "CARDIAC PERFUSION"
},
{
"Code": "HRT0024000",
"Display": "CARDIAC PERFUSION, EF"
},
{
"Code": "HRT0034000",
"Display": "CARDIAC REST, STRESS, EF"
},
{
"Code": "HRT0044000",
"Display": "CARDIAC REST (P2)"
},
{
"Code": "HRT0054000",
"Display": "CARDIAC, STRESS, LVEF(P2)"
},
{
"Code": "HRT0064000",
"Display": "CARDIAC REST,STRESS,LVEF(P2)"
},
{
"Code": "HSHUNT4000",
"Display": "RIGHT-LEFT SHUNT"
},
{
"Code": "HULS107000",
"Display": "MRI LT HUMERUS 1S"
},
{
"Code": "HULS107010",
"Display": "MRI LT HUMERUS 1S"
},
{
"Code": "HULS1E7000",
"Display": "MRI LT HUMERUS 1SE"
},
{
"Code": "HULS1E7010",
"Display": "MRI LT HUMERUS 1SE"
},
{
"Code": "HULS207000",
"Display": "MRI LT HUMERUS 2S"
},
{
"Code": "HULS207010",
"Display": "MRI LT HUMERUS 2S"
},
{
"Code": "HULS2E7000",
"Display": "MRI LT HUMERUS 2SE"
},
{
"Code": "HULS2E7010",
"Display": "MRI LT HUMERUS 2SE"
},
{
"Code": "HULS307000",
"Display": "MRI LT HUMERUS 3S"
},
{
"Code": "HULS307010",
"Display": "MRI LT HUMERUS 3S"
},
{
"Code": "HULS3E7000",
"Display": "MRI LT HUMERUS 3SE"
},
{
"Code": "HULS3E7010",
"Display": "MRI LT HUMERUS 3SE"
},
{
"Code": "HULS407000",
"Display": "MRI LT HUMERUS 4S"
},
{
"Code": "HULS407010",
"Display": "MRI LT HUMERUS 4S"
},
{
"Code": "HULS4E7000",
"Display": "MRI LT HUMERUS 4SE"
},
{
"Code": "HULS4E7010",
"Display": "MRI LT HUMERUS 4SE"
},
{
"Code": "HULS507000",
"Display": "MRI LT HUMERUS 5S"
},
{
"Code": "HULS507010",
"Display": "MRI LT HUMERUS 5S"
},
{
"Code": "HULS5E7000",
"Display": "MRI LT HUMERUS 5SE"
},
{
"Code": "HULS5E7010",
"Display": "MRI LT HUMERUS 5SE"
},
{
"Code": "HULS607000",
"Display": "MRI LT HUMERUS 6+S"
},
{
"Code": "HULS607010",
"Display": "MRI LT HUMERUS 6+S"
},
{
"Code": "HULS6E7000",
"Display": "MRI LT HUMERUS 6+SE"
},
{
"Code": "HULS6E7010",
"Display": "MRI LT HUMERUS 6+SE"
},
{
"Code": "HURS107000",
"Display": "MRI RT HUMERUS 1S"
},
{
"Code": "HURS107010",
"Display": "MRI RT HUMERUS 1S"
},
{
"Code": "HURS1E7000",
"Display": "MRI RT HUMERUS 1SE"
},
{
"Code": "HURS1E7010",
"Display": "MRI RT HUMERUS 1SE"
},
{
"Code": "HURS207000",
"Display": "MRI RT HUMERUS 2S"
},
{
"Code": "HURS207010",
"Display": "MRI RT HUMERUS 2S"
},
{
"Code": "HURS2E7000",
"Display": "MRI RT HUMERUS 2SE"
},
{
"Code": "HURS2E7010",
"Display": "MRI RT HUMERUS 2SE"
},
{
"Code": "HURS307000",
"Display": "MRI RT HUMERUS 3S"
},
{
"Code": "HURS307010",
"Display": "MRI RT HUMERUS 3S"
},
{
"Code": "HURS3E7000",
"Display": "MRI RT HUMERUS 3SE"
},
{
"Code": "HURS3E7010",
"Display": "MRI RT HUMERUS 3SE"
},
{
"Code": "HURS407000",
"Display": "MRI RT HUMERUS 4S"
},
{
"Code": "HURS407010",
"Display": "MRI RT HUMERUS 4S"
},
{
"Code": "HURS4E7000",
"Display": "MRI RT HUMERUS 4SE"
},
{
"Code": "HURS4E7010",
"Display": "MRI RT HUMERUS 4SE"
},
{
"Code": "HURS507000",
"Display": "MRI RT HUMERUS 5S"
},
{
"Code": "HURS507010",
"Display": "MRI RT HUMERUS 5S"
},
{
"Code": "HURS5E7000",
"Display": "MRI RT HUMERUS 5SE"
},
{
"Code": "HURS5E7010",
"Display": "MRI RT HUMERUS 5SE"
},
{
"Code": "HURS607000",
"Display": "MRI RT HUMERUS 6+S"
},
{
"Code": "HURS607010",
"Display": "MRI RT HUMERUS 6+S"
},
{
"Code": "HURS6E7000",
"Display": "MRI RT HUMERUS 6+SE"
},
{
"Code": "HURS6E7010",
"Display": "MRI RT HUMERUS 6+SE"
},
{
"Code": "IMG010000",
"Display": "XR ABDOMEN 1 VW"
},
{
"Code": "IMG010001",
"Display": "XR ABDOMEN 1 VW W CONTRAST "
},
{
"Code": "IMG010002",
"Display": "XR ABDOMEN 2 VW"
},
{
"Code": "IMG010003",
"Display": "XR ABDOMEN 2 VW W CHEST 1 VW"
},
{
"Code": "IMG010004",
"Display": "XR ABDOMEN 2 VW W CONTRAST "
},
{
"Code": "IMG010005",
"Display": "XR ABDOMEN LITHOTRIPSY"
},
{
"Code": "IMG010006",
"Display": "XR ACROMIOCLAVICULAR JOINTS 2 VW BILATERAL"
},
{
"Code": "IMG010007",
"Display": "XR ACROMIOCLAVICULAR JOINTS 2 VW LEFT"
},
{
"Code": "IMG010008",
"Display": "XR ACROMIOCLAVICULAR JOINTS 2 VW RIGHT"
},
{
"Code": "IMG010009",
"Display": "XR ACROMIOCLAVICULAR JOINTS 3 OR 4 VW BILATERAL"
},
{
"Code": "IMG010010",
"Display": "XR ACROMIOCLAVICULAR JOINTS 3 OR 4 VW LEFT"
},
{
"Code": "IMG010011",
"Display": "XR ACROMIOCLAVICULAR JOINTS 3 OR 4 VW RIGHT"
},
{
"Code": "IMG010012",
"Display": "XR ANKLE 2 OR 3 VW BILATERAL"
},
{
"Code": "IMG010013",
"Display": "XR ANKLE 2 OR 3 VW LEFT"
},
{
"Code": "IMG010014",
"Display": "XR ANKLE 2 OR 3 VW RIGHT"
},
{
"Code": "IMG010015",
"Display": "XR ANKLE 4+ VW BILATERAL"
},
{
"Code": "IMG010016",
"Display": "XR ANKLE 4+ VW LEFT"
},
{
"Code": "IMG010017",
"Display": "XR ANKLE 4+ VW RIGHT"
},
{
"Code": "IMG010018",
"Display": "XR ANKLES AND FEET BILATERAL"
},
{
"Code": "IMG010019",
"Display": "XR BONE AGE 1 VW"
},
{
"Code": "IMG010020",
"Display": "XR BONE AGE 2 VW"
},
{
"Code": "IMG010024",
"Display": "XR CALCANEUS 2 VW BILATERAL"
},
{
"Code": "IMG010025",
"Display": "XR CALCANEUS 2 VW LEFT"
},
{
"Code": "IMG010026",
"Display": "XR CALCANEUS 2 VW RIGHT"
},
{
"Code": "IMG010027",
"Display": "XR CALCANEUS 3+ VW BILATERAL"
},
{
"Code": "IMG010028",
"Display": "XR CALCANEUS 3+ VW LEFT"
},
{
"Code": "IMG010029",
"Display": "XR CALCANEUS 3+ VW RIGHT"
},
{
"Code": "IMG010030",
"Display": "XR CHEST 1 VW"
},
{
"Code": "IMG010031",
"Display": "XR CHEST 2 VW"
},
{
"Code": "IMG010032",
"Display": "XR CHEST 3+ VW"
},
{
"Code": "IMG010033",
"Display": "XR CHEST ABDOMEN 1 VW"
},
{
"Code": "IMG010034",
"Display": "XR CHEST ABDOMEN 2 VW"
},
{
"Code": "IMG010035",
"Display": "XR CHEST FOR KAO FEED INSERTION"
},
{
"Code": "IMG010036",
"Display": "XR CHEST STAFF"
},
{
"Code": "IMG010037",
"Display": "XR CHOLANGIOGRAM INTRAOPERATIVE"
},
{
"Code": "IMG010038",
"Display": "XR CLAVICLE 2 VW LEFT"
},
{
"Code": "IMG010039",
"Display": "XR CLAVICLE 2 VW RIGHT"
},
{
"Code": "IMG010040",
"Display": "XR CLAVICLE 2 VW BILATERAL"
},
{
"Code": "IMG010041",
"Display": "XR CLAVICLE 3 VW LEFT"
},
{
"Code": "IMG010042",
"Display": "XR CLAVICLE 3 VW RIGHT"
},
{
"Code": "IMG010044",
"Display": "XR ELBOW 2 VW BILATERAL"
},
{
"Code": "IMG010045",
"Display": "XR ELBOW 2 VW LEFT"
},
{
"Code": "IMG010046",
"Display": "XR ELBOW 2 VW RIGHT"
},
{
"Code": "IMG010047",
"Display": "XR ELBOW 3 OR 4 VW BILATERAL"
},
{
"Code": "IMG010048",
"Display": "XR ELBOW 3 OR 4 VW LEFT"
},
{
"Code": "IMG010049",
"Display": "XR ELBOW 3 OR 4 VW RIGHT"
},
{
"Code": "IMG010050",
"Display": "XR ELBOW 5+ VW LEFT"
},
{
"Code": "IMG010051",
"Display": "XR ELBOW 5+ VW RIGHT"
},
{
"Code": "IMG010052",
"Display": "XR FACIAL BONES 3+ VW"
},
{
"Code": "IMG010053",
"Display": "XR FEMUR 2 VW BILATERAL"
},
{
"Code": "IMG010054",
"Display": "XR FEMUR 2 VW LEFT"
},
{
"Code": "IMG010055",
"Display": "XR FEMUR 2 VW RIGHT"
},
{
"Code": "IMG010056",
"Display": "XR FEMUR 3+ VW LEFT"
},
{
"Code": "IMG010057",
"Display": "XR FEMUR 3+ VW RIGHT"
},
{
"Code": "IMG010058",
"Display": "XR FINGER 2 VW LEFT"
},
{
"Code": "IMG010059",
"Display": "XR FINGER 2 VW RIGHT"
},
{
"Code": "IMG010060",
"Display": "XR FINGER 3+ VW LEFT"
},
{
"Code": "IMG010061",
"Display": "XR FINGER 3+ VW RIGHT"
},
{
"Code": "IMG010062",
"Display": "XR FOOT 2 OR 3 VW BILATERAL"
},
{
"Code": "IMG010063",
"Display": "XR FOOT 2 OR 3 VW LEFT"
},
{
"Code": "IMG010064",
"Display": "XR FOOT 2 OR 3 VW RIGHT"
},
{
"Code": "IMG010065",
"Display": "XR FOOT 4+ VW BILATERAL"
},
{
"Code": "IMG010066",
"Display": "XR FOOT 4+ VW LEFT"
},
{
"Code": "IMG010067",
"Display": "XR FOOT 4+ VW RIGHT"
},
{
"Code": "IMG010068",
"Display": "XR FOREARM 2 VW BILATERAL"
},
{
"Code": "IMG010069",
"Display": "XR FOREARM 2 VW LEFT"
},
{
"Code": "IMG010070",
"Display": "XR FOREARM 2 VW RIGHT"
},
{
"Code": "IMG010071",
"Display": "XR FOREARM 3+ VW LEFT"
},
{
"Code": "IMG010072",
"Display": "XR FOREARM 3+ VW RIGHT"
},
{
"Code": "IMG010073",
"Display": "XR HAND 2 OR 3 VW BILATERAL"
},
{
"Code": "IMG010074",
"Display": "XR HAND 2 OR 3 VW LEFT"
},
{
"Code": "IMG010075",
"Display": "XR HAND 2 OR 3 VW RIGHT"
},
{
"Code": "IMG010076",
"Display": "XR HAND 4+ VW BILATERAL"
},
{
"Code": "IMG010077",
"Display": "XR HAND 4+ VW LEFT"
},
{
"Code": "IMG010078",
"Display": "XR HAND 4+ VW RIGHT"
},
{
"Code": "IMG010079",
"Display": "XR HIP 2+ VW BILATERAL"
},
{
"Code": "IMG010080",
"Display": "XR HIP 2+ VW LEFT"
},
{
"Code": "IMG010081",
"Display": "XR HIP 2+ VW RIGHT"
},
{
"Code": "IMG010082",
"Display": "XR HUMERUS 2 VW LEFT"
},
{
"Code": "IMG010083",
"Display": "XR HUMERUS 2 VW RIGHT"
},
{
"Code": "IMG010084",
"Display": "XR HUMERUS 3+ VW LEFT"
},
{
"Code": "IMG010085",
"Display": "XR HUMERUS 3+ VW RIGHT"
},
{
"Code": "IMG010086",
"Display": "XR INTERNAL AUDITORY MEATUS LEFT"
},
{
"Code": "IMG010087",
"Display": "XR INTERNAL AUDITORY MEATUS RIGHT"
},
{
"Code": "IMG010088",
"Display": "XR KNEE 2 VW BILATERAL"
},
{
"Code": "IMG010089",
"Display": "XR KNEE 2 VW LEFT"
},
{
"Code": "IMG010090",
"Display": "XR KNEE 2 VW RIGHT"
},
{
"Code": "IMG010091",
"Display": "XR KNEE 3 OR 4 VW BILATERAL"
},
{
"Code": "IMG010092",
"Display": "XR KNEE 3 OR 4 VW LEFT"
},
{
"Code": "IMG010093",
"Display": "XR KNEE 3 OR 4 VW RIGHT"
},
{
"Code": "IMG010094",
"Display": "XR KNEE 5+ BILATERAL"
},
{
"Code": "IMG010095",
"Display": "XR KNEE 5+ LEFT"
},
{
"Code": "IMG010096",
"Display": "XR KNEE 5+ RIGHT"
},
{
"Code": "IMG010097",
"Display": "XR LEG LENGTH EVALUATION"
},
{
"Code": "IMG010098",
"Display": "XR MANDIBLE 3 VW"
},
{
"Code": "IMG010099",
"Display": "XR MANDIBLE 4+ VW"
},
{
"Code": "IMG010100",
"Display": "XR MASTOIDS"
},
{
"Code": "IMG010101",
"Display": "XR NASAL BONES"
},
{
"Code": "IMG010102",
"Display": "XR NECK SOFT TISSUE"
},
{
"Code": "IMG010103",
"Display": "XR OPTIC FORAMINA"
},
{
"Code": "IMG010104",
"Display": "XR ORBIT LOCALIZATION LEFT"
},
{
"Code": "IMG010105",
"Display": "XR ORBIT LOCALIZATION RIGHT"
},
{
"Code": "IMG010107",
"Display": "XR ORBITS BILATERAL"
},
{
"Code": "IMG010108",
"Display": "XR ORBITS LEFT"
},
{
"Code": "IMG010109",
"Display": "XR ORBITS RIGHT"
},
{
"Code": "IMG010110",
"Display": "XR PANOREX"
},
{
"Code": "IMG010111",
"Display": "XR PELVIS 1 VW"
},
{
"Code": "IMG010112",
"Display": "XR PELVIS 2 VW"
},
{
"Code": "IMG010113",
"Display": "XR PELVIS 3+ VW"
},
{
"Code": "IMG010114",
"Display": "XR PELVIS HIP 2 VW LEFT"
},
{
"Code": "IMG010115",
"Display": "XR PELVIS HIP 2 VW RIGHT"
},
{
"Code": "IMG010116",
"Display": "XR RIBS 2 VW BILATERAL"
},
{
"Code": "IMG010117",
"Display": "XR RIBS 2 VW LEFT"
},
{
"Code": "IMG010118",
"Display": "XR RIBS 2 VW RIGHT"
},
{
"Code": "IMG010119",
"Display": "XR SACROILIAC JOINTS 2 OR 3 VW"
},
{
"Code": "IMG010120",
"Display": "XR SACROILIAC JOINTS 4+ VW"
},
{
"Code": "IMG010121",
"Display": "XR SCAPULA 2 VW LEFT"
},
{
"Code": "IMG010122",
"Display": "XR SCAPULA 2 VW RIGHT"
},
{
"Code": "IMG010123",
"Display": "XR SCAPULA 3 VW LEFT"
},
{
"Code": "IMG010124",
"Display": "XR SCAPULA 3 VW RIGHT"
},
{
"Code": "IMG010125",
"Display": "XR SELLA TURCICA"
},
{
"Code": "IMG010126",
"Display": "XR SHOULDER 2 VW BILATERAL"
},
{
"Code": "IMG010127",
"Display": "XR SHOULDER 2 VW LEFT"
},
{
"Code": "IMG010128",
"Display": "XR SHOULDER 2 VW RIGHT"
},
{
"Code": "IMG010129",
"Display": "XR SHOULDER 3+ VW LEFT"
},
{
"Code": "IMG010130",
"Display": "XR SHOULDER 3+ VW RIGHT"
},
{
"Code": "IMG010131",
"Display": "XR SINUSES"
},
{
"Code": "IMG010132",
"Display": "XR SKULL 4 VW"
},
{
"Code": "IMG010133",
"Display": "XR SKULL 5+ VW"
},
{
"Code": "IMG010134",
"Display": "XR SPECIMEN RADIOGRAPH"
},
{
"Code": "IMG010135",
"Display": "XR SPINE CERVICAL 2 OR 3 VW"
},
{
"Code": "IMG010136",
"Display": "XR SPINE CERVICAL 4 OR 5 VW"
},
{
"Code": "IMG010137",
"Display": "XR SPINE CERVICAL 6+ VW"
},
{
"Code": "IMG010138",
"Display": "XR SPINE COCCYX"
},
{
"Code": "IMG010139",
"Display": "XR SPINE LUMBAR 2 OR 3 VW"
},
{
"Code": "IMG010140",
"Display": "XR SPINE LUMBAR 4 OR 5 VW"
},
{
"Code": "IMG010141",
"Display": "XR SPINE LUMBAR 6+ VW"
},
{
"Code": "IMG010142",
"Display": "XR SPINE SACRUM"
},
{
"Code": "IMG010143",
"Display": "XR SPINE SACRUM AND COCCYX 2 VW"
},
{
"Code": "IMG010144",
"Display": "XR SPINE SACRUM AND COCCYX 3+ VW"
},
{
"Code": "IMG010145",
"Display": "XR SPINE SCOLIOSIS 4+ VW"
},
{
"Code": "IMG010146",
"Display": "XR SPINE SCOLIOSIS AP STANDING"
},
{
"Code": "IMG010148",
"Display": "XR SPINE THORACIC 2 VW"
},
{
"Code": "IMG010149",
"Display": "XR SPINE THORACIC 3+ VW"
},
{
"Code": "IMG010150",
"Display": "XR SPINE THORACIC INLET 2 VW"
},
{
"Code": "IMG010151",
"Display": "XR STERNOCLAVICULAR JOINTS 2 OR 3 VW"
},
{
"Code": "IMG010152",
"Display": "XR STERNOCLAVICULAR JOINTS 4+ VW"
},
{
"Code": "IMG010153",
"Display": "XR STERNUM"
},
{
"Code": "IMG010154",
"Display": "XR SURVEY"
},
{
"Code": "IMG010157",
"Display": "XR TEMPOROMANDIBULAR JOINTS BILATERAL"
},
{
"Code": "IMG010158",
"Display": "XR TIBIA FIBULA 2 VW BILATERAL"
},
{
"Code": "IMG010159",
"Display": "XR TIBIA FIBULA 2 VW LEFT"
},
{
"Code": "IMG010160",
"Display": "XR TIBIA FIBULA 2 VW RIGHT"
},
{
"Code": "IMG010161",
"Display": "XR TIBIA FIBULA 3 VW LEFT"
},
{
"Code": "IMG010162",
"Display": "XR TIBIA FIBULA 3 VW RIGHT"
},
{
"Code": "IMG010163",
"Display": "XR TOE 2 VW LEFT"
},
{
"Code": "IMG010164",
"Display": "XR TOE 2 VW RIGHT"
},
{
"Code": "IMG010165",
"Display": "XR TOE 3+ VW LEFT"
},
{
"Code": "IMG010166",
"Display": "XR TOE 3+ VW RIGHT"
},
{
"Code": "IMG010167",
"Display": "XR WRIST 2 OR 3 VW BILATERAL"
},
{
"Code": "IMG010168",
"Display": "XR WRIST 2 OR 3 VW LEFT"
},
{
"Code": "IMG010169",
"Display": "XR WRIST 2 OR 3 VW RIGHT"
},
{
"Code": "IMG010170",
"Display": "XR WRIST 4+ VW BILATERAL"
},
{
"Code": "IMG010171",
"Display": "XR WRIST 4+ VW LEFT"
},
{
"Code": "IMG010172",
"Display": "XR WRIST 4+ VW RIGHT"
},
{
"Code": "IMG010173",
"Display": "XR WRIST AND HAND 2 OR 3 VW BILATERAL"
},
{
"Code": "IMG010174",
"Display": "XR WRIST AND HAND 2 OR 3 VW LEFT"
},
{
"Code": "IMG010175",
"Display": "XR WRIST AND HAND 2 OR 3 VW RIGHT"
},
{
"Code": "IMG010176",
"Display": "XR WRIST AND HAND 4+ VW BILATERAL"
},
{
"Code": "IMG010177",
"Display": "XR WRIST AND HAND 4+ VW LEFT"
},
{
"Code": "IMG010178",
"Display": "XR WRIST AND HAND 4+ VW RIGHT"
},
{
"Code": "IMG010183",
"Display": "XR MINOR ASSESSMENT"
},
{
"Code": "IMG010186",
"Display": "XR PED CHEST 1 VIEW"
},
{
"Code": "IMG010187",
"Display": "XR PED CHEST 2 VW"
},
{
"Code": "IMG010188",
"Display": "XR PED ABDOMEN 1VW"
},
{
"Code": "IMG010190",
"Display": "XR PED NECK SOFT TISSUE"
},
{
"Code": "IMG010195 ",
"Display": "XR COLONIC TRANSIT "
},
{
"Code": "IMG010197",
"Display": "XR MINOR ASSESSMENT MSK"
},
{
"Code": "IMG010198",
"Display": "XR MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG010199",
"Display": "XR MINOR ASSESSMENT CHEST"
},
{
"Code": "IMG010201",
"Display": "XR MINOR ASSESSMENT BODY"
},
{
"Code": "IMG010202",
"Display": "XR MINOR ASSESSMENT ANGIO"
},
{
"Code": "IMG010203",
"Display": "XR PEDIATRIC CHEST ABDOMEN 1 VW"
},
{
"Code": "IMG010204",
"Display": "XR PEDIATRIC CHEST ABDOMEN 2 VW"
},
{
"Code": "IMG011002",
"Display": "CT ABDOMEN PELVIS W IV CONTRAST"
},
{
"Code": "IMG011003",
"Display": "CT ABDOMEN PELVIS W WO IV CONTRAST"
},
{
"Code": "IMG011004",
"Display": "CT ABDOMEN PELVIS WO IV CONTRAST"
},
{
"Code": "IMG011006",
"Display": "CT ABDOMEN W IV CONTRAST"
},
{
"Code": "IMG011007",
"Display": "CT ABDOMEN W WO IV CONTRAST"
},
{
"Code": "IMG011008",
"Display": "CT ABDOMEN W WO IV CONTRAST PELVIS W"
},
{
"Code": "IMG011009",
"Display": "CT ABDOMEN WO IV CONTRAST"
},
{
"Code": "IMG011012",
"Display": "CT ANGIOGRAM AORTIC DISSECTION"
},
{
"Code": "IMG011013",
"Display": "CT ANGIOGRAM ABDOMEN PELVIS W IV CONTRAST"
},
{
"Code": "IMG011014",
"Display": "CT ANGIOGRAM ABDOMEN PELVIS W WO IV CONTRAST"
},
{
"Code": "IMG011016",
"Display": "CT ANGIOGRAM CARDIO-THORACIC"
},
{
"Code": "IMG011018",
"Display": "CT ANGIOGRAM HEAD W IV CONTRAST"
},
{
"Code": "IMG011019",
"Display": "CT ANGIOGRAM HEAD NECK W IV CONTRAST"
},
{
"Code": "IMG011020",
"Display": "CT ANGIOGRAM EXTREMITY LOWER W IV CONTRAST"
},
{
"Code": "IMG011021",
"Display": "CT ANGIOGRAM EXTREMITY UPPER W IV CONTRAST"
},
{
"Code": "IMG011022",
"Display": "CT ANGIOGRAM CHEST W IV CONTRAST"
},
{
"Code": "IMG011023",
"Display": "CT ANGIOGRAM CHEST W WO IV CONTRAST"
},
{
"Code": "IMG011024",
"Display": "CT ANGIOGRAM NECK W IV CONTRAST"
},
{
"Code": "IMG011025",
"Display": "CT ANKLE BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011026",
"Display": "CT ANKLE LEFT WO IV CONTRAST"
},
{
"Code": "IMG011027",
"Display": "CT ANKLE RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011028",
"Display": "CT CALCIUM SCORE"
},
{
"Code": "IMG011029",
"Display": "CT CARDIAC W IV CONTRAST"
},
{
"Code": "IMG011030",
"Display": "CT CARDIAC W WO IV CONTRAST"
},
{
"Code": "IMG011031",
"Display": "CT CARDIAC WO IV CONTRAST"
},
{
"Code": "IMG011032",
"Display": "CT CATH PLACEMENT OR DRAINAGE"
},
{
"Code": "IMG011033",
"Display": "CT CHEST ABDOMEN PELVIS W IV CONTRAST"
},
{
"Code": "IMG011034",
"Display": "CT CHEST ABDOMEN PELVIS W WO IV CONTRAST"
},
{
"Code": "IMG011035",
"Display": "CT CHEST ABDOMEN PELVIS WO IV CONTRAST"
},
{
"Code": "IMG011036",
"Display": "CT CHEST HIGH RESOLUTION WO IV CONTRAST"
},
{
"Code": "IMG011037",
"Display": "CT CHEST PULMONARY EMBOLISM W IV CONTRAST"
},
{
"Code": "IMG011038",
"Display": "CT CHEST PULMONARY EMBOLISM W WO IV CONTRAST"
},
{
"Code": "IMG011042",
"Display": "CT CHEST W IV CONTRAST"
},
{
"Code": "IMG011043",
"Display": "CT CHEST W WO IV CONTRAST"
},
{
"Code": "IMG011044",
"Display": "CT CHEST WO IV CONTRAST"
},
{
"Code": "IMG011045",
"Display": "CT CISTERNOGRAM"
},
{
"Code": "IMG011047",
"Display": "CT ELBOW ARTHRO LEFT"
},
{
"Code": "IMG011048",
"Display": "CT ELBOW ARTHRO RIGHT"
},
{
"Code": "IMG011049",
"Display": "CT ELBOW LEFT WO IV CONTRAST"
},
{
"Code": "IMG011050",
"Display": "CT ELBOW RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011051",
"Display": "CT ENTEROGRAPHY W IV CONTRAST"
},
{
"Code": "IMG011052",
"Display": "CT ENTEROGRAPHY W WO IV CONTRAST"
},
{
"Code": "IMG011053",
"Display": "CT ENTEROGRAPHY WO IV CONTRAST"
},
{
"Code": "IMG011054",
"Display": "CT EXTREMITY W CONTRAST"
},
{
"Code": "IMG011057",
"Display": "CT FACIAL BONES W IV CONTRAST"
},
{
"Code": "IMG011058",
"Display": "CT FACIAL BONES WO IV CONTRAST"
},
{
"Code": "IMG011059",
"Display": "CT FEET BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011060",
"Display": "CT FEMUR ANTEVERSION"
},
{
"Code": "IMG011061",
"Display": "CT FEMUR BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011062",
"Display": "CT FEMUR LEFT WO IV CONTRAST"
},
{
"Code": "IMG011063",
"Display": "CT FEMUR RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011064",
"Display": "CT FOOT LEFT WO IV CONTRAST"
},
{
"Code": "IMG011065",
"Display": "CT FOOT RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011066",
"Display": "CT HAND LEFT WO IV CONTRAST"
},
{
"Code": "IMG011067",
"Display": "CT HAND RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011068",
"Display": "CT HEAD COMPLEX W IV CONTRAST"
},
{
"Code": "IMG011069",
"Display": "CT HEAD COMPLEX W WO IV CONTRAST"
},
{
"Code": "IMG011070",
"Display": "CT HEAD COMPLEX WO IV CONTRAST"
},
{
"Code": "IMG011071",
"Display": "CT HEAD FACIAL BONES WO IV CONTRAST"
},
{
"Code": "IMG011072",
"Display": "CT HEAD ORBITS W IV CONTRAST"
},
{
"Code": "IMG011073",
"Display": "CT HEAD ORBITS WO IV CONTRAST"
},
{
"Code": "IMG011075",
"Display": "CT HEAD SINUS W IV CONTRAST"
},
{
"Code": "IMG011076",
"Display": "CT HEAD SINUS W WO IV CONTRAST"
},
{
"Code": "IMG011077",
"Display": "CT HEAD SINUS WO IV CONTRAST"
},
{
"Code": "IMG011078",
"Display": "CT HEAD W IV CONTRAST"
},
{
"Code": "IMG011079",
"Display": "CT HEAD W WO IV CONTRAST"
},
{
"Code": "IMG011080",
"Display": "CT HEAD WO IV CONTRAST"
},
{
"Code": "IMG011081",
"Display": "CT HIGH RISK LUNG CA SCREENING"
},
{
"Code": "IMG011082",
"Display": "CT HIP BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011083",
"Display": "CT HIP LEFT W IV CONTRAST"
},
{
"Code": "IMG011085",
"Display": "CT HIP LEFT WO IV CONTRAST"
},
{
"Code": "IMG011087",
"Display": "CT HIP RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011088",
"Display": "CT HUMERUS LEFT WO IV CONTRAST"
},
{
"Code": "IMG011089",
"Display": "CT HUMERUS RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011090",
"Display": "CT KNEE BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011091",
"Display": "CT KNEE LEFT ARTHROGRAM"
},
{
"Code": "IMG011092",
"Display": "CT KNEE LEFT WO IV CONTRAST"
},
{
"Code": "IMG011093",
"Display": "CT KNEE RIGHT ARTHROGRAM"
},
{
"Code": "IMG011094",
"Display": "CT KNEE RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011095",
"Display": "CT LEG LENGTH"
},
{
"Code": "IMG011096",
"Display": "CT MSK INJECTION"
},
{
"Code": "IMG011097",
"Display": "CT NECK CHEST ABDOMEN PELVIS W IV CONTRAST"
},
{
"Code": "IMG011098",
"Display": "CT NECK CHEST ABDOMEN PELVIS W WO IV CONTRAST"
},
{
"Code": "IMG011099",
"Display": "CT NECK CHEST ABDOMEN PELVIS WO IV CONTRAST"
},
{
"Code": "IMG011101",
"Display": "CT NECK CHEST W IV CONTRAST"
},
{
"Code": "IMG011102",
"Display": "CT NECK CHEST W WO IV CONTRAST"
},
{
"Code": "IMG011103",
"Display": "CT NECK CHEST WO IV CONTRAST"
},
{
"Code": "IMG011104",
"Display": "CT NECK W IV CONTRAST"
},
{
"Code": "IMG011105",
"Display": "CT NECK W WO IV CONTRAST"
},
{
"Code": "IMG011106",
"Display": "CT NECK WO IV CONTRAST"
},
{
"Code": "IMG011107",
"Display": "CT GUIDED NEEDLE BIOPSY BONE"
},
{
"Code": "IMG011108",
"Display": "CT RADIO FREQUENCY ABLATION LUNG"
},
{
"Code": "IMG011109",
"Display": "CT GUIDED NEEDLE BIOPSY ABDOMEN"
},
{
"Code": "IMG011110",
"Display": "CT NEURO INJECTION"
},
{
"Code": "IMG011111",
"Display": "CT ORBITS W IV CONTRAST"
},
{
"Code": "IMG011112",
"Display": "CT ORBITS WO IV CONTRAST"
},
{
"Code": "IMG011113",
"Display": "CT PELVIS AND FEMUR WO IV CONTRAST"
},
{
"Code": "IMG011114",
"Display": "CT PELVIS W IV CONTRAST"
},
{
"Code": "IMG011115",
"Display": "CT PELVIS W WO IV CONTRAST"
},
{
"Code": "IMG011116",
"Display": "CT PELVIS WO IV CONTRAST"
},
{
"Code": "IMG011117",
"Display": "CT RADIO FREQUENCY ABLATION BONE"
},
{
"Code": "IMG011118",
"Display": "CT RADIO FREQUENCY ABLATION KIDNEY MASS"
},
{
"Code": "IMG011119",
"Display": "CT RADIUS ULNA LEFT W IV CONTRAST"
},
{
"Code": "IMG011121",
"Display": "CT RADIUS ULNA LEFT WO IV CONTRAST"
},
{
"Code": "IMG011122",
"Display": "CT RADIUS ULNA RIGHT W IV CONTRAST"
},
{
"Code": "IMG011124",
"Display": "CT RADIUS ULNA RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011125",
"Display": "CT SACROILIAC JOINTS WO IV CONTRAST"
},
{
"Code": "IMG011126",
"Display": "CT SACRUM COCCYX WO IV CONTRAST"
},
{
"Code": "IMG011128",
"Display": "CT SHOULDER BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011129",
"Display": "CT SHOULDER LEFT ARTHROGRAM"
},
{
"Code": "IMG011130",
"Display": "CT SHOULDER LEFT WO IV CONTRAST"
},
{
"Code": "IMG011131",
"Display": "CT SHOULDER RIGHT ARTHROGRAM"
},
{
"Code": "IMG011132",
"Display": "CT SHOULDER RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011133",
"Display": "CT SINUS W IV CONTRAST"
},
{
"Code": "IMG011134",
"Display": "CT SINUS W WO IV CONTRAST"
},
{
"Code": "IMG011135",
"Display": "CT SINUS WO IV CONTRAST"
},
{
"Code": "IMG011139",
"Display": "CT SPINE W IV CONTRAST"
},
{
"Code": "IMG011140",
"Display": "CT SPINE W WO IV CONTRAST"
},
{
"Code": "IMG011141",
"Display": "CT SPINE WO IV CONTRAST"
},
{
"Code": "IMG011142",
"Display": "CT STERNOCLAVICULAR JOINTS BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011144",
"Display": "CT ACUTE STROKE"
},
{
"Code": "IMG011145",
"Display": "CT TEMPORAL BONES WO IV CONTRAST"
},
{
"Code": "IMG011146",
"Display": "CT TEMPOROMANDIBULAR JOINTS"
},
{
"Code": "IMG011147",
"Display": "CT TIBIA FIBULA ANTEVERSION"
},
{
"Code": "IMG011148",
"Display": "CT TIBIA FIBULA LEFT WO IV CONTRAST"
},
{
"Code": "IMG011149",
"Display": "CT TIBIA FIBULA RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011150",
"Display": "CT TRANS-CATHETER AORTIC VALVE IMPLANTATION WITH AND WITHOUT IV CONTRAST (TAVI)"
},
{
"Code": "IMG011151",
"Display": "CT COLONOSCOPY DIAGNOSTIC"
},
{
"Code": "IMG011152",
"Display": "CT COLONOSCOPY SCREENING"
},
{
"Code": "IMG011153",
"Display": "CT WRIST LEFT ARTHROGRAM"
},
{
"Code": "IMG011154",
"Display": "CT WRIST LEFT WO IV CONTRAST"
},
{
"Code": "IMG011155",
"Display": "CT WRIST RIGHT ARTHROGRAM"
},
{
"Code": "IMG011156",
"Display": "CT WRIST RIGHT WO IV CONTRAST"
},
{
"Code": "IMG011157",
"Display": "CT ACUTE POLYTRAUMA"
},
{
"Code": "IMG011158",
"Display": "CT ANGIOGRAM ABDOMEN W IV CONTRAST"
},
{
"Code": "IMG011159",
"Display": "CT ANGIOGRAM ABDOMEN W WO IV CONTRAST"
},
{
"Code": "IMG011160",
"Display": "CT ANGIOGRAM CHEST WO IV CONTRAST"
},
{
"Code": "IMG011161",
"Display": "CT ANKLE ARTHRO LEFT"
},
{
"Code": "IMG011162",
"Display": "CT ANKLE ARTHRO RIGHT"
},
{
"Code": "IMG011163",
"Display": "CT ANKLE LEFT W IV CONTRAST"
},
{
"Code": "IMG011164",
"Display": "CT ANKLE RIGHT W IV CONTRAST"
},
{
"Code": "IMG011165",
"Display": "CT ELBOW LEFT W IV CONTRAST"
},
{
"Code": "IMG011166",
"Display": "CT ELBOW RIGHT W IV CONTRAST"
},
{
"Code": "IMG011167",
"Display": "CT FEET BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011168",
"Display": "CT FEMUR BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011169",
"Display": "CT FEMUR LEFT W IV CONTRAST"
},
{
"Code": "IMG011170",
"Display": "CT FEMUR RIGHT W IV CONTRAST"
},
{
"Code": "IMG011171",
"Display": "CT FOOT LEFT W IV CONTRAST"
},
{
"Code": "IMG011172",
"Display": "CT FOOT RIGHT W IV CONTRAST"
},
{
"Code": "IMG011173",
"Display": "CT GUIDED COIL LOCALIZATION"
},
{
"Code": "IMG011174",
"Display": "CT GUIDED NEEDLE BIOPSY CHEST"
},
{
"Code": "IMG011175",
"Display": "CT HAND LEFT W IV CONTRAST"
},
{
"Code": "IMG011176",
"Display": "CT HAND RIGHT W IV CONTRAST"
},
{
"Code": "IMG011177",
"Display": "CT HEAD FACIAL BONES W IV CONTRAST"
},
{
"Code": "IMG011178",
"Display": "CT HIP ARTHRO LEFT"
},
{
"Code": "IMG011179",
"Display": "CT HIP ARTHRO RIGHT"
},
{
"Code": "IMG011180",
"Display": "CT HIP BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011181",
"Display": "CT HIP RIGHT W IV CONTRAST"
},
{
"Code": "IMG011182",
"Display": "CT HUMERUS LEFT W IV CONTRAST"
},
{
"Code": "IMG011183",
"Display": "CT HUMERUS RIGHT W IV CONTRAST"
},
{
"Code": "IMG011184",
"Display": "CT KNEE BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011185",
"Display": "CT KNEE LEFT W IV CONTRAST"
},
{
"Code": "IMG011186",
"Display": "CT KNEE RIGHT W IV CONTRAST"
},
{
"Code": "IMG011187",
"Display": "CT MYELOGRAM"
},
{
"Code": "IMG011188",
"Display": "CT SHOULDER BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011189",
"Display": "CT SHOULDER LEFT W IV CONTRAST"
},
{
"Code": "IMG011190",
"Display": "CT SHOULDER RIGHT W IV CONTRAST"
},
{
"Code": "IMG011191",
"Display": "CT TIBIA FIBULA BILATERAL W IV CONTRAST"
},
{
"Code": "IMG011192",
"Display": "CT TIBIA FIBULA BILATERAL WO IV CONTRAST"
},
{
"Code": "IMG011193",
"Display": "CT TIBIA FIBULA LEFT W IV CONTRAST"
},
{
"Code": "IMG011194",
"Display": "CT TIBIA FIBULA RIGHT W IV CONTRAST"
},
{
"Code": "IMG011195",
"Display": "CT WRIST LEFT W IV CONTRAST"
},
{
"Code": "IMG011196",
"Display": "CT WRIST RIGHT W IV CONTRAST"
},
{
"Code": "IMG011200",
"Display": "CT MINOR ASSESSMENT"
},
{
"Code": "IMG011201NM",
"Display": "PET BLADDER CANCER (MUSCLE INVASIVE) - STAGING"
},
{
"Code": "IMG011202",
"Display": "CT SPINE BIOPSY"
},
{
"Code": "IMG011203",
"Display": "CT NEURO BIOPSY"
},
{
"Code": "IMG011207",
"Display": "CT SUPPLEMENTAL READ"
},
{
"Code": "IMG011208",
"Display": "CT MINOR ASSESSMENT ANGIO (CT IR)"
},
{
"Code": "IMG011209",
"Display": "CT MINOR ASSESSMENT BODY"
},
{
"Code": "IMG011210",
"Display": "CT MINOR ASSESSMENT CARDIAC"
},
{
"Code": "IMG011211",
"Display": "CT MINOR ASSESSMENT CHEST"
},
{
"Code": "IMG011212",
"Display": "CT MINOR ASSESSMENT MSK"
},
{
"Code": "IMG011213",
"Display": "CT MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG011214",
"Display": "CT NON-ACUTE OR FOLLOW-UP STROKE"
},
{
"Code": "IMG011220",
"Display": "CT AORTIC VALVE CALCIUM SCORE"
},
{
"Code": "IMG011248",
"Display": "CT HEAD VASODILATORY CHALLENGE W CONTRAST"
},
{
"Code": "IMG012000",
"Display": "MRI BRAIN WO CONTRAST"
},
{
"Code": "IMG012001",
"Display": "MRI BRAIN W CONTRAST"
},
{
"Code": "IMG012002",
"Display": "MRI CHEST WO CONTRAST"
},
{
"Code": "IMG012003",
"Display": "MRI CHEST W CONTRAST"
},
{
"Code": "IMG012005",
"Display": "MRI CERVICAL SPINE WO CONTRAST"
},
{
"Code": "IMG012006",
"Display": "MRI CERVICAL SPINE W CONTRAST"
},
{
"Code": "IMG012007",
"Display": "MRI THORACIC SPINE WO CONTRAST"
},
{
"Code": "IMG012008",
"Display": "MRI THORACIC SPINE W CONTRAST"
},
{
"Code": "IMG012009",
"Display": "MRI LUMBAR SPINE WO CONTRAST"
},
{
"Code": "IMG012010",
"Display": "MRI LUMBAR SPINE W CONTRAST"
},
{
"Code": "IMG012011",
"Display": "MRI PELVIS WO CONTRAST"
},
{
"Code": "IMG012012",
"Display": "MRI PELVIS W CONTRAST"
},
{
"Code": "IMG012013",
"Display": "MRI HUMERUS LEFT WO CONTRAST"
},
{
"Code": "IMG012014",
"Display": "MRI HUMERUS RIGHT WO CONTRAST"
},
{
"Code": "IMG012015",
"Display": "MRI HUMERUS LEFT W CONTRAST"
},
{
"Code": "IMG012016",
"Display": "MRI HUMERUS RIGHT W CONTRAST"
},
{
"Code": "IMG012017",
"Display": "MRI WRIST LEFT W CONTRAST"
},
{
"Code": "IMG012018",
"Display": "MRI WRIST RIGHT W CONTRAST"
},
{
"Code": "IMG012019",
"Display": "MRI FEMUR LEFT W CONTRAST"
},
{
"Code": "IMG012020",
"Display": "MRI FEMUR RIGHT W CONTRAST"
},
{
"Code": "IMG012021",
"Display": "MRI KNEE RIGHT W CONTRAST"
},
{
"Code": "IMG012022",
"Display": "MRI KNEE LEFT W CONTRAST"
},
{
"Code": "IMG012023",
"Display": "MRI ABDOMEN WO CONTRAST"
},
{
"Code": "IMG012024",
"Display": "MRI ABDOMEN W CONTRAST"
},
{
"Code": "IMG012025",
"Display": "MRI NECK SOFT TISSUE W CONTRAST"
},
{
"Code": "IMG012026",
"Display": "MRI RADIUS ULNA LEFT WO CONTRAST"
},
{
"Code": "IMG012027",
"Display": "MRI RADIUS ULNA RIGHT WO CONTRAST"
},
{
"Code": "IMG012028",
"Display": "MRI HAND LEFT WO CONTRAST"
},
{
"Code": "IMG012029",
"Display": "MRI HAND RIGHT WO CONTRAST"
},
{
"Code": "IMG012030",
"Display": "MRI HAND LEFT W CONTRAST"
},
{
"Code": "IMG012031",
"Display": "MRI HAND RIGHT W CONTRAST"
},
{
"Code": "IMG012032",
"Display": "MRI TIBIA FIBULA RIGHT W CONTRAST"
},
{
"Code": "IMG012033",
"Display": "MRI TIBIA FIBULA LEFT W CONTRAST"
},
{
"Code": "IMG012034",
"Display": "MRI ELBOW RIGHT W CONTRAST"
},
{
"Code": "IMG012035",
"Display": "MRI SHOULDER RIGHT W CONTRAST"
},
{
"Code": "IMG012036",
"Display": "MRI ELBOW LEFT W CONTRAST"
},
{
"Code": "IMG012037",
"Display": "MRI SHOULDER LEFT W CONTRAST"
},
{
"Code": "IMG012038",
"Display": "MRI HIP RIGHT W CONTRAST"
},
{
"Code": "IMG012039",
"Display": "MRI HIP LEFT W CONTRAST"
},
{
"Code": "IMG012040",
"Display": "MRI NECK SOFT TISSUE WO CONTRAST"
},
{
"Code": "IMG012042",
"Display": "MRI RADIUS ULNA LEFT W CONTRAST"
},
{
"Code": "IMG012043",
"Display": "MRI RADIUS ULNA RIGHT W CONTRAST"
},
{
"Code": "IMG012044",
"Display": "MRI WRIST RIGHT WO CONTRAST"
},
{
"Code": "IMG012045",
"Display": "MRI WRIST LEFT WO CONTRAST"
},
{
"Code": "IMG012046",
"Display": "MRI ELBOW RIGHT WO CONTRAST"
},
{
"Code": "IMG012047",
"Display": "MRI ELBOW LEFT WO CONTRAST"
},
{
"Code": "IMG012048",
"Display": "MRI SHOULDER RIGHT WO CONTRAST"
},
{
"Code": "IMG012049",
"Display": "MRI SHOULDER LEFT WO CONTRAST"
},
{
"Code": "IMG012050",
"Display": "MRI BRACHIAL PLEXUS W CONTRAST"
},
{
"Code": "IMG012054",
"Display": "MRI TIBIA FIBULA RIGHT WO CONTRAST"
},
{
"Code": "IMG012055",
"Display": "MRI FEMUR RIGHT WO CONTRAST"
},
{
"Code": "IMG012056",
"Display": "MRI FOOT RIGHT WO CONTRAST"
},
{
"Code": "IMG012057",
"Display": "MRI TIBIA FIBULA LEFT WO CONTRAST"
},
{
"Code": "IMG012058",
"Display": "MRI FEMUR LEFT WO CONTRAST"
},
{
"Code": "IMG012059",
"Display": "MRI FOOT LEFT WO CONTRAST"
},
{
"Code": "IMG012060",
"Display": "MRI FOOT RIGHT W CONTRAST"
},
{
"Code": "IMG012061",
"Display": "MRI FOOT LEFT W CONTRAST"
},
{
"Code": "IMG012062",
"Display": "MRI KNEE RIGHT WO CONTRAST"
},
{
"Code": "IMG012063",
"Display": "MRI KNEE LEFT WO CONTRAST"
},
{
"Code": "IMG012064",
"Display": "MRI HIP RIGHT WO CONTRAST"
},
{
"Code": "IMG012065",
"Display": "MRI HIP LEFT WO CONTRAST"
},
{
"Code": "IMG012067",
"Display": "MRI ABDOMEN W CONTRAST MRCP"
},
{
"Code": "IMG012068",
"Display": "MRI ABDOMEN WO CONTRAST MRCP"
},
{
"Code": "IMG012070",
"Display": "MRI ANKLE LEFT W CONTRAST"
},
{
"Code": "IMG012072",
"Display": "MRI ANKLE RIGHT W CONTRAST"
},
{
"Code": "IMG012073",
"Display": "MRI ANKLE RIGHT WO CONTRAST"
},
{
"Code": "IMG012074",
"Display": "MRI ARTHROGRAM ANKLE RIGHT"
},
{
"Code": "IMG012075",
"Display": "MRI ARTHROGRAM ANKLE LEFT"
},
{
"Code": "IMG012076",
"Display": "MRI ARTHROGRAM ELBOW RIGHT"
},
{
"Code": "IMG012077",
"Display": "MRI ARTHROGRAM ELBOW LEFT"
},
{
"Code": "IMG012078",
"Display": "MRI ARTHROGRAM HIP RIGHT"
},
{
"Code": "IMG012079",
"Display": "MRI ARTHROGRAM HIP LEFT"
},
{
"Code": "IMG012080",
"Display": "MRI ARTHROGRAM KNEE RIGHT"
},
{
"Code": "IMG012081",
"Display": "MRI ARTHROGRAM KNEE LEFT"
},
{
"Code": "IMG012082",
"Display": "MRI ARTHROGRAM SHOULDER RIGHT"
},
{
"Code": "IMG012083",
"Display": "MRI ARTHROGRAM SHOULDER LEFT"
},
{
"Code": "IMG012084",
"Display": "MRI ARTHROGRAM WRIST LEFT"
},
{
"Code": "IMG012085",
"Display": "MRI ARTHROGRAM WRIST RIGHT"
},
{
"Code": "IMG012086",
"Display": "MRI AXIAL SKELETON"
},
{
"Code": "IMG012087",
"Display": "MRI BRACHIAL PLEXUS WO CONTRAST"
},
{
"Code": "IMG012091",
"Display": "MRI CARDIAC W CONTRAST"
},
{
"Code": "IMG012092",
"Display": "MRI CARDIAC WO CONTRAST"
},
{
"Code": "IMG012095",
"Display": "MRI ENTIRE SPINE W CONTRAST"
},
{
"Code": "IMG012103",
"Display": "MRI PELVIS HIP W CONTRAST"
},
{
"Code": "IMG012104",
"Display": "MRI PELVIS HIP WO CONTRAST"
},
{
"Code": "IMG012105",
"Display": "MRI S.C. JOINTS W CONTRAST"
},
{
"Code": "IMG012106",
"Display": "MRI S.C. JOINTS WO CONTRAST"
},
{
"Code": "IMG012107",
"Display": "MRI TEMPOROMANDIBULAR JOINTS"
},
{
"Code": "IMG012107",
"Display": "MRI TEMPOROMANDIBULAR JOINTS W CONTRAST "
},
{
"Code": "IMG012108",
"Display": "MRI ANGIOGRAM HEAD WO CONTRAST"
},
{
"Code": "IMG012109",
"Display": "MRI ANGIOGRAM HEAD W CONTRAST"
},
{
"Code": "IMG012121",
"Display": "MRI ANGIOGRAM PELVIS WO CONTRAST"
},
{
"Code": "IMG012127",
"Display": "MRI HIP BILATERAL W CONTRAST"
},
{
"Code": "IMG012128",
"Display": "MRI HIP BILATERAL WO CONTRAST"
},
{
"Code": "IMG012132",
"Display": "MRI ANGIOGRAM ABDOMEN WO CONTRAST"
},
{
"Code": "IMG012133",
"Display": "MRI ANGIOGRAM CHEST W CONTRAST"
},
{
"Code": "IMG012134",
"Display": "MRI ANGIOGRAM SPINE W CONTRAST"
},
{
"Code": "IMG012135",
"Display": "MRI ANGIOGRAM PELVIS W CONTRAST"
},
{
"Code": "IMG012137",
"Display": "MRI ANGIOGRAM ABDOMEN W CONTRAST"
},
{
"Code": "IMG012141",
"Display": "MRI WRIST BILATERAL WO CONTRAST"
},
{
"Code": "IMG012143",
"Display": "MRI RADIUS ULNA BILATERAL W CONTRAST"
},
{
"Code": "IMG012144",
"Display": "MRI RADIUS ULNA BILATERAL WO CONTRAST"
},
{
"Code": "IMG012148",
"Display": "MRI HAND BILATERAL W CONTRAST"
},
{
"Code": "IMG012149",
"Display": "MRI HAND BILATERAL WO CONTRAST"
},
{
"Code": "IMG012153",
"Display": "MRI WRIST BILATERAL W CONTRAST"
},
{
"Code": "IMG012157",
"Display": "MRI ELBOW BILATERAL W CONTRAST"
},
{
"Code": "IMG012158",
"Display": "MRI ELBOW BILATERAL WO CONTRAST"
},
{
"Code": "IMG012161",
"Display": "MRI SHOULDER BILATERAL W CONTRAST"
},
{
"Code": "IMG012162",
"Display": "MRI SHOULDER BILATERAL WO CONTRAST"
},
{
"Code": "IMG012169",
"Display": "MRI FOOT BILATERAL WO CONTRAST"
},
{
"Code": "IMG012170",
"Display": "MRI FOOT BILATERAL W CONTRAST"
},
{
"Code": "IMG012173",
"Display": "MRI TIBIA FIBULA BILATERAL W CONTRAST"
},
{
"Code": "IMG012174",
"Display": "MRI TIBIA FIBULA BILATERAL WO CONTRAST"
},
{
"Code": "IMG012177",
"Display": "MRI FEMUR BILATERAL W CONTRAST"
},
{
"Code": "IMG012178",
"Display": "MRI FEMUR BILATERAL WO CONTRAST"
},
{
"Code": "IMG012186",
"Display": "MRI KNEE BILATERAL W CONTRAST"
},
{
"Code": "IMG012187",
"Display": "MRI KNEE BILATERAL WO CONTRAST"
},
{
"Code": "IMG012198",
"Display": "MRI ANGIOGRAM SPINE WO CONTRAST"
},
{
"Code": "IMG012199",
"Display": "MRI ANGIOGRAM LOWER EXTREMITY BILATERAL W CONTRAST"
},
{
"Code": "IMG012205",
"Display": "MRI ANGIOGRAM UPPER EXTREMITY BILATERAL W CONTRAST"
},
{
"Code": "IMG012207",
"Display": "MRI ANGIOGRAM UPPER EXTREMITY LEFT W CONTRAST"
},
{
"Code": "IMG012209",
"Display": "MRI ANGIOGRAM UPPER EXTREMITY RIGHT W CONTRAST"
},
{
"Code": "IMG012211",
"Display": "MRI ANKLE LEFT WO CONTRAST"
},
{
"Code": "IMG012214",
"Display": "MRI ENTIRE SPINE WO CONTRAST"
},
{
"Code": "IMG012216",
"Display": "MRI ANKLE BILATERAL W CONTRAST"
},
{
"Code": "IMG012217",
"Display": "MRI ANKLE BILATERAL WO CONTRAST"
},
{
"Code": "IMG012219",
"Display": "MRI NEURO SINUS W CONTRAST"
},
{
"Code": "IMG012220",
"Display": "MRI NEURO SELLA/PITUITARY W CONTRAST"
},
{
"Code": "IMG012222",
"Display": "MRI LYMPHOMA"
},
{
"Code": "IMG012225",
"Display": "MRI CYBERKNIFE TREATMENT PLANNING"
},
{
"Code": "IMG012226",
"Display": "MRI HUMERUS BILATERAL W CONTRAST"
},
{
"Code": "IMG012227",
"Display": "MRI HUMERUS BILATERAL WO CONTRAST"
},
{
"Code": "IMG012233",
"Display": "MRI VENOGRAM HEAD W CONTRAST"
},
{
"Code": "IMG012235",
"Display": "MRI VENOGRAM HEAD WO CONTRAST"
},
{
"Code": "IMG012236",
"Display": "MRI THORACIC OUTLET SYNDROME"
},
{
"Code": "IMG012237",
"Display": "MRI ANGIOGRAM NECK AND COW W CONTRAST"
},
{
"Code": "IMG012239",
"Display": "MRI ANGIOGRAM NECK AND COW WO CONTRAST"
},
{
"Code": "IMG012240",
"Display": "MRI NEURO ORBITS W CONTRAST"
},
{
"Code": "IMG012241",
"Display": "MRI NEURO ORBITS WO CONTRAST"
},
{
"Code": "IMG012242",
"Display": "MRI NEURO SELLA/PITUITARY WO CONTRAST"
},
{
"Code": "IMG012243",
"Display": "MRI NEURO SINUS WO CONTRAST"
},
{
"Code": "IMG012245",
"Display": "MRI NEURO SIALOGRAM WO CONTRAST"
},
{
"Code": "IMG012255",
"Display": "MRI THORACIC AORTA W CONTRAST"
},
{
"Code": "IMG012256",
"Display": "MRI THORACIC AORTA WO CONTRAST"
},
{
"Code": "IMG012258",
"Display": "MRI MINOR ASSESSMENT"
},
{
"Code": "IMG0122582",
"Display": "MRI MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG012259",
"Display": "MRI CHEST WALL W CONTRAST"
},
{
"Code": "IMG012260",
"Display": "MRI CHEST WALL WO CONTRAST"
},
{
"Code": "IMG012261",
"Display": "MRI ABDOMINAL WALL W CONTRAST"
},
{
"Code": "IMG012262",
"Display": "MRI ABDOMINAL WALL WO CONTRAST"
},
{
"Code": "IMG012263",
"Display": "MRI CERVICAL AND THORACIC SPINE W CONTRAST"
},
{
"Code": "IMG012264",
"Display": "MRI CERVICAL AND THORACIC SPINE WO CONTRAST"
},
{
"Code": "IMG012265",
"Display": "MRI THORACIC AND LUMBAR SPINE W CONTRAST"
},
{
"Code": "IMG012266",
"Display": "MRI THORACIC AND LUMBAR SPINE WO CONTRAST"
},
{
"Code": "IMG012267",
"Display": "MRI CERVICAL AND LUMBAR SPINE W CONTRAST"
},
{
"Code": "IMG012268",
"Display": "MRI CERVICAL AND LUMBAR SPINE WO CONTRAST"
},
{
"Code": "IMG012270",
"Display": "MRI THORACIC OUTLET SYNDROME W CONTRAST"
},
{
"Code": "IMG012271",
"Display": "MRI THORACIC OUTLET SYNDROME WITHOUT CONTRAST"
},
{
"Code": "IMG012272",
"Display": "MRI NEURO WHOLE SPINE WITH CONTRAST"
},
{
"Code": "IMG012273",
"Display": "MRI NEURO WHOLE SPINE WITHOUT CONSTRAST"
},
{
"Code": "IMG012275",
"Display": "MRI MYELOGRAM"
},
{
"Code": "IMG012279",
"Display": "MRI ANGIOGRAM PERIPHERAL W CONTRAST"
},
{
"Code": "IMG012283",
"Display": "MRI SUPPLEMENTAL READ"
},
{
"Code": "IMG012284 ",
"Display": "MRI TEMPOROMANDIBULAR JOINTS WO CONTRAST "
},
{
"Code": "IMG012286",
"Display": "MRI MINOR ASSESSMENT BODY"
},
{
"Code": "IMG012287",
"Display": "MRI MINOR ASSESSMENT CHEST CARDIAC"
},
{
"Code": "IMG012289",
"Display": "MRI MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG012291",
"Display": "MRI CARDIAC STRESS PERFUSION WITH CONTRAST"
},
{
"Code": "IMG012292",
"Display": "MRI CARDIAC STRESS PERFUSION WITHOUT CONTRAST"
},
{
"Code": "IMG013000",
"Display": "NM THYROID UPTAKE ONLY"
},
{
"Code": "IMG013001",
"Display": "NM LUNG PE"
},
{
"Code": "IMG013002",
"Display": "NM THYROID SCAN ONLY"
},
{
"Code": "IMG013003",
"Display": "NM RENAL TRANSPLANT"
},
{
"Code": "IMG013004",
"Display": "NM PARATHYROID SCAN"
},
{
"Code": "IMG013005",
"Display": "NM ADRENAL SCAN"
},
{
"Code": "IMG013006",
"Display": "NM BONE MARROW SPECIFIC SITE "
},
{
"Code": "IMG013008",
"Display": "NM LIVER SCAN RBC"
},
{
"Code": "IMG013009",
"Display": "NM LIVER SCAN HEAT DAMAGED RBC"
},
{
"Code": "IMG013010",
"Display": "NM LIVER FUNCTION"
},
{
"Code": "IMG013011",
"Display": "NM HIDA"
},
{
"Code": "IMG013012",
"Display": "NM SALIVARY GLAND"
},
{
"Code": "IMG013014",
"Display": "NM GASTROESOPHAGEAL STUDY"
},
{
"Code": "IMG013015",
"Display": "NM GASTRIC EMPTYING"
},
{
"Code": "IMG013016",
"Display": "NM UREA BREATH TEST"
},
{
"Code": "IMG013017",
"Display": "NM GI BLEED"
},
{
"Code": "IMG013018",
"Display": "NM MECKELS DIVERTICULUM"
},
{
"Code": "IMG013021",
"Display": "NM CARDIAC RIGHT TO LEFT SHUNT EVALUATION"
},
{
"Code": "IMG013022",
"Display": "NM CARDIAC PERFUSION CPEP"
},
{
"Code": "IMG013024",
"Display": "NM CARDIAC PERFUSION (STRESS ONLY)"
},
{
"Code": "IMG013025",
"Display": "NM LUNG QUANTITATIVE"
},
{
"Code": "IMG013027",
"Display": "NM BRAIN SCAN"
},
{
"Code": "IMG013028",
"Display": "NM PET COLORECTRAL CANCER "
},
{
"Code": "IMG013029",
"Display": "NM PET ESOPHAGEAL CANCER"
},
{
"Code": "IMG013030",
"Display": "NM CSF CISTERNOGRAPHY"
},
{
"Code": "IMG013031",
"Display": "NM CSF SHUNT EVALUATION"
},
{
"Code": "IMG013032",
"Display": "NM RENAL DMSA"
},
{
"Code": "IMG013033",
"Display": "NM WHITE BLOOD CELL SPECIFIC SITE"
},
{
"Code": "IMG013035",
"Display": "NM THYROID UPTAKE AND SCAN"
},
{
"Code": "IMG013036",
"Display": "NM THERAPY ABLATION THYROID CANCER"
},
{
"Code": "IMG013037",
"Display": "NM THERAPY BONE METS (STRONTIUM)"
},
{
"Code": "IMG013038",
"Display": "NM THYROID WHOLE BODY I-131"
},
{
"Code": "IMG013039",
"Display": "NM THYROID WHOLE BODY I-123"
},
{
"Code": "IMG013041",
"Display": "NM LYMPHOSCINTIGRAPHY"
},
{
"Code": "IMG013042",
"Display": "NM HIDA W CCK"
},
{
"Code": "IMG013043",
"Display": "NM RENAL CAPTOPRIL"
},
{
"Code": "IMG013044",
"Display": "NM OCTREOTIDE SCAN"
},
{
"Code": "IMG013045",
"Display": "NM WHITE BLOOD CELL WHOLE BODY"
},
{
"Code": "IMG013046",
"Display": "NM HYPERTHYROID THERAPY I-131"
},
{
"Code": "IMG013047",
"Display": "NM THYROID SCAN I-123"
},
{
"Code": "IMG013049",
"Display": "NM BONE MARROW WHOLE BODY"
},
{
"Code": "IMG013050",
"Display": "NM BONE SCAN SPECIFIC SITE"
},
{
"Code": "IMG013051",
"Display": "NM BONE SCAN WHOLE BODY"
},
{
"Code": "IMG013053",
"Display": "NM RENAL FUNCTION"
},
{
"Code": "IMG013054",
"Display": "NM RENAL GFR"
},
{
"Code": "IMG013055",
"Display": "NM VENTRICULAR FUNCTION"
},
{
"Code": "IMG013056",
"Display": "NM RENAL LASIX"
},
{
"Code": "IMG013059",
"Display": "NM GALLIUM SPECIFIC SITE"
},
{
"Code": "IMG013060",
"Display": "NM GALLIUM WHOLE BODY"
},
{
"Code": "IMG013062",
"Display": "NM LEVEEN SHUNT"
},
{
"Code": "IMG013063",
"Display": "NM PET ANAL CANAL CANCER"
},
{
"Code": "IMG013064",
"Display": "NM PET GERMCELL TESTICULAR CANCER"
},
{
"Code": "IMG013065",
"Display": "NM PET HODGKIN'S MID-TREATMENT "
},
{
"Code": "IMG013066",
"Display": "NM PET LIVER METS FROM COLORECTAL CANCER"
},
{
"Code": "IMG013067",
"Display": "NM PET LYMPHOMA POST-TREATMENT "
},
{
"Code": "IMG013068",
"Display": "NM PET LYMPHOMA PRE-TREATMENT "
},
{
"Code": "IMG013069",
"Display": "NM PET MELANOMA "
},
{
"Code": "IMG013070",
"Display": "NM PET METASTATIC SQUAMOUS"
},
{
"Code": "IMG013071",
"Display": "NM PET METASTATIC STAGING "
},
{
"Code": "IMG013072",
"Display": "NM PET METASTATIC THYROID CANCER "
},
{
"Code": "IMG013073",
"Display": "NM PET NASOPHARANGEAL CARCINOMA "
},
{
"Code": "IMG013074",
"Display": "NM PET NON SMALL CELL LUNG CANCER"
},
{
"Code": "IMG013075",
"Display": "NM PET PEDIATRIC REGISTRY "
},
{
"Code": "IMG013076",
"Display": "NM PET SPECIAL ACCESS REQUEST"
},
{
"Code": "IMG013077",
"Display": "NM PET SMALL CELL LUNG CANCER "
},
{
"Code": "IMG013078",
"Display": "NM PET SOLITARY PULMONARY NODULE LUNG CANCER"
},
{
"Code": "IMG013079",
"Display": "NM PET VIABILITY"
},
{
"Code": "IMG013080",
"Display": "NM PET PERFUSION 1 DAY"
},
{
"Code": "IMG013081",
"Display": "NM LYMPHANGIOGRAM"
},
{
"Code": "IMG013083",
"Display": "NM THERAPY RA-223 BONE METS"
},
{
"Code": "IMG013084",
"Display": "NM BRAIN DEATH"
},
{
"Code": "IMG013085",
"Display": "NM CARDIAC PERFUSION (1 DAY)"
},
{
"Code": "IMG013086",
"Display": "NM CARDIAC PERFUSION (2 DAY)"
},
{
"Code": "IMG013087",
"Display": "NM CARDIAC PERFUSION (REST ONLY)"
},
{
"Code": "IMG013089",
"Display": "NM MINOR ASSESSMENT"
},
{
"Code": "IMG013090",
"Display": "NM PET GYN CERVICAL CANCER"
},
{
"Code": "IMG013091",
"Display": "NM PET GYN CANCER RECURRENCE"
},
{
"Code": "IMG013092",
"Display": "NM PET HEAD AND NECK CANCER STAGING"
},
{
"Code": "IMG013093",
"Display": "NM PET HEAD AND NECK CANCER RESTAGING"
},
{
"Code": "IMG013094",
"Display": "NM PET SEMINOMA TESTICULAR"
},
{
"Code": "IMG013095",
"Display": "NM PET BRAIN EPILEPSY"
},
{
"Code": "IMG013096",
"Display": "NM THYROID WHOLE BODY I-131 POST THERAPY"
},
{
"Code": "IMG013097",
"Display": "NM PET SARCOMA"
},
{
"Code": "IMG013098",
"Display": "NM PET MULTIPLE MYELOMA/PLASMACYTOMA"
},
{
"Code": "IMG013100",
"Display": "NM PET MESOTHELIOMA"
},
{
"Code": "IMG013101 ",
"Display": "NM NECROSIS IMAGING"
},
{
"Code": "IMG013102",
"Display": "NM PET MINOR ASSESSMENT"
},
{
"Code": "IMG013103",
"Display": "NM THERAPY AND IMAGING"
},
{
"Code": "IMG013104",
"Display": "NM THERAPY PROSTATE"
},
{
"Code": "IMG013107",
"Display": "NM PET WHOLE BODY"
},
{
"Code": "IMG013108",
"Display": "NM PET BRAIN "
},
{
"Code": "IMG013109",
"Display": "NM PET PERFUSION REST 2 DAY "
},
{
"Code": "IMG013110",
"Display": "NM PET PERFUSION STRESS 2 "
},
{
"Code": "IMG013111",
"Display": "NM PET PERFUSION REST ONLY "
},
{
"Code": "IMG013112 ",
"Display": "NM LUNG VENTALATION ONLY"
},
{
"Code": "IMG013113 ",
"Display": "NM LUNG PERFUSION ONLY"
},
{
"Code": "IMG013115",
"Display": "NM PET VIABILITY FDG ONLY"
},
{
"Code": "IMG013116",
"Display": "NM PET WHOLE BODY SCAN"
},
{
"Code": "IMG013117",
"Display": "NM PET THYROID ANAPLASTIC CANCER "
},
{
"Code": "IMG013118",
"Display": "NM PET THYROID MEDULLARY CANCER "
},
{
"Code": "IMG013119",
"Display": "NM PET PSMA"
},
{
"Code": "IMG013121",
"Display": "NM PET NON-CARDIAC SPECIAL ACCESS"
},
{
"Code": "IMG013122",
"Display": "NM DATSCAN"
},
{
"Code": "IMG013126",
"Display": "NM PET INTERIM RESPONSE FOR NON-HODGKIN'S LYMPHOMA (PEDIATRICS)"
},
{
"Code": "IMG013129",
"Display": "NM PET BASELINE STAGING FOR LYMPHOMA (ADULTS & PEDIATRICS)"
},
{
"Code": "IMG013130 ",
"Display": "NM SEHCAT SCAN"
},
{
"Code": "IMG013131",
"Display": "NM PET INTERIM RESPONSE FOR HODGKIN'S LYMPHOMA (ADULT)"
},
{
"Code": "IMG013132",
"Display": "NM PET LYMPHOMA END OF THERAPHY RESPONSE ASSESSMENT"
},
{
"Code": "IMG013134",
"Display": "NM PET Breast Cancer (Locally Advanced) - Staging"
},
{
"Code": "IMG013135",
"Display": "NM PET GALLIUM 68"
},
{
"Code": "IMG013136",
"Display": "NM LUTATHERA THERAPY"
},
{
"Code": "IMG013201NM",
"Display": "PET BLADDER CANCER (MUSCLE INVASIVE) - STAGING"
},
{
"Code": "IMG014000",
"Display": "US ABDOMEN"
},
{
"Code": "IMG014001",
"Display": "US ABDOMEN LIMITED"
},
{
"Code": "IMG014002",
"Display": "US ABDOMEN LIMITED FOR AORTA ONLY"
},
{
"Code": "IMG014003",
"Display": "US ABDOMEN WITH PELVIS"
},
{
"Code": "IMG014004",
"Display": "US ABDOMEN WITH PELVIS AND TRANSVAGINAL"
},
{
"Code": "IMG014005",
"Display": "US ABDOMEN WITH LIMITED PELVIS"
},
{
"Code": "IMG014006",
"Display": "US ANKLE LEFT"
},
{
"Code": "IMG014007",
"Display": "US ANKLE RIGHT"
},
{
"Code": "IMG014008",
"Display": "US APPENDIX"
},
{
"Code": "IMG014009",
"Display": "US AXILLA BILATERAL"
},
{
"Code": "IMG014010",
"Display": "US AXILLA LEFT"
},
{
"Code": "IMG014011",
"Display": "US AXILLA RIGHT"
},
{
"Code": "IMG014013",
"Display": "US MINOR ASSESSMENT"
},
{
"Code": "IMG014014",
"Display": "US CHEST"
},
{
"Code": "IMG014015",
"Display": "US FAILED ATTEMPT"
},
{
"Code": "IMG014016",
"Display": "US ELBOW LEFT"
},
{
"Code": "IMG014017",
"Display": "US ELBOW RIGHT"
},
{
"Code": "IMG014018",
"Display": "US ENDO ANAL/RECTAL"
},
{
"Code": "IMG014019",
"Display": "US ENDOMETRIOSIS ABDOMEN WITH TRANSVAGINAL"
},
{
"Code": "IMG014020",
"Display": "US UPPER LEG SOFT TISSUE LEFT"
},
{
"Code": "IMG014021",
"Display": "US UPPER LEG SOFT TISSUE RIGHT"
},
{
"Code": "IMG014022",
"Display": "US FINGER LEFT"
},
{
"Code": "IMG014023",
"Display": "US FOOT LEFT"
},
{
"Code": "IMG014024",
"Display": "US FOOT RIGHT"
},
{
"Code": "IMG014025",
"Display": "US FOREARM SOFT TISSUE RIGHT"
},
{
"Code": "IMG014026",
"Display": "US FOREARM SOFT TISSUE LEFT"
},
{
"Code": "IMG014027",
"Display": "US GROIN "
},
{
"Code": "IMG014028",
"Display": "US GUIDED ABDOMINAL MASS BIOPSY"
},
{
"Code": "IMG014029",
"Display": "US GUIDED ASPIRATION"
},
{
"Code": "IMG014030",
"Display": "US GUIDED ASPIRATION OF BURSA OR JOINT"
},
{
"Code": "IMG014031",
"Display": "US GUIDED FIDUCIAL SEED INSERT"
},
{
"Code": "IMG014032",
"Display": "US GUIDED INTRAOPERATIVE PROCEDURE"
},
{
"Code": "IMG014033",
"Display": "US GUIDED KIDNEY BIOPSY"
},
{
"Code": "IMG014034",
"Display": "US GUIDED LIVER BIOPSY"
},
{
"Code": "IMG014035",
"Display": "US GUIDED LYMPH NODE BIOPSY"
},
{
"Code": "IMG014036",
"Display": "US GUIDED MSK BIOPSY"
},
{
"Code": "IMG014037",
"Display": "US GUIDED MSK INJECTION ANKLE/FOOT LEFT"
},
{
"Code": "IMG014038",
"Display": "US GUIDED MSK INJECTION ANKLE/FOOT RIGHT"
},
{
"Code": "IMG014039",
"Display": "US GUIDED MSK INJECTION SHOULDER LEFT"
},
{
"Code": "IMG014040",
"Display": "US GUIDED MSK INJECTION SHOULDER RIGHT"
},
{
"Code": "IMG014041",
"Display": "US GUIDED NEEDLE BIOPSY OTHER"
},
{
"Code": "IMG014043",
"Display": "US GUIDED PARACENTESIS"
},
{
"Code": "IMG014044",
"Display": "US GUIDED PELVIC CYST ASPIRATION"
},
{
"Code": "IMG014045",
"Display": "US GUIDED PELVIC MASS BIOPSY"
},
{
"Code": "IMG014046",
"Display": "US GUIDED PROSTATE BIOPSY"
},
{
"Code": "IMG014048",
"Display": "US GUIDED RFA LIVER"
},
{
"Code": "IMG014049",
"Display": "US GUIDED SOFT TISSUE BIOPSY"
},
{
"Code": "IMG014050",
"Display": "US GUIDED THORACENTESIS"
},
{
"Code": "IMG014051",
"Display": "US GUIDED THYROID BIOPSY"
},
{
"Code": "IMG014052",
"Display": "US GUIDED TRANSRECTAL BIOPSY"
},
{
"Code": "IMG014053",
"Display": "US HAND LEFT"
},
{
"Code": "IMG014054",
"Display": "US HAND RIGHT"
},
{
"Code": "IMG014055",
"Display": "US HEAD/ FACE/ NECK SOFT TISSUE"
},
{
"Code": "IMG014056",
"Display": "US HEEL LEFT"
},
{
"Code": "IMG014057",
"Display": "US HEEL RIGHT"
},
{
"Code": "IMG014058",
"Display": "US HIP LEFT"
},
{
"Code": "IMG014059",
"Display": "US UPPER ARM SOFT TISSUE LEFT"
},
{
"Code": "IMG014060",
"Display": "US UPPER ARM SOFT TISSUE RIGHT"
},
{
"Code": "IMG014062",
"Display": "US KIDNEY TRANSPLANT WITH DOPPLER"
},
{
"Code": "IMG014063",
"Display": "US KIDNEYS URETER BLADDER (KUB)"
},
{
"Code": "IMG014064",
"Display": "US KNEE LEFT"
},
{
"Code": "IMG014065",
"Display": "US KNEE RIGHT"
},
{
"Code": "IMG014066",
"Display": "US LIVER VASCULAR TRANSPLANT"
},
{
"Code": "IMG014067",
"Display": "US NEONATAL BRAIN"
},
{
"Code": "IMG014068",
"Display": "US NEONATAL SPINE"
},
{
"Code": "IMG014069",
"Display": "US OB 16+ WEEKS HIGH RISK GESTATION"
},
{
"Code": "IMG014070",
"Display": "US OB BIOPHYSICAL PROFILE"
},
{
"Code": "IMG014072",
"Display": "US OB LIMITED "
},
{
"Code": "IMG014073",
"Display": "US OB NUCHAL TRANSLUCENCY FOR PRENATAL GENETIC SCREENING"
},
{
"Code": "IMG014074",
"Display": "US OB NUCHAL TRANSLUCENCY FOR PRENATAL GENETIC SCREENING TWINS"
},
{
"Code": "IMG014075",
"Display": "US OB TRANSVAGINAL"
},
{
"Code": "IMG014077",
"Display": "US OB <16 WEEKS GESTATION"
},
{
"Code": "IMG014078",
"Display": "US OB <16 WEEKS WITH TRANSVAGINAL"
},
{
"Code": "IMG014080",
"Display": "US OB 16+ WEEKS FETAL ANATOMY"
},
{
"Code": "IMG014081",
"Display": "US PELVIS"
},
{
"Code": "IMG014082",
"Display": "US PELVIS LIMITED"
},
{
"Code": "IMG014083",
"Display": "US PELVIS WITH TRANSVAGINAL"
},
{
"Code": "IMG014084",
"Display": "US PELVIS WITH LIMITED ABDOMEN"
},
{
"Code": "IMG014085",
"Display": "US SCROTUM AND TESTES WITH DOPPLER"
},
{
"Code": "IMG014086",
"Display": "US SHOULDER LEFT"
},
{
"Code": "IMG014087",
"Display": "US SHOULDER RIGHT"
},
{
"Code": "IMG014088",
"Display": "US SOFT TISSUE"
},
{
"Code": "IMG014090",
"Display": "US THYROID"
},
{
"Code": "IMG014091",
"Display": "US LOWER LEG SOFT TISSUE LEFT"
},
{
"Code": "IMG014092",
"Display": "US LOWER LEG SOFT TISSUE RIGHT"
},
{
"Code": "IMG014093",
"Display": "US TOE LEFT"
},
{
"Code": "IMG014094",
"Display": "US TOE RIGHT"
},
{
"Code": "IMG014096",
"Display": "US TRANSVAGINAL ONLY"
},
{
"Code": "IMG014097",
"Display": "US WRIST RIGHT"
},
{
"Code": "IMG014098",
"Display": "US WRIST LEFT"
},
{
"Code": "IMG014099",
"Display": "US FINGER RIGHT"
},
{
"Code": "IMG014100",
"Display": "US HIP RIGHT"
},
{
"Code": "IMG014101",
"Display": "US GUIDED RFA KIDNEY"
},
{
"Code": "IMG014102",
"Display": "US PRE RFA"
},
{
"Code": "IMG014103",
"Display": "US GUIDED MSK INJECTION KNEE LEFT"
},
{
"Code": "IMG014104",
"Display": "US GUIDED MSK INJECTION KNEE RIGHT"
},
{
"Code": "IMG014105",
"Display": "US GUIDED MSK INJECTION HIP LEFT"
},
{
"Code": "IMG014106",
"Display": "US GUIDED MSK INJECTION HIP RIGHT"
},
{
"Code": "IMG014107",
"Display": "US GUIDED MSK INJECTION ELBOW LEFT"
},
{
"Code": "IMG014108",
"Display": "US GUIDED MSK INJECTION ELBOW RIGHT"
},
{
"Code": "IMG014109",
"Display": "US GUIDED MSK INJECTION HAND/WRIST LEFT"
},
{
"Code": "IMG014110",
"Display": "US GUIDED MSK INJECTION HAND/WRIST RIGHT"
},
{
"Code": "IMG014111",
"Display": "US GUIDED MSK INJECTION OTHER"
},
{
"Code": "IMG014116 ",
"Display": "US ENDOSCOPIC BRONCHIAL (EBUS)"
},
{
"Code": "IMG014117 ",
"Display": "US ENDOSCOPY (EUS)"
},
{
"Code": "IMG014118",
"Display": "US MINOR ASSESSMENT CHEST"
},
{
"Code": "IMG014119",
"Display": "US MINOR ASSESSMENT MSK"
},
{
"Code": "IMG014120",
"Display": "US MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG014121",
"Display": "US MINOR ASSESSMENT OB"
},
{
"Code": "IMG014123",
"Display": "US MINOR ASSESSMENT BODY"
},
{
"Code": "IMG014136",
"Display": "US GROIN RIGHT"
},
{
"Code": "IMG014137",
"Display": "US GROIN LEFT"
},
{
"Code": "IMG014139 ",
"Display": "US BACK SOFT TISSUE LEFT"
},
{
"Code": "IMG014140",
"Display": "US BACK SOFT TISSUE RIGHT"
},
{
"Code": "IMG014141",
"Display": "US CHEST SOFT TISSUE LEFT"
},
{
"Code": "IMG014142",
"Display": "US CHEST SOFT TISSUE RIGHT"
},
{
"Code": "IMG014143",
"Display": "US ADBDOMEN SOFT TISSUE LEFT "
},
{
"Code": "IMG014144",
"Display": "US ABDOMENT SOFT TISSUE RIGHT "
},
{
"Code": "IMG014145",
"Display": "US HAND/WRIST SOFT TISSUE LEFT"
},
{
"Code": "IMG014146",
"Display": "US HAND/WRIST SOFT TISSUE RIGHT"
},
{
"Code": "IMG016000",
"Display": "NM BONE MINERAL DENSITY BASELINE "
},
{
"Code": "IMG016001",
"Display": "NM BONE MINERAL DENSITY HIGH RISK"
},
{
"Code": "IMG016002",
"Display": "NM BONE MINERAL DENSITY LOW RISK 3 YEAR"
},
{
"Code": "IMG016003",
"Display": "NM BONE MINERAL DENSITY LOW RISK 5 YEAR"
},
{
"Code": "IMG016004",
"Display": "NM BONE MINERAL DENSITY "
},
{
"Code": "IMG017000",
"Display": "BI BREAST BIOPSY (TECHNIQUE PER RADIOLOGY)"
},
{
"Code": "IMG017002",
"Display": "BI MAMMO ADDITIONAL/MAG VIEW RIGHT"
},
{
"Code": "IMG017003",
"Display": "BI MAMMO ADDITIONAL/MAG VIEW LEFT"
},
{
"Code": "IMG017004",
"Display": "BI MAMMO BREAST SPECIMEN"
},
{
"Code": "IMG017005",
"Display": "BI MAMMO DIAGNOSTIC BILATERAL"
},
{
"Code": "IMG017006",
"Display": "BI MAMMO DIAGNOSTIC LEFT"
},
{
"Code": "IMG017007",
"Display": "BI MAMMO DIAGNOSTIC RIGHT"
},
{
"Code": "IMG017010",
"Display": "BI MAMMO LOCALIZATION BILATERAL"
},
{
"Code": "IMG017011",
"Display": "BI MAMMO LOCALIZATION LEFT"
},
{
"Code": "IMG017012",
"Display": "BI MAMMO LOCALIZATION RIGHT"
},
{
"Code": "IMG017013",
"Display": "BI MAMMO NON-BILLABLE LEFT"
},
{
"Code": "IMG017014",
"Display": "BI MAMMO NON-BILLABLE RIGHT"
},
{
"Code": "IMG017015",
"Display": "BI MAMMO SCREENING BILATERAL"
},
{
"Code": "IMG017016",
"Display": "BI MAMMO SCREENING LEFT"
},
{
"Code": "IMG017017",
"Display": "BI MAMMO SCREENING RIGHT"
},
{
"Code": "IMG017018",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY BILATERAL"
},
{
"Code": "IMG017019",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY RIGHT"
},
{
"Code": "IMG017020",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY LEFT"
},
{
"Code": "IMG017021",
"Display": "BI MRI BREAST WITH CONTRAST"
},
{
"Code": "IMG017022",
"Display": "BI MRI BREAST WITHOUT CONTRAST"
},
{
"Code": "IMG017023",
"Display": "BI MRI GUIDED BREAST BIOPSY BILATERAL"
},
{
"Code": "IMG017024",
"Display": "BI US GUIDED NEEDLE BIOPSY BILATERAL"
},
{
"Code": "IMG017025",
"Display": "BI US GUIDED NEEDLE BIOPSY LEFT"
},
{
"Code": "IMG017026",
"Display": "BI US GUIDED FINE NEEDLE ASPIRATION RIGHT"
},
{
"Code": "IMG017027",
"Display": "BI US GUIDED NEEDLE BIOPSY RIGHT"
},
{
"Code": "IMG017028",
"Display": "BI MINOR ASSESSMENT"
},
{
"Code": "IMG017030",
"Display": "BI MRI GUIDED BREAST BIOPSY LEFT"
},
{
"Code": "IMG017031",
"Display": "BI MRI GUIDED BREAST BIOPSY RIGHT"
},
{
"Code": "IMG017033",
"Display": "BI US BREAST BILATERAL"
},
{
"Code": "IMG017034",
"Display": "BI US BREAST LEFT"
},
{
"Code": "IMG017035",
"Display": "BI US BREAST RIGHT"
},
{
"Code": "IMG017036",
"Display": "BI US CHEST WALL LEFT"
},
{
"Code": "IMG017037",
"Display": "BI US CHEST WALL RIGHT"
},
{
"Code": "IMG017038",
"Display": "BI US CHEST WALL BILATERAL"
},
{
"Code": "IMG017039",
"Display": "BI US GUIDED AXILLARY LYMPH NODE BIOPSY LEFT"
},
{
"Code": "IMG017040",
"Display": "BI US GUIDED BREAST LOCALIZATION BILATERAL"
},
{
"Code": "IMG017041",
"Display": "BI US GUIDED BREAST LOCALIZATION LEFT"
},
{
"Code": "IMG017042",
"Display": "BI US GUIDED BREAST LOCALIZATION RIGHT"
},
{
"Code": "IMG017043",
"Display": "BI US GUIDED BREAST MARKER CLIP PLACEMENT LEFT"
},
{
"Code": "IMG017044",
"Display": "BI US GUIDED FINE NEEDLE ASPIRATION BILATERAL"
},
{
"Code": "IMG017045",
"Display": "BI US GUIDED FINE NEEDLE ASPIRATION LEFT"
},
{
"Code": "IMG017047",
"Display": "BI BREAST BIOPSY OBSP HIGH RISK (TECHNIQUE PER RADIOLOGY)"
},
{
"Code": "IMG017048",
"Display": "BI MAMMO SCREENING OBSP BILATERAL"
},
{
"Code": "IMG017049",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY OBSP BILATERAL"
},
{
"Code": "IMG017050",
"Display": "BI MAMMO ADDITIONAL/MAG VIEW OBSP LEFT"
},
{
"Code": "IMG017051",
"Display": "BI MRI BREAST OBSP HIGH RISK SCREENING WITH CONTRAST"
},
{
"Code": "IMG017052",
"Display": "BI MRI GUIDED BREAST BIOPSY OBSP HIGH RISK BILATERAL"
},
{
"Code": "IMG017053",
"Display": "BI MRI GUIDED BREAST MARKER CLIP PLACEMENT LEFT"
},
{
"Code": "IMG017054",
"Display": "BI US BREAST OBSP BILATERAL"
},
{
"Code": "IMG017055",
"Display": "BI US GUIDED NEEDLE BIOPSY OBSP BILATERAL"
},
{
"Code": "IMG017056",
"Display": "BI MAMMO DIAGNOSTIC OBSP BILATERAL"
},
{
"Code": "IMG017057",
"Display": "BI MAMMO ADDITIONAL/MAG VIEW OBSP RIGHT"
},
{
"Code": "IMG017058",
"Display": "BI MAMMO DIAGNOSTIC OBSP LEFT"
},
{
"Code": "IMG017059",
"Display": "BI MAMMO DIAGNOSTIC OBSP RIGHT"
},
{
"Code": "IMG017060",
"Display": "BI MAMMO SCREENING OBSP LEFT"
},
{
"Code": "IMG017061",
"Display": "BI MAMMO SCREENING OBSP RIGHT"
},
{
"Code": "IMG017062",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY OBSP RIGHT"
},
{
"Code": "IMG017063",
"Display": "BI MRI GUIDED BREAST MARKER CLIP PLACEMENT RIGHT"
},
{
"Code": "IMG017064",
"Display": "BI US GUIDED NEEDLE BIOPSY OBSP LEFT"
},
{
"Code": "IMG017065",
"Display": "BI US GUIDED NEEDLE BIOPSY OBSP RIGHT"
},
{
"Code": "IMG017066",
"Display": "BI MRI GUIDED BREAST BIOPSY OBSP HIGH RISK LEFT"
},
{
"Code": "IMG017067",
"Display": "BI MRI GUIDED BREAST BIOPSY OBSP HIGH RISK RIGHT"
},
{
"Code": "IMG017068",
"Display": "BI US BREAST OBSP LEFT"
},
{
"Code": "IMG017069",
"Display": "BI US BREAST OBSP RIGHT"
},
{
"Code": "IMG017070",
"Display": "BI US GUIDED AXILLARY LYMPH NODE BIOPSY RIGHT"
},
{
"Code": "IMG017071",
"Display": "BI US GUIDED BREAST MARKER CLIP PLACEMENT RIGHT"
},
{
"Code": "IMG017072",
"Display": "BI MAMMO STEREOTACTIC BREAST BIOPSY OBSP LEFT"
},
{
"Code": "IMG017073",
"Display": "BI MAMMO DIAGNOSTIC BILATERAL W TOMO"
},
{
"Code": "IMG017074",
"Display": "BI MAMMO DIAGNOSTIC LEFT W TOMO"
},
{
"Code": "IMG017075",
"Display": "BI MAMMO DIAGNOSTIC RIGHT W TOMO"
},
{
"Code": "IMG017076",
"Display": "BI MAMMO SCREENING BILATERAL W TOMO"
},
{
"Code": "IMG017077",
"Display": "BI MAMMO SCREENING LEFT W TOMO"
},
{
"Code": "IMG017078",
"Display": "BI MAMMO SCREENING RIGHT W TOMO"
},
{
"Code": "IMG017080",
"Display": "BI MAMMO DIAGNOSTIC OBSP BILATERAL W TOMO"
},
{
"Code": "IMG017081",
"Display": "BI MAMMO DIAGNOSTIC OBSP LEFT W TOMO"
},
{
"Code": "IMG017082",
"Display": "BI MAMMO DIAGNOSTIC OBSP RIGHT W TOMO"
},
{
"Code": "IMG017085",
"Display": "BI MAMMO TOMO ONLY BILATERAL"
},
{
"Code": "IMG017086",
"Display": "BI MAMMO TOMO ONLY LEFT"
},
{
"Code": "IMG017087",
"Display": "BI MAMMO TOMO ONLY RIGHT"
},
{
"Code": "IMG017088",
"Display": "BI MAMMO TOMO ONLY BILATERAL OBSP"
},
{
"Code": "IMG017089",
"Display": "BI MAMMO TOMO ONLY LEFT OBSP"
},
{
"Code": "IMG017090",
"Display": "BI MAMMO TOMO ONLY RIGHT OBSP"
},
{
"Code": "IMG017093 ",
"Display": "BI MAMMO POST PROCEDURE LEFT"
},
{
"Code": "IMG017094 ",
"Display": "BI MAMMO POST PROCEDURE RIGHT"
},
{
"Code": "IMG017095 ",
"Display": "BI MAMMO POST PROCEDURE BILATERAL"
},
{
"Code": "IMG017096",
"Display": "MRI MINOR ASSESSMENT BREAST"
},
{
"Code": "IMG017099",
"Display": "BI MRI BREAST WITH BODY"
},
{
"Code": "IMG017101BI ",
"Display": "MAMMO DIAGNOSTIC BILATERAL W CONTRAST (aka CEM)"
},
{
"Code": "IMG017102BI ",
"Display": "MAMMO DIAGNOSTIC LEFT W CONTRAST (aka CEM)"
},
{
"Code": "IMG017103BI ",
"Display": "MAMMO DIAGNOSTIC RIGHT W CONTRAST (aka CEM)"
},
{
"Code": "IMG018000",
"Display": "IR ABSCESS DRAIN"
},
{
"Code": "IMG018002",
"Display": "IR ANGIOGRAM FOREIGN BODY"
},
{
"Code": "IMG018004",
"Display": "IR BILIARY DRAIN"
},
{
"Code": "IMG018005",
"Display": "IR BILIARY STENT REPLACEMENT"
},
{
"Code": "IMG018006",
"Display": "IR BIOPSY LUNG"
},
{
"Code": "IMG018007",
"Display": "IR CHEST THORACENTESIS"
},
{
"Code": "IMG018008",
"Display": "IR CHEST TUBE"
},
{
"Code": "IMG018009",
"Display": "IR CHOLANGIOGRAM PERCUTANEOUS TRANSHEPATIC"
},
{
"Code": "IMG018010",
"Display": "IR DIALYSIS PERITONEAL CATHETER MANIPULATION"
},
{
"Code": "IMG018011",
"Display": "IR FLUORO ABDOMEN"
},
{
"Code": "IMG018012",
"Display": "IR FLUORO CHEST"
},
{
"Code": "IMG018013",
"Display": "IR FLUORO SKELETAL"
},
{
"Code": "IMG018014",
"Display": "IR GASTROSTOMY"
},
{
"Code": "IMG018015",
"Display": "IR GJ TUBE CHANGE"
},
{
"Code": "IMG018016",
"Display": "IR NEPHROSTOGRAM BILATERAL"
},
{
"Code": "IMG018017",
"Display": "IR NEPHROSTOGRAM LEFT"
},
{
"Code": "IMG018018",
"Display": "IR NEPHROSTOGRAM RIGHT"
},
{
"Code": "IMG018019",
"Display": "IR NEPHROSTOMY BILATERAL"
},
{
"Code": "IMG018020",
"Display": "IR NEPHROSTOMY LEFT"
},
{
"Code": "IMG018021",
"Display": "IR NEPHROSTOMY RIGHT"
},
{
"Code": "IMG018022",
"Display": "IR NEPHROSTOMY TUBE CHANGE BILATERAL"
},
{
"Code": "IMG018023",
"Display": "IR NEPHROSTOMY TUBE CHANGE LEFT"
},
{
"Code": "IMG018024",
"Display": "IR NEPHROSTOMY TUBE CHANGE RIGHT"
},
{
"Code": "IMG018025",
"Display": "IR NEPHROSTOMY TUBE REMOVAL"
},
{
"Code": "IMG018026",
"Display": "IR NEURO ANGIOGRAM CEREBRAL"
},
{
"Code": "IMG018027",
"Display": "IR NEURO ANGIOGRAM EPIDURAL INJECTION"
},
{
"Code": "IMG018028",
"Display": "IR NEURO ANGIOGRAM SPINAL"
},
{
"Code": "IMG018029",
"Display": "IR NEURO DISCOGRAM"
},
{
"Code": "IMG018030",
"Display": "IR NEURO EMBOLIZATION"
},
{
"Code": "IMG018031",
"Display": "IR NEURO FACET INJECTION PROCEDURE"
},
{
"Code": "IMG018033",
"Display": "IR NEURO IDIOPATHIC INTRACRANIAL HYPERTENSION (IIH)"
},
{
"Code": "IMG018034",
"Display": "IR NEURO LUMBAR PUNCTURE"
},
{
"Code": "IMG018035",
"Display": "IR NEURO MYELOGRAM"
},
{
"Code": "IMG018036",
"Display": "IR NEURO INFERIOR PETROSAL SINUS SAMPLING (IPSS)"
},
{
"Code": "IMG018037",
"Display": "IR NEURO RHIZOTOMY"
},
{
"Code": "IMG018038",
"Display": "IR NEURO ACUTE STROKE"
},
{
"Code": "IMG018039",
"Display": "IR NEURO VERTEBROPLASTY"
},
{
"Code": "IMG018041",
"Display": "IR RADIOFREQUENCY ABLATION LUNG"
},
{
"Code": "IMG018042",
"Display": "IR TUBE CHANGE"
},
{
"Code": "IMG018043",
"Display": "IR TUBE REMOVAL"
},
{
"Code": "IMG018044",
"Display": "IR URETERIC STENT ONLY BILATERAL"
},
{
"Code": "IMG018045",
"Display": "IR URETERIC STENT ONLY LEFT"
},
{
"Code": "IMG018046",
"Display": "IR URETERIC STENT ONLY RIGHT"
},
{
"Code": "IMG018047",
"Display": "IR VASCULAR ADRENAL VEIN SAMPLING"
},
{
"Code": "IMG018048",
"Display": "IR VASCULAR ANGIOGRAM AORTA"
},
{
"Code": "IMG018049",
"Display": "IR VASCULAR ANGIOGRAM BLEOMYCIN SCLEROTHERAPY"
},
{
"Code": "IMG018050",
"Display": "IR VASCULAR ANGIOGRAM BRONCHIAL"
},
{
"Code": "IMG018051",
"Display": "IR VASCULAR ANGIOGRAM ILIAC"
},
{
"Code": "IMG018052",
"Display": "IR VASCULAR ANGIOGRAM LOWER EXTREMITY BILATERAL"
},
{
"Code": "IMG018053",
"Display": "IR VASCULAR ANGIOGRAM LOWER EXTREMITY LEFT"
},
{
"Code": "IMG018054",
"Display": "IR VASCULAR ANGIOGRAM LOWER EXTREMITY RIGHT"
},
{
"Code": "IMG018055",
"Display": "IR VASCULAR ANGIOGRAM MESENTERIC"
},
{
"Code": "IMG018056",
"Display": "IR VASCULAR ANGIOGRAM PULMONARY OR THORACIC"
},
{
"Code": "IMG018057",
"Display": "IR VASCULAR ANGIOGRAM RENAL"
},
{
"Code": "IMG018058",
"Display": "IR VASCULAR ANGIOGRAM TRANSLUMINAL ANGIOPLASTY"
},
{
"Code": "IMG018059",
"Display": "IR VASCULAR ANGIOGRAM UPPER EXTREMITY BILATERAL"
},
{
"Code": "IMG018060",
"Display": "IR VASCULAR ANGIOGRAM UPPER EXTREMITY LEFT"
},
{
"Code": "IMG018061",
"Display": "IR VASCULAR ANGIOGRAM UPPER EXTREMITY RIGHT"
},
{
"Code": "IMG018062",
"Display": "IR VASCULAR ANGIOGRAM VENA CAVA"
},
{
"Code": "IMG018063",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM LOWER EXTREMITY BILATERAL"
},
{
"Code": "IMG018064",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM LOWER EXTREMITY LEFT"
},
{
"Code": "IMG018065",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM LOWER EXTREMITY RIGHT"
},
{
"Code": "IMG018066",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM UPPER EXTREMITY BILATERAL"
},
{
"Code": "IMG018067",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM UPPER EXTREMITY LEFT"
},
{
"Code": "IMG018068",
"Display": "IR VASCULAR ANGIOGRAM VENOGRAM UPPER EXTREMITY RIGHT"
},
{
"Code": "IMG018069",
"Display": "IR VASCULAR ARTERIOVENOUS GRAFT DECLOTTING"
},
{
"Code": "IMG018070",
"Display": "IR VASCULAR BIOPSY TRANSJUGULAR LIVER"
},
{
"Code": "IMG018071",
"Display": "IR VASCULAR CENTRAL LINE PLACEMENT"
},
{
"Code": "IMG018072",
"Display": "IR VASCULAR DIALYSIS CATH TUNNEL"
},
{
"Code": "IMG018073",
"Display": "IR VASCULAR DIALYSIS CATHETER TEMP"
},
{
"Code": "IMG018074",
"Display": "IR VASCULAR DIALYSIS CATHETER TEMP CHANGE"
},
{
"Code": "IMG018075",
"Display": "IR VASCULAR DIALYSIS CATHETEROGRAM"
},
{
"Code": "IMG018076",
"Display": "IR VASCULAR DIALYSIS FISTULOGRAM"
},
{
"Code": "IMG018077",
"Display": "IR VASCULAR DIALYSIS PERM CATH CHANGE"
},
{
"Code": "IMG018078",
"Display": "IR VASCULAR DIALYSIS PTA FISTULA"
},
{
"Code": "IMG018079",
"Display": "IR VASCULAR DIALYSIS THROMBOLYSIS FISTULA"
},
{
"Code": "IMG018081",
"Display": "IR VASCULAR EMBOLIZATION"
},
{
"Code": "IMG018082",
"Display": "IR VASCULAR TRANSARTERIAL CHEMOEMBOLIZATION (TACE)"
},
{
"Code": "IMG018083",
"Display": "IR VASCULAR HICKMAN CATHETER INSERTION"
},
{
"Code": "IMG018084",
"Display": "IR VASCULAR IVC FILTER PLACEMENT"
},
{
"Code": "IMG018085",
"Display": "IR VASCULAR IVC RETRIEVAL"
},
{
"Code": "IMG018086",
"Display": "IR VASCULAR PICC"
},
{
"Code": "IMG018087",
"Display": "IR VASCULAR PORTACATH CHECK"
},
{
"Code": "IMG018088",
"Display": "IR VASCULAR PORTACATH INSERTION"
},
{
"Code": "IMG018089",
"Display": "IR VASCULAR PORTACATH REMOVAL"
},
{
"Code": "IMG018090",
"Display": "IR VASCULAR PORTAL VEIN EMBOLIZATION"
},
{
"Code": "IMG018091",
"Display": "IR VASCULAR THROMBOLYSIS"
},
{
"Code": "IMG018092",
"Display": "IR VASCULAR TRANSARTERIAL ETHANOL ABALATION"
},
{
"Code": "IMG018093",
"Display": "IR VASCULAR TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT (TIPS)"
},
{
"Code": "IMG018094",
"Display": "IR NEURO ANGIOGRAM ANEURYSM TREATMENT"
},
{
"Code": "IMG018095",
"Display": "IR NEURO ANGIOGRAM BALLOON TEST OCCLUSION (BTO)"
},
{
"Code": "IMG018096",
"Display": "IR NEURO ANGIOGRAM CAROTID STENT"
},
{
"Code": "IMG018097",
"Display": "IR NEURO ANGIOGRAM VASOSPASM TREATMENT"
},
{
"Code": "IMG018099",
"Display": "IR NEURO ARTERIOVENOUS FISTULA (AVF) TREATMENT"
},
{
"Code": "IMG018100",
"Display": "IR NEURO ARTERIOVENOUS MALFORMATION (AVM) TREATMENT"
},
{
"Code": "IMG018101",
"Display": "IR NEURO DIAGNOSTIC"
},
{
"Code": "IMG018102",
"Display": "IR NEURO EPISTAXIS NASAL EMBOLIZATION"
},
{
"Code": "IMG018103",
"Display": "IR NEURO THROMBECTOMY"
},
{
"Code": "IMG018104",
"Display": "IR NEURO TUMOR EMBOLIZATION"
},
{
"Code": "IMG018108",
"Display": "IR CONE BEAM CT"
},
{
"Code": "IMG018109",
"Display": "IR DYNA CT"
},
{
"Code": "IMG018110",
"Display": "IR MINOR ASSESSMENT"
},
{
"Code": "IMG018112",
"Display": "IR NEURO KYPHOPLASTY"
},
{
"Code": "IMG018113",
"Display": "IR SUPRAPUBIC CATH"
},
{
"Code": "IMG018114",
"Display": "IR MINOR ASSESSMENT BODY"
},
{
"Code": "IMG018115",
"Display": "IR MINOR ASSESSMENT CHEST"
},
{
"Code": "IMG018116",
"Display": "IR MINOR ASSESSMENT MSK"
},
{
"Code": "IMG018117",
"Display": "IR MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG018118",
"Display": "IR MINOR ASSESSMENT NIR (NR)"
},
{
"Code": "IMG020000",
"Display": "FL ABDOMINAL"
},
{
"Code": "IMG020001",
"Display": "FL ACROMIOCLAVICULAR JOINT LEFT"
},
{
"Code": "IMG020002",
"Display": "FL ACROMIOCLAVICULAR JOINT RIGHT"
},
{
"Code": "IMG020003",
"Display": "FL ANKLE LEFT"
},
{
"Code": "IMG020004",
"Display": "FL ANKLE RIGHT"
},
{
"Code": "IMG020005",
"Display": "FL BARIUM ENEMA DOUBLE CONTRAST"
},
{
"Code": "IMG020006",
"Display": "FL BARIUM ENEMA SINGLE CONTRAST"
},
{
"Code": "IMG020008",
"Display": "FL CALCANEUS LEFT"
},
{
"Code": "IMG020009",
"Display": "FL CALCANEUS RIGHT"
},
{
"Code": "IMG020010",
"Display": "FL CATHETER RECHECK"
},
{
"Code": "IMG020011",
"Display": "FL CHEST"
},
{
"Code": "IMG020012",
"Display": "FL CHOLANGIOGRAM OPERATIVE"
},
{
"Code": "IMG020013",
"Display": "FL CHOLANGIOGRAM T-TUBE CHECK"
},
{
"Code": "IMG020014",
"Display": "FL CLAVICLE LEFT"
},
{
"Code": "IMG020015",
"Display": "FL CLAVICLE RIGHT"
},
{
"Code": "IMG020017",
"Display": "FL CYSTOGRAM W CATH INSERTION"
},
{
"Code": "IMG020018",
"Display": "FL ELBOW LEFT"
},
{
"Code": "IMG020019",
"Display": "FL ELBOW RIGHT"
},
{
"Code": "IMG020020",
"Display": "FL ERCP"
},
{
"Code": "IMG020021",
"Display": "FL ESOPHAGUS"
},
{
"Code": "IMG020022",
"Display": "FL FACET INJECTION"
},
{
"Code": "IMG020023",
"Display": "FL FACET INJECTION MULTIPLE"
},
{
"Code": "IMG020024",
"Display": "FL FEEDING TUBE INSERTION"
},
{
"Code": "IMG020025",
"Display": "IR FEEDING TUBE INSERTION PERCUTANEOUS"
},
{
"Code": "IMG020026",
"Display": "FL FEMUR LEFT"
},
{
"Code": "IMG020027",
"Display": "FL FEMUR RIGHT"
},
{
"Code": "IMG020028",
"Display": "FL FINGER LEFT"
},
{
"Code": "IMG020029",
"Display": "FL FINGER RIGHT"
},
{
"Code": "IMG020030",
"Display": "FL FOOT LEFT"
},
{
"Code": "IMG020031",
"Display": "FL FOOT RIGHT"
},
{
"Code": "IMG020032",
"Display": "FL FOREARM LEFT"
},
{
"Code": "IMG020033",
"Display": "FL FOREARM RIGHT"
},
{
"Code": "IMG020035",
"Display": "FL GASTROINTESTINAL POUCHOGRAM"
},
{
"Code": "IMG020036",
"Display": "FL GASTROINTESTINAL TUBE CHECK ONLY"
},
{
"Code": "IMG020037",
"Display": "FL GASTROINTESTINAL TUBE INSERTION"
},
{
"Code": "IMG020039",
"Display": "FL GENITOURINARY POUCHOGRAM"
},
{
"Code": "IMG020040",
"Display": "FL GENITOURINARY TUBE CHECK ONLY"
},
{
"Code": "IMG020041",
"Display": "FL GENITOURINARY TUBE INSERTION OR CHANGE"
},
{
"Code": "IMG020042",
"Display": "FL GI TUBE PLACEMENT"
},
{
"Code": "IMG020043",
"Display": "FL HAND LEFT"
},
{
"Code": "IMG020044",
"Display": "FL HAND RIGHT"
},
{
"Code": "IMG020045",
"Display": "FL HIP LEFT"
},
{
"Code": "IMG020046",
"Display": "FL HIP RIGHT"
},
{
"Code": "IMG020047",
"Display": "FL HUMERUS LEFT"
},
{
"Code": "IMG020048",
"Display": "FL HUMERUS RIGHT"
},
{
"Code": "IMG020050",
"Display": "FL HYSTEROSALPINGOGRAM"
},
{
"Code": "IMG020057",
"Display": "FL KNEE LEFT"
},
{
"Code": "IMG020058",
"Display": "FL KNEE RIGHT"
},
{
"Code": "IMG020059",
"Display": "FL LITHOTRIPSY"
},
{
"Code": "IMG020060",
"Display": "FL LOWER EXTREMITY BONE BIOPSY"
},
{
"Code": "IMG020061",
"Display": "FL LUMBAR PUNCTURE"
},
{
"Code": "IMG020062",
"Display": "FL MYELOGRAM"
},
{
"Code": "IMG020063",
"Display": "FL NECK SOFT TISSUE"
},
{
"Code": "IMG020064",
"Display": "FL NEPHROSTOMY PERCUTANEOUS"
},
{
"Code": "IMG020065",
"Display": "FL NON-MAMMO SPECIMEN"
},
{
"Code": "IMG020066",
"Display": "FL PALATOPHARYNGEAL ANALYSIS"
},
{
"Code": "IMG020067",
"Display": "FL PANCREATOGRAM"
},
{
"Code": "IMG020068",
"Display": "FL PELVIS"
},
{
"Code": "IMG020069",
"Display": "FL PERCUTANEOUS ANTEGRADE PYELOGRAM"
},
{
"Code": "IMG020070",
"Display": "FL PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM"
},
{
"Code": "IMG020071",
"Display": "FL PHARYNX AND ESOPHAGUS"
},
{
"Code": "IMG020072",
"Display": "FL PROCTOGRAM"
},
{
"Code": "IMG020073",
"Display": "FL RETROGRADE PYELOGRAM"
},
{
"Code": "IMG020074",
"Display": "FL RETROGRADE PYELOGRAM BILATERAL"
},
{
"Code": "IMG020075",
"Display": "FL RETROGRADE PYELOGRAM W KUB"
},
{
"Code": "IMG020076",
"Display": "FL RETROGRADE PYELOGRAM W KUB BIL ATERAL"
},
{
"Code": "IMG020077",
"Display": "FL RETROGRADE URETHROGRAM"
},
{
"Code": "IMG020078",
"Display": "FL SACROILIAC JOINTS"
},
{
"Code": "IMG020079",
"Display": "FL SCAPULA LEFT"
},
{
"Code": "IMG020080",
"Display": "FL SCAPULA RIGHT"
},
{
"Code": "IMG020081",
"Display": "FL SELLA TURCICA"
},
{
"Code": "IMG020082",
"Display": "FL SHOULDER LEFT"
},
{
"Code": "IMG020083",
"Display": "FL SHOULDER RIGHT"
},
{
"Code": "IMG020084",
"Display": "FL SIALOGRAM"
},
{
"Code": "IMG020085",
"Display": "FL SINOGRAM OR FISTULOGRAM"
},
{
"Code": "IMG020086",
"Display": "FL SKELETAL"
},
{
"Code": "IMG020087",
"Display": "FL SKULL"
},
{
"Code": "IMG020088",
"Display": "FL SMALL BOWEL"
},
{
"Code": "IMG020089",
"Display": "XR SMALL BOWEL CHALLENGE"
},
{
"Code": "IMG020090",
"Display": "FL SPINE CERVICAL"
},
{
"Code": "IMG020091",
"Display": "FL SPINE LUMBAR"
},
{
"Code": "IMG020092",
"Display": "FL SPINE SACRUM AND COCCYX"
},
{
"Code": "IMG020093",
"Display": "FL SPINE THORACIC"
},
{
"Code": "IMG020094",
"Display": "FL TIB/FIB LEFT"
},
{
"Code": "IMG020095",
"Display": "FL TIB/FIB RIGHT"
},
{
"Code": "IMG020096",
"Display": "FL TOE LEFT"
},
{
"Code": "IMG020097",
"Display": "FL TOE RIGHT"
},
{
"Code": "IMG020099",
"Display": "FL UPPER EXTREMITY BONE BIOPSY"
},
{
"Code": "IMG020100",
"Display": "FL UPPER GI AND SMALL BOWEL"
},
{
"Code": "IMG020101",
"Display": "FL UPPER GI DOUBLE CONTRAST"
},
{
"Code": "IMG020102",
"Display": "FL UPPER GI SINGLE CONTRAST"
},
{
"Code": "IMG020103",
"Display": "FL UPPER GI SINGLE CONTRAST AND SBFT"
},
{
"Code": "IMG020104",
"Display": "FL UPPER GI W ESOPHAGUS AND PHARYNX"
},
{
"Code": "IMG020105",
"Display": "FL VAGINOGRAM"
},
{
"Code": "IMG020106",
"Display": "FL VIDEO URODYNAMICS"
},
{
"Code": "IMG020107",
"Display": "FL URETHROCYSTOGRAM W CATH"
},
{
"Code": "IMG020108",
"Display": "FL URETHROCYSTOGRAM WO CATH"
},
{
"Code": "IMG020109",
"Display": "FL EPIDURAL"
},
{
"Code": "IMG020110",
"Display": "FL JOINT INJECTION ANKLE/FOOT LEFT"
},
{
"Code": "IMG020111",
"Display": "FL JOINT INJECTION ANKLE/FOOT RIGHT"
},
{
"Code": "IMG020112",
"Display": "FL JOINT INJECTION ELBOW LEFT"
},
{
"Code": "IMG020113",
"Display": "FL JOINT INJECTION ELBOW RIGHT"
},
{
"Code": "IMG020114",
"Display": "FL JOINT INJECTION HIP LEFT"
},
{
"Code": "IMG020115",
"Display": "FL JOINT INJECTION HIP RIGHT"
},
{
"Code": "IMG020116",
"Display": "FL JOINT INJECTION KNEE LEFT"
},
{
"Code": "IMG020117",
"Display": "FL JOINT INJECTION KNEE RIGHT"
},
{
"Code": "IMG020118",
"Display": "FL JOINT INJECTION SHOULDER LEFT"
},
{
"Code": "IMG020119",
"Display": "FL JOINT INJECTION SHOULDER RIGHT"
},
{
"Code": "IMG020120",
"Display": "FL JOINT INJECTION WRIST/HAND LEFT"
},
{
"Code": "IMG020121",
"Display": "FL JOINT INJECTION WRIST/HAND RIGHT"
},
{
"Code": "IMG020122",
"Display": "FL NERVE BLOCK"
},
{
"Code": "IMG020123",
"Display": "FL WRIST LEFT"
},
{
"Code": "IMG020124",
"Display": "FL WRIST RIGHT"
},
{
"Code": "IMG020125",
"Display": "FL LUMBAR DRAIN"
},
{
"Code": "IMG020126",
"Display": "FL SPINE BIOPSY"
},
{
"Code": "IMG020127",
"Display": "FL MEDIAN BRANCH BLOCK"
},
{
"Code": "IMG020132",
"Display": "FL MINOR ASSESSMENT"
},
{
"Code": "IMG020134",
"Display": "FL MINOR ASSESSMENT ANGIO"
},
{
"Code": "IMG020135",
"Display": "FL MINOR ASSESSMENT BODY"
},
{
"Code": "IMG020136",
"Display": "FL MINOR ASSESSMENT CARDIAC"
},
{
"Code": "IMG020137",
"Display": "FL MINOR ASSESSMENT CHEST"
},
{
"Code": "IMG020138",
"Display": "FL MINOR ASSESSMENT MSK"
},
{
"Code": "IMG020139",
"Display": "FL MINOR ASSESSMENT NEURO"
},
{
"Code": "IMG020142",
"Display": "FL INJECTION SI JOINT RIGHT"
},
{
"Code": "IMG020143",
"Display": " FL INJECTION SI JOINT LEFT"
},
{
"Code": "IMG020144",
"Display": "FL INJECTION SI JOINTS BILATERAL"
},
{
"Code": "IMG020145",
"Display": "FL INJECTION SACRUM/COCCYX"
},
{
"Code": "IMG023082",
"Display": "NM THERAPY PROCEDURES TO SCHEDULE"
},
{
"Code": "IMG107039 ",
"Display": "OBS GYN MINOR ASSESSMENT"
},
{
"Code": "J125A03099",
"Display": "CHEST MASS SCAN PL.EF"
},
{
"Code": "J149A03099",
"Display": "US GUIDANCE"
},
{
"Code": "J183L03099",
"Display": "US SCROTUM"
},
{
"Code": "J201A03080",
"Display": "CAROTID DOPPLER STUDY"
},
{
"Code": "J201A03099",
"Display": "CAROTIDS DOPPLER"
},
{
"Code": "J206003099",
"Display": "US PORTAL VEIN(PV) DOPPLER"
},
{
"Code": "J838014000",
"Display": "GFR ACE CIHR 146229"
},
{
"Code": "JTARLL3099",
"Display": "US JT ARTHRO, LOWER LT"
},
{
"Code": "JTARLR3099",
"Display": "US JT ARTHRO, LOWER RT"
},
{
"Code": "JTARUL3099",
"Display": "US JT ARTHRO, UPPER LT"
},
{
"Code": "JTARUR3099",
"Display": "US JT ARTHRO, UPPER RT"
},
{
"Code": "JTINLL1510",
"Display": "JT INJECTION -- LO EXT LT"
},
{
"Code": "JTINLR1510",
"Display": "JT INJECTION -- LO EXT RT"
},
{
"Code": "JTINUL1510",
"Display": "JT INJECTION -- UP EXT LT"
},
{
"Code": "JTINUR1510",
"Display": "JT INJECTION -- UP EXT RT"
},
{
"Code": "KNLS107000",
"Display": "MRI LT KNEE 1S"
},
{
"Code": "KNLS107010",
"Display": "MRI LT KNEE 1S"
},
{
"Code": "KNLS1E7000",
"Display": "MRI LT KNEE 1SE"
},
{
"Code": "KNLS1E7010",
"Display": "MRI LT KNEE 1SE"
},
{
"Code": "KNLS207000",
"Display": "MRI LT KNEE 2S"
},
{
"Code": "KNLS207010",
"Display": "MRI LT KNEE 2S"
},
{
"Code": "KNLS2E7000",
"Display": "MRI LT KNEE 2SE"
},
{
"Code": "KNLS2E7010",
"Display": "MRI LT KNEE 2SE"
},
{
"Code": "KNLS307000",
"Display": "MRI LT KNEE 3S"
},
{
"Code": "KNLS307010",
"Display": "MRI LT KNEE 3S"
},
{
"Code": "KNLS3E7000",
"Display": "MRI LT KNEE 3SE"
},
{
"Code": "KNLS3E7010",
"Display": "MRI LT KNEE 3SE"
},
{
"Code": "KNLS407000",
"Display": "MRI LT KNEE 4S"
},
{
"Code": "KNLS407010",
"Display": "MRI LT KNEE 4S"
},
{
"Code": "KNLS4E7000",
"Display": "MRI LT KNEE 4SE"
},
{
"Code": "KNLS4E7010",
"Display": "MRI LT KNEE 4SE"
},
{
"Code": "KNLS507000",
"Display": "MRI LT KNEE 5S"
},
{
"Code": "KNLS507010",
"Display": "MRI LT KNEE 5S"
},
{
"Code": "KNLS5E7000",
"Display": "MRI LT KNEE 5SE"
},
{
"Code": "KNLS5E7010",
"Display": "MRI LT KNEE 5SE"
},
{
"Code": "KNLS607000",
"Display": "MRI LT KNEE 6+S"
},
{
"Code": "KNLS607010",
"Display": "MRI LT KNEE 6+S"
},
{
"Code": "KNLS6E7000",
"Display": "MRI LT KNEE 6+SE"
},
{
"Code": "KNLS6E7010",
"Display": "MRI LT KNEE 6+SE"
},
{
"Code": "KNRS107000",
"Display": "MRI RT KNEE 1S"
},
{
"Code": "KNRS107010",
"Display": "MRI RT KNEE 1S"
},
{
"Code": "KNRS1E7000",
"Display": "MRI RT KNEE 1SE"
},
{
"Code": "KNRS1E7010",
"Display": "MRI RT KNEE 1SE"
},
{
"Code": "KNRS207000",
"Display": "MRI RT KNEE 2S"
},
{
"Code": "KNRS207010",
"Display": "MRI RT KNEE 2S"
},
{
"Code": "KNRS2E7000",
"Display": "MRI RT KNEE 2SE"
},
{
"Code": "KNRS2E7010",
"Display": "MRI RT KNEE 2SE"
},
{
"Code": "KNRS307000",
"Display": "MRI RT KNEE 3S"
},
{
"Code": "KNRS307010",
"Display": "MRI RT KNEE 3S"
},
{
"Code": "KNRS3E7000",
"Display": "MRI RT KNEE 3SE"
},
{
"Code": "KNRS3E7010",
"Display": "MRI RT KNEE 3SE"
},
{
"Code": "KNRS407000",
"Display": "MRI RT KNEE 4S"
},
{
"Code": "KNRS407010",
"Display": "MRI RT KNEE 4S"
},
{
"Code": "KNRS4E7000",
"Display": "MRI RT KNEE 4SE"
},
{
"Code": "KNRS4E7010",
"Display": "MRI RT KNEE 4SE"
},
{
"Code": "KNRS507000",
"Display": "MRI RT KNEE 5S"
},
{
"Code": "KNRS507010",
"Display": "MRI RT KNEE 5S"
},
{
"Code": "KNRS5E7000",
"Display": "MRI RT KNEE 5SE"
},
{
"Code": "KNRS5E7010",
"Display": "MRI RT KNEE 5SE"
},
{
"Code": "KNRS607000",
"Display": "MRI RT KNEE 6+S"
},
{
"Code": "KNRS607010",
"Display": "MRI RT KNEE 6+S"
},
{
"Code": "KNRS6E7000",
"Display": "MRI RT KNEE 6+SE"
},
{
"Code": "KNRS6E7010",
"Display": "MRI RT KNEE 6+SE"
},
{
"Code": "LEVSHU4000",
"Display": "LEVEEN SHUNT"
},
{
"Code": "LITHAB1510",
"Display": "LITHOTRIPSY ABDOMEN"
},
{
"Code": "LITHFL1510",
"Display": "LITHOTRIPSY FLUORO"
},
{
"Code": "LIV0014000",
"Display": "LIVER/SPLEEN, FLOW, SPECT"
},
{
"Code": "LIV0024000",
"Display": "LIVER/SPLEEN SPECT"
},
{
"Code": "LIV0034000",
"Display": "LIV/SPLEEN, RBC, FL, ECT"
},
{
"Code": "LIVTD03099",
"Display": "DOPPLER-LIVER TRANSPLANT"
},
{
"Code": "LUNG014000",
"Display": "LUNG VQ"
},
{
"Code": "LUNG024000",
"Display": "LUNG VQ, QU"
},
{
"Code": "LUNG034000",
"Display": "LUNG PERFUSION"
},
{
"Code": "LUNG044000",
"Display": "LUNG PERFUSION, QU"
},
{
"Code": "LUNG054000",
"Display": "LUNG VENTILATION"
},
{
"Code": "LUNG074000",
"Display": "LUNG VQ, FLOW, QU"
},
{
"Code": "LUNG084000",
"Display": "LUNG PERFUSION, FLOW"
},
{
"Code": "LUNG104000",
"Display": "LUNG VQ PLUS SPECT"
},
{
"Code": "LVEF004000",
"Display": "LVEF"
},
{
"Code": "LVEFFL4000",
"Display": "LVEF, FLOW"
},
{
"Code": "LVEFSP4000",
"Display": "LVEF WITH SPECT"
},
{
"Code": "LYMPH04000",
"Display": "LYMPHANGIOGRAM"
},
{
"Code": "LYMPHS4000",
"Display": "LYMPHOSCINTIGRAPHY WITH SPECT"
},
{
"Code": "MABVLT1520",
"Display": "TMIST STEREO CORE BX + VAC LT"
},
{
"Code": "MABVRT1520",
"Display": "TMIST STEREO CORE BX + VAC RT"
},
{
"Code": "MALOC21520",
"Display": "MAMM0-LOCALIZATION 2ND SITE"
},
{
"Code": "MALOCT1520",
"Display": "TMIST MAMM0-LOC 2ND SITE"
},
{
"Code": "MAM MAMMO",
"Display": "MAMMOGRAM"
},
{
"Code": "MAM03T1520",
"Display": "TMIST MAMM-F/U VIEW X1"
},
{
"Code": "MAM04T1520",
"Display": "TMIST MAMM-F/U VIEW X2"
},
{
"Code": "MAM07T1520",
"Display": "TMIST ATTEMPTED CORE BIOPSY"
},
{
"Code": "MAM08T1520",
"Display": "TMIST MAMM-ADDED VIEWS X1"
},
{
"Code": "MAM09T1520",
"Display": "TMIST MAMM-ADDED VIEWS X2"
},
{
"Code": "MAM1691520",
"Display": "TOMOSYNTHESIS"
},
{
"Code": "MAM16B1520",
"Display": "TOMOSYNTHESIS BILATERAL"
},
{
"Code": "MAM16L1520",
"Display": "TOMOSYNTHESIS LEFT"
},
{
"Code": "MAM16R1520",
"Display": "TOMOSYNTHESIS RIGHT"
},
{
"Code": "MAM16T1520",
"Display": "TMIST TOMOSYNTHESIS"
},
{
"Code": "MAM1921520",
"Display": "MAMMARY DUCTOGRAM"
},
{
"Code": "MAM1TB1520",
"Display": "TMIST TOMOSYNTHESIS BILATERAL"
},
{
"Code": "MAM1TL1520",
"Display": "TMIST TOMOSYNTHESIS LEFT"
},
{
"Code": "MAM1TR1520",
"Display": "TMIST TOMOSYNTHESIS RIGHT"
},
{
"Code": "MAM2011520",
"Display": "MAMMO BREAST SPECIMEN"
},
{
"Code": "MAM20T1520",
"Display": "TMIST MAMMO BREAST SPECIMEN"
},
{
"Code": "MAM84D1520",
"Display": "MAMM-UNILAT.DIAG"
},
{
"Code": "MAM84N1520",
"Display": "MAMM-UNILAT.DIAG NON BILLABLE"
},
{
"Code": "MAM84S1520",
"Display": "MAMM-UNILAT.SCR"
},
{
"Code": "MAM84T1520",
"Display": "TMIST MAMM-UNILAT.DIAG"
},
{
"Code": "MAM85D1520",
"Display": "MAMMO-BILAT.DIAG"
},
{
"Code": "MAM85S1520",
"Display": "MAMMO-BILAT.SCR"
},
{
"Code": "MAM85S6611",
"Display": "OBSP MAM"
},
{
"Code": "MAM85T1520",
"Display": "TMIST MAMMO-BILAT.DIAG"
},
{
"Code": "MAM8TM1520",
"Display": "TMIST MAM-UNI D NON BILLABLE"
},
{
"Code": "MAMBVB1520",
"Display": "STEREO CORE BX + VACUUM BILAT"
},
{
"Code": "MAMBVL1520",
"Display": "STEREO CORE BX + VACUUM LT"
},
{
"Code": "MAMBVR1520",
"Display": "STEREO CORE BX + VACUUM RT"
},
{
"Code": "MAMBVT1520",
"Display": "TMIST STEREO CORE BX+VAC BILAT"
},
{
"Code": "MAMBXM1520",
"Display": "CORE BIOPSY + MAMMOTOME"
},
{
"Code": "MAMCBL1520",
"Display": "STEREOTACTIC CORE BX LT"
},
{
"Code": "MAMCBR1520",
"Display": "STEREOTACTIC CORE BX RT"
},
{
"Code": "MAMFN21520",
"Display": "WBUS BREAST FNA 2nd SITE"
},
{
"Code": "MAMFNA1520",
"Display": "WBUS BREAST FNA"
},
{
"Code": "MAMFNT1520",
"Display": "TMIST WBUS BREAST FNA"
},
{
"Code": "MAMLOC1520",
"Display": "US BREAST LOCALIZATION, 2ND SI"
},
{
"Code": "MAMLOT1520",
"Display": "TMIST US BREAST LOC, 2ND SITE"
},
{
"Code": "MAMM011520",
"Display": "MAMM0-LOCALIZATION"
},
{
"Code": "MAMM031520",
"Display": "MAMM-F/U VIEW X1"
},
{
"Code": "MAMM041520",
"Display": "MAMM-F/U VIEW X2"
},
{
"Code": "MAMM051520",
"Display": "MAMM-F/U VIEW X3"
},
{
"Code": "MAMM061520",
"Display": "MAMM-F/U VIEW X4"
},
{
"Code": "MAMM071520",
"Display": "CORE BIOPSY"
},
{
"Code": "MAMM081520",
"Display": "MAMM-ADDED VIEWS X1"
},
{
"Code": "MAMM091520",
"Display": "MAMM-ADDED VIEWS X2"
},
{
"Code": "MAMM101520",
"Display": "MAMM-ADDED VIEWS X3"
},
{
"Code": "MAMM111520",
"Display": "MAMM-ADDED VIEWS X4"
},
{
"Code": "MAMM121520",
"Display": "US FACE / NECK"
},
{
"Code": "MAMMOL1520",
"Display": "TMIST MAMMO-LOCALIZATION"
},
{
"Code": "MAMO7A1520",
"Display": "ATTEMPTED CORE BIOPSY"
},
{
"Code": "MAMTM11520",
"Display": "MAMMOBILAT SCR T-MIST"
},
{
"Code": "MAMTOM1520",
"Display": "MG BREAST TOMOSYNTHESIS"
},
{
"Code": "MAMUBM1520",
"Display": "US BREAST BX + MAMMOTOME"
},
{
"Code": "MAMUBN1520",
"Display": "US BREAST BIOPSY NON BILLABLE"
},
{
"Code": "MAMUBV1520",
"Display": "US BREAST BX + VACUUM"
},
{
"Code": "MAMUBX1520",
"Display": "US BREAST BIOPSY"
},
{
"Code": "MAMUCA1520",
"Display": "US BREAST CYST ASPIRATION"
},
{
"Code": "MAMUS11520",
"Display": "US BREAST SINGLE"
},
{
"Code": "MAMUS21520",
"Display": "US BREAST BOTH"
},
{
"Code": "MAMUSG1520",
"Display": "US BREAST LOCALIZATION"
},
{
"Code": "MAMUST1520",
"Display": "TMIST US BREAST LOCALIZATION"
},
{
"Code": "MAMUT11520",
"Display": "TMIST US BREAST SINGLE"
},
{
"Code": "MAMUT21520",
"Display": "TMIST US BREAST BOTH"
},
{
"Code": "MARSS04000",
"Display": "BONE MARROW, SS"
},
{
"Code": "MARWB04000",
"Display": "BONE MARROW, WB"
},
{
"Code": "MASBIL1520",
"Display": "US CHEST WALL BILATERAL"
},
{
"Code": "MASTEC1520",
"Display": "US CHEST WALL"
},
{
"Code": "MAUBNT1520",
"Display": "TMIST US BREAST BX NONBILLABLE"
},
{
"Code": "MAUBXT1520",
"Display": "TMIST US BREAST BIOPSY"
},
{
"Code": "MBXOBS1520",
"Display": "OBSP HIGH RISK BREAST BIOPSY"
},
{
"Code": "MELANO4001",
"Display": "MELANOMA PET"
},
{
"Code": "MRBP1E7000",
"Display": "MRI BRACHIAL PLEXUS 1SE"
},
{
"Code": "MRBP1E7010",
"Display": "MRI BRACHIAL PLEXUS 1SE"
},
{
"Code": "MRBP2E7000",
"Display": "MRI BRACHIAL PLEXUS 2SE"
},
{
"Code": "MRBP2E7010",
"Display": "MRI BRACHIAL PLEXUS 2SE"
},
{
"Code": "MRBP3E7010",
"Display": "MRI BRACHIAL PLEXUS 3SE"
},
{
"Code": "MRBP4E7000",
"Display": "MRI BRACHIAL PLEXUS 4SE"
},
{
"Code": "MRBP4E7010",
"Display": "MRI BRACHIAL PLEXUS 4SE"
},
{
"Code": "MRBP5E7000",
"Display": "MRI BRACHIAL PLEXUS 5SE"
},
{
"Code": "MRBP5E7010",
"Display": "MRI BRACHIAL PLEXUS 5SE"
},
{
"Code": "MRBP6E7000",
"Display": "MRI BRACHIAL PLEXUS 6SE"
},
{
"Code": "MRBP6E7010",
"Display": "MRI BRACHIAL PLEXUS 6SE"
},
{
"Code": "MRBPS17000",
"Display": "MRI BRACHIAL PLEXUS 1S"
},
{
"Code": "MRBPS17010",
"Display": "MRI BRACHIAL PLEXUS 1S"
},
{
"Code": "MRBPS27000",
"Display": "MRI BRACHIAL PLEXUS 2S"
},
{
"Code": "MRBPS27010",
"Display": "MRI BRACHIAL PLEXUS 2S"
},
{
"Code": "MRBPS37000",
"Display": "MRI BRACHIAL PLEXUS 3S"
},
{
"Code": "MRBPS37010",
"Display": "MRI BRACHIAL PLEXUS 3S"
},
{
"Code": "MRBPS47000",
"Display": "MRI BRACHIAL PLEXUS 4S"
},
{
"Code": "MRBPS47010",
"Display": "MRI BRACHIAL PLEXUS 4S"
},
{
"Code": "MRBPS57000",
"Display": "MRI BRACHIAL PLEXUS 5S"
},
{
"Code": "MRBPS57010",
"Display": "MRI BRACHIAL PLEXUS 5S"
},
{
"Code": "MRBPS67000",
"Display": "MRI BRACHIAL PLEXUS 6S"
},
{
"Code": "MRBPS67010",
"Display": "MRI BRACHIAL PLEXUS 6S"
},
{
"Code": "MRBPSE7000",
"Display": "MRI BRACHIAL PLEXUS 3SE"
},
{
"Code": "MRBRBX7000",
"Display": "MRI BREAST BIOPSY"
},
{
"Code": "MRI ABD",
"Display": "MRI ABDOMEN"
},
{
"Code": "MRI BR",
"Display": "MRI BREAST"
},
{
"Code": "MRI ENDO",
"Display": "MRI ENDO"
},
{
"Code": "MRI EXE",
"Display": "MRI EXTREMITY"
},
{
"Code": "MRI HEAD",
"Display": "MRI HEAD"
},
{
"Code": "MRI NECK",
"Display": "MRI NECK"
},
{
"Code": "MRI PEL",
"Display": "MRI PELVIS"
},
{
"Code": "MRI SP",
"Display": "MRI SPINE"
},
{
"Code": "MRI THOR",
"Display": "MRI THORAX"
},
{
"Code": "MSKB003099",
"Display": "US MSK BOTH"
},
{
"Code": "MSKL003099",
"Display": "US MSK LT"
},
{
"Code": "MSKR003099",
"Display": "US MSK RT"
},
{
"Code": "MSKSB03099",
"Display": "US MSK SHOULDER BOTH"
},
{
"Code": "MSKSL03099",
"Display": "US MSK SHOULDER LT"
},
{
"Code": "MSKSR03099",
"Display": "US MSK SHOULDER RT"
},
{
"Code": "NALINJ2420",
"Display": "ALCOHOL INJECTION"
},
{
"Code": "NBXSP02420",
"Display": "BIOPSY SPINE"
},
{
"Code": "NC10002420",
"Display": "CEREBRAL X1"
},
{
"Code": "NC1AR02420",
"Display": "CEREBRAL X1 / ARCH"
},
{
"Code": "NC20002420",
"Display": "ANGIO CEREBRAL X2"
},
{
"Code": "NC2AR02420",
"Display": "ANGIO CEREBRAL X2 / ARCH"
},
{
"Code": "NC30002420",
"Display": "ANGIO CEREBRAL X3"
},
{
"Code": "NC3AR02420",
"Display": "ANGIO CEREBRAL X3 / ARCH"
},
{
"Code": "NC40002420",
"Display": "ANGIO CEREBRAL X4"
},
{
"Code": "NC4AR02420",
"Display": "ANGIO CEREBRAL X4 / ARCH"
},
{
"Code": "NC50002420",
"Display": "ANGIO CEREBRAL X5"
},
{
"Code": "NC5AR02420",
"Display": "ANGIO CEREBRAL X5 / ARCH"
},
{
"Code": "NDISC12420",
"Display": "DISCOGRAM 1 LEVEL"
},
{
"Code": "NDISC22420",
"Display": "DISCOGRAM 2 LEVELS"
},
{
"Code": "NDISC32420",
"Display": "DISCOGRAM 3 LEVELS"
},
{
"Code": "NDISK42420",
"Display": "DISCOGRAM 4 LEVELS"
},
{
"Code": "NDSAC02420",
"Display": "IV DSA CEREBRAL"
},
{
"Code": "NE10002420",
"Display": "EMBOLIZATION X1"
},
{
"Code": "NE20002420",
"Display": "EMBOLIZATION X2"
},
{
"Code": "NE30002420",
"Display": "EMBOLIZATION X3"
},
{
"Code": "NE40002420",
"Display": "EMBOLIZATION X4"
},
{
"Code": "NE50002420",
"Display": "EMBOLIZATION X5"
},
{
"Code": "NECBSC2420",
"Display": "BLEOMYCIN"
},
{
"Code": "NEGDC12420",
"Display": "EMBOLIZATION GDC 1HR"
},
{
"Code": "NEGDC22420",
"Display": "EMBOLIZATION GDC 2HR"
},
{
"Code": "NEGDC32420",
"Display": "EMBOLIZATION GDC 3HR"
},
{
"Code": "NEGDC42420",
"Display": "EMBOLIZATION GDC 4HR"
},
{
"Code": "NEUR101510",
"Display": "OR FACET INJECTION "
},
{
"Code": "NEUR1B1510",
"Display": "FACET INJECTION BILATERAL"
},
{
"Code": "NEUR1S1510",
"Display": "FACET INJECTION"
},
{
"Code": "NEUR3S1510",
"Display": "LUMBAR - PUNC."
},
{
"Code": "NEURB01510",
"Display": "OR FACET INJECTION BILATERAL"
},
{
"Code": "NFB0002420",
"Display": "FOREIGN BODY"
},
{
"Code": "NFINJ12420",
"Display": "FACET INJECTION X1"
},
{
"Code": "NFINJ22420",
"Display": "FACET INJECTION X2"
},
{
"Code": "NFINJ32420",
"Display": "FACET INJECTION X3"
},
{
"Code": "NFINJ42420",
"Display": "FACET INJECTION X4"
},
{
"Code": "NFLOD12420",
"Display": "FLOW DIVERTER"
},
{
"Code": "NKBS107000",
"Display": "MRI NECK B 1S"
},
{
"Code": "NKBS107010",
"Display": "MRI NECK B 1S"
},
{
"Code": "NKBS1E7000",
"Display": "MRI NECK B 1SE"
},
{
"Code": "NKBS1E7010",
"Display": "MRI NECK B 1SE"
},
{
"Code": "NKBS207000",
"Display": "MRI NECK B 2S"
},
{
"Code": "NKBS207010",
"Display": "MRI NECK B 2S"
},
{
"Code": "NKBS2E7000",
"Display": "MRI NECK B 2SE"
},
{
"Code": "NKBS2E7010",
"Display": "MRI NECK B 2SE"
},
{
"Code": "NKBS307000",
"Display": "MRI NECK B 3S"
},
{
"Code": "NKBS307010",
"Display": "MRI NECK B 3S"
},
{
"Code": "NKBS3E7000",
"Display": "MRI NECK B 3SE"
},
{
"Code": "NKBS3E7010",
"Display": "MRI NECK B 3SE"
},
{
"Code": "NKBS407000",
"Display": "MRI NECK B 4S"
},
{
"Code": "NKBS407010",
"Display": "MRI NECK B 4S"
},
{
"Code": "NKBS4E7000",
"Display": "MRI NECK B 4SE"
},
{
"Code": "NKBS4E7010",
"Display": "MRI NECK B 4SE"
},
{
"Code": "NKBS507000",
"Display": "MRI NECK B 5S"
},
{
"Code": "NKBS507010",
"Display": "MRI NECK B 5S"
},
{
"Code": "NKBS5E7000",
"Display": "MRI NECK B 5SE"
},
{
"Code": "NKBS5E7010",
"Display": "MRI NECK B 5SE"
},
{
"Code": "NKBS607000",
"Display": "MRI NECK B 6+S"
},
{
"Code": "NKBS607010",
"Display": "MRI NECK B 6+S"
},
{
"Code": "NKBS6E7000",
"Display": "MRI NECK B 6+SE"
},
{
"Code": "NKBS6E7010",
"Display": "MRI NECK B 6+SE"
},
{
"Code": "NKSE107000",
"Display": "MRI NECK 1S"
},
{
"Code": "NKSE107010",
"Display": "MRI NECK 1S"
},
{
"Code": "NKSE1E7000",
"Display": "MRI NECK 1S E"
},
{
"Code": "NKSE1E7010",
"Display": "MRI NECK 1S E"
},
{
"Code": "NKSE207000",
"Display": "MRI NECK 2S"
},
{
"Code": "NKSE207010",
"Display": "MRI NECK 2S"
},
{
"Code": "NKSE2E7000",
"Display": "MRI NECK 2S E"
},
{
"Code": "NKSE2E7010",
"Display": "MRI NECK 2S E"
},
{
"Code": "NKSE307000",
"Display": "MRI NECK 3S"
},
{
"Code": "NKSE307010",
"Display": "MRI NECK 3S"
},
{
"Code": "NKSE3E7000",
"Display": "MRI NECK 3S E"
},
{
"Code": "NKSE3E7010",
"Display": "MRI NECK 3S E"
},
{
"Code": "NKSE407000",
"Display": "MRI NECK 4S"
},
{
"Code": "NKSE407010",
"Display": "MRI NECK 4S"
},
{
"Code": "NKSE4E7000",
"Display": "MRI NECK 4S E"
},
{
"Code": "NKSE4E7010",
"Display": "MRI NECK 4S E"
},
{
"Code": "NKSE507000",
"Display": "MRI NECK 5S"
},
{
"Code": "NKSE507010",
"Display": "MRI NECK 5S"
},
{
"Code": "NKSE5E7000",
"Display": "MRI NECK 5S E"
},
{
"Code": "NKSE5E7010",
"Display": "MRI NECK 5S E"
},
{
"Code": "NKSE607000",
"Display": "MRI NECK 6+S"
},
{
"Code": "NKSE607010",
"Display": "MRI NECK 6+S"
},
{
"Code": "NKSE6E7000",
"Display": "MRI NECK 6+S E"
},
{
"Code": "NKSE6E7010",
"Display": "MRI NECK 6+S E"
},
{
"Code": "NLUMBP2420",
"Display": "LUMBAR PUNCTURE"
},
{
"Code": "NMCARD4001",
"Display": "CARDIAC REST/STRESS SAME DAY"
},
{
"Code": "NMCARO4001",
"Display": "CARDIAC REST ONLY"
},
{
"Code": "NMCARR4001",
"Display": "CARDIAC REST 2 DAY"
},
{
"Code": "NMCARS4001",
"Display": "CARDIAC STRESS 2 DAY"
},
{
"Code": "NMCASS4001",
"Display": "CARDIAC STRESS ONLY"
},
{
"Code": "NMYELO2420",
"Display": "MYELOGRAM"
},
{
"Code": "NPTAC02420",
"Display": "PTA CAROTID"
},
{
"Code": "NPTAC22420",
"Display": "PTA CAROTID X2"
},
{
"Code": "NPTACS2420",
"Display": "PTA CAROTID / STENT"
},
{
"Code": "NPTAV02420",
"Display": "PTA VERTEBRAL"
},
{
"Code": "NPTAV22420",
"Display": "PTA VERTEBRAL X2"
},
{
"Code": "NPTAVS2420",
"Display": "PTA VERTEBRAL/STENT"
},
{
"Code": "NPVSAM2420",
"Display": "PETROSAL VEIN SAMPLING"
},
{
"Code": "NRHIZ12420",
"Display": "RHIZOTOMY X 1"
},
{
"Code": "NRHIZ22420",
"Display": "RHIZOTOMY X 2 "
},
{
"Code": "NRHIZ32420",
"Display": "RHIZOTOMY X 3"
},
{
"Code": "NRHIZ42420",
"Display": "RHIZOTOMY X 4 "
},
{
"Code": "NS00002420",
"Display": "SPINAL"
},
{
"Code": "NSA0002420",
"Display": "SPINAL / AORTA"
},
{
"Code": "NSTKE12420",
"Display": "STROKE"
},
{
"Code": "NTAC2S2420",
"Display": "PTA CAROTID X2 / STENTS"
},
{
"Code": "NTAV2S2420",
"Display": "PTA VERTEBRAL X2 / STENT"
},
{
"Code": "NTC1002420",
"Display": "THROMBOLYSIS/CER 1"
},
{
"Code": "NTC2002420",
"Display": "THROMBOLYSIS/CER 2"
},
{
"Code": "NTC3002420",
"Display": "THROMBOLYSIS/CER 3"
},
{
"Code": "NTC4002420",
"Display": "THROMBOLYSIS/CER 4"
},
{
"Code": "NVERT02420",
"Display": "VERTEBROPLASTY"
},
{
"Code": "OBSPMB6611",
"Display": "OBSP MAMMO BILATERAL"
},
{
"Code": "OBSPMU6611",
"Display": "OBSP MAMMO UNILATERAL"
},
{
"Code": "OCT0004000",
"Display": "OCTREOTIDE"
},
{
"Code": "OR2A001510",
"Display": "OR ANGIO RENAL X2/AORTA"
},
{
"Code": "ORBRSP1510",
"Display": "OR BREAST BX SPECIMEN"
},
{
"Code": "ORCHSP1510",
"Display": "OR CH SPECIMEN W LOCALIZATION"
},
{
"Code": "ORFLAB1510",
"Display": "OR FLUORO ABDOMINAL"
},
{
"Code": "ORFLCH1510",
"Display": "OR FLUORO CHEST"
},
{
"Code": "ORFTAN1510",
"Display": "OR FEEDING TUBE INSERTION"
},
{
"Code": "ORFTPC1510",
"Display": "OR FEEDING TUBE INSERT PERC"
},
{
"Code": "ORPANL1510",
"Display": "OR PERI ANGIO (UNI) LT"
},
{
"Code": "ORPANR1510",
"Display": "OR PERI ANGIO (UNI) (RT"
},
{
"Code": "ORPYRB1510",
"Display": "OR PYELOGRAM-RETRO, BIL"
},
{
"Code": "ORPYRE1510",
"Display": "OR PYELOGRAM, RETRO"
},
{
"Code": "ORSFAP1510",
"Display": "OR PTA SFA/POP"
},
{
"Code": "ORTTCH1510",
"Display": "OR T-TUBE CHOLANGIOGRAM"
},
{
"Code": "ORVSCG1510",
"Display": "OR VASC. STENT"
},
{
"Code": "OSFAPS1510",
"Display": "OR PTA SFA / POP/STENT"
},
{
"Code": "OTAIBS1510",
"Display": "OR PTA ILIAC BIL/STENT"
},
{
"Code": "OTAIUS1510",
"Display": "OR PTA ILIAC UNI X1/STENT"
},
{
"Code": "OTAR1S1510",
"Display": "OR PTA RENAL X1/STENT"
},
{
"Code": "OTAR2S1510",
"Display": "OR PTA RENAL X2/STENT"
},
{
"Code": "OTIU2S1510",
"Display": "OR PTA ILIAC UNI X2/STENT"
},
{
"Code": "PANCRE4001",
"Display": "PANCREATIC CANCER PET"
},
{
"Code": "PARA004000",
"Display": "PARATHYROID SCAN"
},
{
"Code": "PARASP4000",
"Display": "PARATHYROID SCAN SPECT"
},
{
"Code": "PEDAB11510",
"Display": "ABDO PED (1V)"
},
{
"Code": "PEDAB21510",
"Display": "ABDO PED (2V)"
},
{
"Code": "PEDCA11510",
"Display": "CHEST ABDO PED (1V)"
},
{
"Code": "PEDCA21510",
"Display": "CHEST ABDO PED (2V)"
},
{
"Code": "PEDCH11510",
"Display": "CHEST PED (1V)"
},
{
"Code": "PEDCH21510",
"Display": "CHEST PED (2V)"
},
{
"Code": "PEDSUR1510",
"Display": "PED SURVEY SINGLE VIEW"
},
{
"Code": "PEL0003099",
"Display": "PELVIS, COMPLETE"
},
{
"Code": "PELABL3099",
"Display": "PELVIS, LIMITED ABDOMEN"
},
{
"Code": "PELG003099",
"Display": "PELVIS, GYNE COMPLETE"
},
{
"Code": "PELLIM3099",
"Display": "PELVIS / LIMITED"
},
{
"Code": "PELTV03099",
"Display": "PELVIS WITH VAG. PROBE"
},
{
"Code": "PESE107000",
"Display": "MRI PELVIS 1S"
},
{
"Code": "PESE107010",
"Display": "MRI PELVIS 1S"
},
{
"Code": "PESE1E7000",
"Display": "MRI PELVIS S1 E"
},
{
"Code": "PESE1E7010",
"Display": "MRI PELVIS 1S E"
},
{
"Code": "PESE207000",
"Display": "MRI PELVIS 2S"
},
{
"Code": "PESE207010",
"Display": "MRI PELVIS 2S"
},
{
"Code": "PESE2E7000",
"Display": "MRI PELVIS S2 E"
},
{
"Code": "PESE2E7010",
"Display": "MRI PELVIS 2S E"
},
{
"Code": "PESE307000",
"Display": "MRI PELVIS 3S"
},
{
"Code": "PESE307010",
"Display": "MRI PELVIS 3S"
},
{
"Code": "PESE3E7000",
"Display": "MRI PELVIS 3S E"
},
{
"Code": "PESE3E7010",
"Display": "MRI PELVIS 3S E"
},
{
"Code": "PESE407000",
"Display": "MRI PELVIS 4S"
},
{
"Code": "PESE407010",
"Display": "MRI PELVIS 4S"
},
{
"Code": "PESE4E7000",
"Display": "MRI PELVIS 4S E"
},
{
"Code": "PESE4E7010",
"Display": "MRI PELVIS 4S E"
},
{
"Code": "PESE507000",
"Display": "MRI PELVIS 5+S"
},
{
"Code": "PESE507010",
"Display": "MRI PELVIS 5+S"
},
{
"Code": "PESE5E7000",
"Display": "MRI PELVIS 5+S E"
},
{
"Code": "PESE5E7010",
"Display": "MRI PELVIS 5+S E"
},
{
"Code": "PETANA4001",
"Display": "PET REGISTRY ANAL CANAL CA"
},
{
"Code": "PETEP14001",
"Display": "PET REGISTRY BRAIN EPILEPSY"
},
{
"Code": "PETEPI4001",
"Display": "PET REGISTRY BRAIN EPILEPSY"
},
{
"Code": "PETGYC4001",
"Display": "PET GYN CERV CA STAGING"
},
{
"Code": "PETGYR4001",
"Display": "PET GYN CA RECURRENCE"
},
{
"Code": "PETHNR4001",
"Display": "PET HEAD/NECK CA RESTATING"
},
{
"Code": "PETHNS4001",
"Display": "PET HEAD/NECK CA STAGING"
},
{
"Code": "PETPED4001",
"Display": "PET Pediatric Registry"
},
{
"Code": "PETSAR9920",
"Display": "WHOLE BODY FDG SARCOID"
},
{
"Code": "PETWBO4001",
"Display": "PET METASTATIC STAGING"
},
{
"Code": "PFTUBE1510",
"Display": "FEEDING TUBE INSERT PERC"
},
{
"Code": "PLHS107000",
"Display": "MRI PELVIS/HIPS 1S"
},
{
"Code": "PLHS107010",
"Display": "MRI PELVIS/HIPS 1S"
},
{
"Code": "PLHS1E7000",
"Display": "MRI PELVIS/HIPS 1SE"
},
{
"Code": "PLHS1E7010",
"Display": "MRI PELVIS/HIPS 1SE"
},
{
"Code": "PLHS207000",
"Display": "MRI PELVIS/HIPS 2S"
},
{
"Code": "PLHS207010",
"Display": "MRI PELVIS/HIPS 2S"
},
{
"Code": "PLHS2E7000",
"Display": "MRI PELVIS/HIPS 2SE"
},
{
"Code": "PLHS2E7010",
"Display": "MRI PELVIS/HIPS 2SE"
},
{
"Code": "PLHS307000",
"Display": "MRI PELVIS/HIPS 3S"
},
{
"Code": "PLHS307010",
"Display": "MRI PELVIS/HIPS 3S"
},
{
"Code": "PLHS3E7000",
"Display": "MRI PELVIS/HIPS 3SE"
},
{
"Code": "PLHS3E7010",
"Display": "MRI PELVIS/HIPS 3SE"
},
{
"Code": "PLHS407000",
"Display": "MRI PELVIS/HIPS 4S"
},
{
"Code": "PLHS407010",
"Display": "MRI PELVIS/HIPS 4S"
},
{
"Code": "PLHS4E7000",
"Display": "MRI PELVIS/HIPS 4SE"
},
{
"Code": "PLHS4E7010",
"Display": "MRI PELVIS/HIPS 4SE"
},
{
"Code": "PLHS507000",
"Display": "MRI PELVIS/HIPS 5S"
},
{
"Code": "PLHS507010",
"Display": "MRI PELVIS/HIPS 5S"
},
{
"Code": "PLHS5E7000",
"Display": "MRI PELVIS/HIPS 5SE"
},
{
"Code": "PLHS5E7010",
"Display": "MRI PELVIS/HIPS 5SE"
},
{
"Code": "PLHS607000",
"Display": "MRI PELVIS/HIPS 6+S"
},
{
"Code": "PLHS607010",
"Display": "MRI PELVIS/HIPS 6+S"
},
{
"Code": "PLHS6E7000",
"Display": "MRI PELVIS/HIPS 6+SE"
},
{
"Code": "PLHS6E7010",
"Display": "MRI PELVIS/HIPS 6+SE"
},
{
"Code": "PLIMET4001",
"Display": "PET LIVER METS FROM COLORECTAL"
},
{
"Code": "PLIMETC4001",
"Display": "PET LIVER METS FROM COLORECTAL "
},
{
"Code": "PMETSQ4001",
"Display": "PET METASTATIC SQUAMOUS"
},
{
"Code": "PNASPH4001",
"Display": "PET NASOPARANGEAL CARCINOMA"
},
{
"Code": "PTACVS9910",
"Display": "PTA CENTRAL VEINS/STENT"
},
{
"Code": "PTLYMP4001",
"Display": "PET STUDY LYMPHOMA POST TX"
},
{
"Code": "PTSCOL4001",
"Display": "PET STUDY-COLORECTAL CANCER"
},
{
"Code": "PTSGER4001",
"Display": "PET STUDY- GERM CELL CANCER"
},
{
"Code": "PTSHLY4001",
"Display": "PET STUDY-HODGKIN'S LYMPHOMA"
},
{
"Code": "PTSNHL4001",
"Display": "PET STUDY-NHL"
},
{
"Code": "PTSNSC4001",
"Display": "PET STUDY-NSCLC"
},
{
"Code": "PTSSCL4001",
"Display": "PET STUDY-SMALL CELL LUNG CA"
},
{
"Code": "PTSSPN4001",
"Display": "PET STUDY-SPN LUNG"
},
{
"Code": "PTSTHY4001",
"Display": "PET STUDY - MET. THYROID CA"
},
{
"Code": "RALS107000",
"Display": "MRI LT RAD/ULNA 1S"
},
{
"Code": "RALS1E7000",
"Display": "MRI LT RAD/ULNA 1SE"
},
{
"Code": "RALS207000",
"Display": "MRI LT RAD/ULNA 2S"
},
{
"Code": "RALS2E7000",
"Display": "MRI LT RAD/ULNA 2SE"
},
{
"Code": "RALS307000",
"Display": "MRI LT RAD/ULNA 3S"
},
{
"Code": "RALS3E7000",
"Display": "MRI LT RAD/ULNA 3SE"
},
{
"Code": "RALS407000",
"Display": "MRI LT RAD/ULNA 4S"
},
{
"Code": "RALS4E7000",
"Display": "MRI LT RAD/ULNA 4SE"
},
{
"Code": "RALS507000",
"Display": "MRI LT RAD/ULNA 5S"
},
{
"Code": "RALS5E7000",
"Display": "MRI LT RAD/ULNA 5SE"
},
{
"Code": "RALS607000",
"Display": "MRI LT RAD/ULNA 6+S"
},
{
"Code": "RALS6E7000",
"Display": "MRI LT RAD/ULNA 6+SE"
},
{
"Code": "RARS107000",
"Display": "MRI RT RAD/ULNA 1S"
},
{
"Code": "RARS1E7000",
"Display": "MRI RTRAD/ULNA 1SE"
},
{
"Code": "RARS207000",
"Display": "MRI RT RAD/ULNA 2S"
},
{
"Code": "RARS2E7000",
"Display": "MRI RTRAD/ULNA 2SE"
},
{
"Code": "RARS307000",
"Display": "MRI RT RAD/ULNA 3S"
},
{
"Code": "RARS3E7000",
"Display": "MRI RTRAD/ULNA 3SE"
},
{
"Code": "RARS407000",
"Display": "MRI RT RAD/ULNA 4S"
},
{
"Code": "RARS4E7000",
"Display": "MRI RTRAD/ULNA 4SE"
},
{
"Code": "RARS507000",
"Display": "MRI RT RAD/ULNA 5S"
},
{
"Code": "RARS5E7000",
"Display": "MRI RTRAD/ULNA 5SE"
},
{
"Code": "RARS607000",
"Display": "MRI RT RAD/ULNA 6+S"
},
{
"Code": "RARS6E7000",
"Display": "MRI RTRAD/ULNA 6+SE"
},
{
"Code": "REN0014000",
"Display": "RENAL FUNCTION"
},
{
"Code": "REN0024000",
"Display": "RENAL FUNCTION, TRANSPLANT"
},
{
"Code": "REN0034000",
"Display": "RENAL FUNCTION, DIURETIC"
},
{
"Code": "REN0044000",
"Display": "RENAL FUNCTION, CAPTOPRIL"
},
{
"Code": "REN0064000",
"Display": "RENAL STATIC, SPECT"
},
{
"Code": "RENTD03099",
"Display": "DOPPLER-RENAL TRANSPLANT"
},
{
"Code": "RF18BN4001",
"Display": "F-18 BONE PET"
},
{
"Code": "S136A01510",
"Display": "VASOGRAM"
},
{
"Code": "S154A01510",
"Display": "CAVERNOSGRAM"
},
{
"Code": "S158A01510",
"Display": "BRONCHOGRAM - UNI."
},
{
"Code": "S159A01510",
"Display": "BRONCHOGRAM - BIL."
},
{
"Code": "SAL0004000",
"Display": "SALIVARY GLAND"
},
{
"Code": "SALQU04000",
"Display": "SALIVARY GLAND, QU"
},
{
"Code": "SCBS107000",
"Display": "MRI COMPLEX SPINE B 1S"
},
{
"Code": "SCBS1E7000",
"Display": "MRI COMPLEX SPINE B 1SE"
},
{
"Code": "SCBS207000",
"Display": "MRI COMPLEX SPINE B 2S"
},
{
"Code": "SCBS2E7000",
"Display": "MRI COMPLEX SPINE B 2SE"
},
{
"Code": "SCBS307000",
"Display": "MRI COMPLEX SPINE B 3S"
},
{
"Code": "SCBS3E7000",
"Display": "MRI COMPLEX SPINE B 3SE"
},
{
"Code": "SCBS407000",
"Display": "MRI COMPLEX SPINE B 4S"
},
{
"Code": "SCBS4E7000",
"Display": "MRI COMPLEX SPINE B 4SE"
},
{
"Code": "SCBS507000",
"Display": "MRI COMPLEX SPINE B 5+S"
},
{
"Code": "SCBS5E7000",
"Display": "MRI COMPLEX SPINE B 5+SE"
},
{
"Code": "SCH0004000",
"Display": "SCHILLING"
},
{
"Code": "SCHINT4000",
"Display": "SCHILLING , INTRINSIC FACTOR"
},
{
"Code": "SCJS107000",
"Display": "MRI S.C.JOINTS 1S"
},
{
"Code": "SCJS1E7000",
"Display": "MRI S.C.JOINTS 1SE"
},
{
"Code": "SCJS207000",
"Display": "MRI S.C.JOINTS 2S"
},
{
"Code": "SCJS2E7000",
"Display": "MRI S.C.JOINTS 2SE"
},
{
"Code": "SCJS307000",
"Display": "MRI S.C.JOINTS 3S"
},
{
"Code": "SCJS3E7000",
"Display": "MRI S.C.JOINTS 3SE"
},
{
"Code": "SCJS407000",
"Display": "MRI S.C.JOINTS 4S"
},
{
"Code": "SCJS4E7000",
"Display": "MRI S.C.JOINTS 4SE"
},
{
"Code": "SCJS507000",
"Display": "MRI S.C.JOINTS 5S"
},
{
"Code": "SCJS5E7000",
"Display": "MRI S.C.JOINTS 5SE"
},
{
"Code": "SCJS607000",
"Display": "MRI S.C.JOINTS 6+S"
},
{
"Code": "SCJS6E7000",
"Display": "MRI S.C.JOINTS 6+SE"
},
{
"Code": "SCSE107000",
"Display": "MRI COMPLEX SPINE 1S"
},
{
"Code": "SCSE107010",
"Display": "MRI COMPLEX SPINE 1S"
},
{
"Code": "SCSE1E7000",
"Display": "MRI COMPEX SPINE 1S E"
},
{
"Code": "SCSE1E7010",
"Display": "MRI COMPLEX SPINE 1S E"
},
{
"Code": "SCSE207000",
"Display": "MRI COMPLEX SPINE 2S"
},
{
"Code": "SCSE207010",
"Display": "MRI COMPLEX SPINE 2S"
},
{
"Code": "SCSE2E7000",
"Display": "MRI COMPLEX SPINE 2S E"
},
{
"Code": "SCSE2E7010",
"Display": "MRI COMPLEX SPINE 2S E"
},
{
"Code": "SCSE307000",
"Display": "MRI COMPLEX SPINE 3S"
},
{
"Code": "SCSE307010",
"Display": "MRI COMPLEX SPINE 3S"
},
{
"Code": "SCSE3E7000",
"Display": "MRI COMPLEX SPINE 3S E"
},
{
"Code": "SCSE3E7010",
"Display": "MRI COMPLEX SPINE 3S E"
},
{
"Code": "SCSE407000",
"Display": "MRI COMPLEX SPINE 4S"
},
{
"Code": "SCSE407010",
"Display": "MRI COMPLEX SPINE 4S"
},
{
"Code": "SCSE4E7000",
"Display": "MRI COMPLEX SPINE 4S E"
},
{
"Code": "SCSE4E7010",
"Display": "MRI COMPLEX SPINE 4S E"
},
{
"Code": "SCSE507000",
"Display": "MRI COMPLEX SPINE 5+S"
},
{
"Code": "SCSE507010",
"Display": "MRI COMPLEX SPINE 5+S"
},
{
"Code": "SCSE5E7000",
"Display": "MRI COMPLEX SPINE 5+S E"
},
{
"Code": "SCSE5E7010",
"Display": "MRI COMPLEX SPINE 5+S E"
},
{
"Code": "SHLS107000",
"Display": "MRI LT SHOULDER 1S"
},
{
"Code": "SHLS107010",
"Display": "MRI LT SHOULDER 1S"
},
{
"Code": "SHLS1E7000",
"Display": "MRI LT SHOULDER 1SE"
},
{
"Code": "SHLS1E7010",
"Display": "MRI LT SHOULDER 1SE"
},
{
"Code": "SHLS207000",
"Display": "MRI LT SHOULDER 2S"
},
{
"Code": "SHLS207010",
"Display": "MRI LT SHOULDER 2S"
},
{
"Code": "SHLS2E7000",
"Display": "MRI LT SHOULDER 2SE"
},
{
"Code": "SHLS2E7010",
"Display": "MRI LT SHOULDER 2SE"
},
{
"Code": "SHLS307000",
"Display": "MRI LT SHOULDER 3S"
},
{
"Code": "SHLS307010",
"Display": "MRI LT SHOULDER 3S"
},
{
"Code": "SHLS3E7000",
"Display": "MRI LT SHOULDER 3SE"
},
{
"Code": "SHLS3E7010",
"Display": "MRI LT SHOULDER 3SE"
},
{
"Code": "SHLS407000",
"Display": "MRI LT SHOULDER 4S"
},
{
"Code": "SHLS407010",
"Display": "MRI LT SHOULDER 4S"
},
{
"Code": "SHLS4E7000",
"Display": "MRI LT SHOULDER 4SE"
},
{
"Code": "SHLS4E7010",
"Display": "MRI LT SHOULDER 4SE"
},
{
"Code": "SHLS507000",
"Display": "MRI LT SHOULDER 5S"
},
{
"Code": "SHLS507010",
"Display": "MRI LT SHOULDER 5S"
},
{
"Code": "SHLS5E7000",
"Display": "MRI LT SHOULDER 5SE"
},
{
"Code": "SHLS5E7010",
"Display": "MRI LT SHOULDER 5SE"
},
{
"Code": "SHLS607000",
"Display": "MRI LT SHOULDER 6+S"
},
{
"Code": "SHLS607010",
"Display": "MRI LT SHOULDER 6+S"
},
{
"Code": "SHLS6E7000",
"Display": "MRI LT SHOULDER 6+SE"
},
{
"Code": "SHLS6E7010",
"Display": "MRI LT SHOULDER 6+SE"
},
{
"Code": "SHRS107000",
"Display": "MRI RT SHOULDER 1S"
},
{
"Code": "SHRS107010",
"Display": "MRI RT SHOULDER 1S"
},
{
"Code": "SHRS1E7000",
"Display": "MRI RT SHOULDER 1SE"
},
{
"Code": "SHRS1E7010",
"Display": "MRI RT SHOULDER 1SE"
},
{
"Code": "SHRS207000",
"Display": "MRI RT SHOULDER 2S"
},
{
"Code": "SHRS207010",
"Display": "MRI RT SHOULDER 2S"
},
{
"Code": "SHRS2E7000",
"Display": "MRI RT SHOULDER 2SE"
},
{
"Code": "SHRS2E7010",
"Display": "MRI RT SHOULDER 2SE"
},
{
"Code": "SHRS307000",
"Display": "MRI RT SHOULDER 3S"
},
{
"Code": "SHRS307010",
"Display": "MRI RT SHOULDER 3S"
},
{
"Code": "SHRS3E7000",
"Display": "MRI RT SHOULDER 3SE"
},
{
"Code": "SHRS3E7010",
"Display": "MRI RT SHOULDER 3SE"
},
{
"Code": "SHRS407000",
"Display": "MRI RT SHOULDER 4S"
},
{
"Code": "SHRS407010",
"Display": "MRI RT SHOULDER 4S"
},
{
"Code": "SHRS4E7000",
"Display": "MRI RT SHOULDER 4SE"
},
{
"Code": "SHRS4E7010",
"Display": "MRI RT SHOULDER 4SE"
},
{
"Code": "SHRS507000",
"Display": "MRI RT SHOULDER 5S"
},
{
"Code": "SHRS507010",
"Display": "MRI RT SHOULDER 5S"
},
{
"Code": "SHRS5E7000",
"Display": "MRI RT SHOULDER 5SE"
},
{
"Code": "SHRS5E7010",
"Display": "MRI RT SHOULDER 5SE"
},
{
"Code": "SHRS607000",
"Display": "MRI RT SHOULDER 6+S"
},
{
"Code": "SHRS607010",
"Display": "MRI RT SHOULDER 6+S"
},
{
"Code": "SHRS6E7000",
"Display": "MRI RT SHOULDER 6+SE"
},
{
"Code": "SHRS6E7010",
"Display": "MRI RT SHOULDER 6+SE"
},
{
"Code": "SHUNT03099",
"Display": "SHUNT DOPPLER"
},
{
"Code": "SIBS107000",
"Display": "MRI INTERMED SPINE B 1S"
},
{
"Code": "SIBS1E7000",
"Display": "MRI INTERMED SPINE B 1SE"
},
{
"Code": "SIBS207000",
"Display": "MRI INTERMED SPINE B 2S"
},
{
"Code": "SIBS2E7000",
"Display": "MRI INTERMED SPINE B 2SE"
},
{
"Code": "SIBS307000",
"Display": "MRI INTERMED SPINE B 3S"
},
{
"Code": "SIBS3E7000",
"Display": "MRI INTERMED SPINE B 3SE"
},
{
"Code": "SIBS407000",
"Display": "MRI INTERMED SPINE B 4S"
},
{
"Code": "SIBS4E7000",
"Display": "MRI INTERMED SPINE B 4SE"
},
{
"Code": "SIBS507000",
"Display": "MRI INTERMED SPINE B 5+S"
},
{
"Code": "SIBS5E7000",
"Display": "MRI INTERMED SPINE B 5+SE"
},
{
"Code": "SISE107000",
"Display": "MRI INTERMED SPINE 1S"
},
{
"Code": "SISE107010",
"Display": "MRI INTERMED SPINE 1S"
},
{
"Code": "SISE1E7000",
"Display": "MRI INTERMED SPINE 1S E"
},
{
"Code": "SISE1E7010",
"Display": "MRI INTERMED SPINE 1S E"
},
{
"Code": "SISE207000",
"Display": "MRI INTERMED SPINE 2S"
},
{
"Code": "SISE207010",
"Display": "MRI INTERMED SPINE 2S"
},
{
"Code": "SISE2E7000",
"Display": "MRI INTERMED SPINE 2S E"
},
{
"Code": "SISE2E7010",
"Display": "MRI INTERMED SPINE 2S E"
},
{
"Code": "SISE307000",
"Display": "MRI INTERMED SPINE 3S"
},
{
"Code": "SISE307010",
"Display": "MRI INTERMED SPINE 3S"
},
{
"Code": "SISE3E7000",
"Display": "MRI INTERMED SPINE 3S E"
},
{
"Code": "SISE3E7010",
"Display": "MRI INTERMED SPINE 3SE"
},
{
"Code": "SISE407000",
"Display": "MRI INTERMED SPINE 4S"
},
{
"Code": "SISE407010",
"Display": "MRI INTERMED SPINE 4S"
},
{
"Code": "SISE4E7000",
"Display": "MRI INTERMED SPINE 4S E"
},
{
"Code": "SISE4E7010",
"Display": "MRI INTERMED 4S E"
},
{
"Code": "SISE507000",
"Display": "MRI INTERMED SPINE 5+S"
},
{
"Code": "SISE507010",
"Display": "MRI INTERMED SPINE 5+S"
},
{
"Code": "SISE5E7000",
"Display": "MRI INTERMED SPINE 5S+ E"
},
{
"Code": "SISE5E7010",
"Display": "MRI INTERMED SPINE 5S+ E"
},
{
"Code": "SKEL1G1510",
"Display": "SKEL.SURVEY 1"
},
{
"Code": "SKEL2G1510",
"Display": "SKEL.SURVEY 2"
},
{
"Code": "SKEL3G1510",
"Display": "SKEL.SURVEY 3"
},
{
"Code": "SKELLB1510",
"Display": "SKELETAL SURVEY1 LONG B"
},
{
"Code": "SLBS107000",
"Display": "MRI LIMITED SPINE B 1S"
},
{
"Code": "SLBS1E7000",
"Display": "MRI LIMITED SPINE B 1SE"
},
{
"Code": "SLBS207000",
"Display": "MRI LIMITED SPINE B 2S"
},
{
"Code": "SLBS2E7000",
"Display": "MRI LIMITED SPINE B 2SE"
},
{
"Code": "SLBS307000",
"Display": "MRI LIMITED SPINE B 3S"
},
{
"Code": "SLBS3E7000",
"Display": "MRI LIMITED SPINE B 3SE"
},
{
"Code": "SLBS407000",
"Display": "MRI LIMITED SPINE B 4S"
},
{
"Code": "SLBS4E7000",
"Display": "MRI LIMITED SPINE B 4SE"
},
{
"Code": "SLBS507000",
"Display": "MRI LIMITED SPINE B 5+S"
},
{
"Code": "SLBS5E7000",
"Display": "MRI LIMITED SPINE B 5+SE"
},
{
"Code": "SLSE107000",
"Display": "MRI LIMITED SPINE 1S"
},
{
"Code": "SLSE107010",
"Display": "MRI LIMITED SPINE 1S"
},
{
"Code": "SLSE1E7000",
"Display": "MRI LIMITED SPINE 1S E"
},
{
"Code": "SLSE1E7010",
"Display": "MRI LIMITED SPINE 1S E"
},
{
"Code": "SLSE207000",
"Display": "MRI LIMITED SPINE 2S"
},
{
"Code": "SLSE207010",
"Display": "MRI LIMITED SPINE 2S"
},
{
"Code": "SLSE2E7000",
"Display": "MRI LIMITED SPINE 2S E"
},
{
"Code": "SLSE2E7010",
"Display": "MRI LIMITED SPINE 2S E"
},
{
"Code": "SLSE307000",
"Display": "MRI LIMITED SPINE 3S"
},
{
"Code": "SLSE307010",
"Display": "MRI LIMITED SPINE 3S"
},
{
"Code": "SLSE3E7000",
"Display": "MRI LIMITED SPINE 3S E"
},
{
"Code": "SLSE3E7010",
"Display": "MRI LIMITED SPINE 3S E"
},
{
"Code": "SLSE407000",
"Display": "MRI LIMITED SPINE 4S"
},
{
"Code": "SLSE407010",
"Display": "MRI LIMITED SPINE 4S"
},
{
"Code": "SLSE4E7000",
"Display": "MRI LIMITED SPINE 4S E"
},
{
"Code": "SLSE4E7010",
"Display": "MRI LIMITED SPINE 4S E"
},
{
"Code": "SLSE507000",
"Display": "MRI LIMITED SPINE 5+S"
},
{
"Code": "SLSE507010",
"Display": "MRI LIMITED SPINE 5+S"
},
{
"Code": "SLSE5E7000",
"Display": "MRI LIMITED SPINE 5+S E"
},
{
"Code": "SLSE5E7010",
"Display": "MRI LIMITED SPINE 5+S"
},
{
"Code": "SPECS17000",
"Display": "MRISPECTROSCOPY1S"
},
{
"Code": "SPECS17010",
"Display": "MRISPECTROSCOPY 1S"
},
{
"Code": "SPECS27000",
"Display": "MRISPECTROSCOPY2S"
},
{
"Code": "SPECS27010",
"Display": "MRISPECTROSCOPY 2S"
},
{
"Code": "SPP ANGIO",
"Display": "ANGIO"
},
{
"Code": "TCACWO2500",
"Display": "CT THORAX W/O CALCIUM SCORE"
},
{
"Code": "TCCARO3080",
"Display": "TCD & CAROTID DOPPLER STUDY"
},
{
"Code": "TEAR004000",
"Display": "TEAR DUCT SCINTIGRAPHY"
},
{
"Code": "TESTIC4001",
"Display": "TESTICULAR CANCER PET"
},
{
"Code": "THER024000",
"Display": "THERAPY, EFFUSION"
},
{
"Code": "THER054000",
"Display": "THERAPY, THYROID CA."
},
{
"Code": "THER064000",
"Display": "THERAPY, THYROID HYPER."
},
{
"Code": "THY0014000",
"Display": "THYROID SCAN, TC-99M"
},
{
"Code": "THY0024000",
"Display": "THYROID SCAN, UPTAKE"
},
{
"Code": "THY0034000",
"Display": "THYROID, UPTAKE, FLOW"
},
{
"Code": "THY0044000",
"Display": "THYROID UPTAKE"
},
{
"Code": "THY0054000",
"Display": "THYROID SCAN, I-123"
},
{
"Code": "THY0064000",
"Display": "THYROID, I-131, WB FOR THER."
},
{
"Code": "THY0074000",
"Display": "1-131 WB"
},
{
"Code": "THY0084000",
"Display": "WHOLE BODY SCAN I123"
},
{
"Code": "THY0094000",
"Display": "WHOLE BODY I-131 AND SPECT"
},
{
"Code": "THY02S4000",
"Display": "THYROID SCAN, UPTAKE, SPECT"
},
{
"Code": "THY02T4000",
"Display": "THYROID, UPTAKE FOR THER."
},
{
"Code": "THY04T4000",
"Display": "THYROID UPTAKE FOR THERAPY"
},
{
"Code": "TILS107000",
"Display": "MRI LT TIB/FIB 1S"
},
{
"Code": "TILS107010",
"Display": "MRI LT TIB/FIB 1S"
},
{
"Code": "TILS1E7000",
"Display": "MRI LT TIB/FIB 1SE"
},
{
"Code": "TILS1E7010",
"Display": "MRI LT TIB/FIB 1SE"
},
{
"Code": "TILS207000",
"Display": "MRI LT TIB/FIB 2S"
},
{
"Code": "TILS207010",
"Display": "MRI LT TIB/FIB 2S"
},
{
"Code": "TILS2E7000",
"Display": "MRI LT TIB/FIB 2SE"
},
{
"Code": "TILS2E7010",
"Display": "MRI LT TIB/FIB 2SE"
},
{
"Code": "TILS307000",
"Display": "MRI LT TIB/FIB 3S"
},
{
"Code": "TILS307010",
"Display": "MRI LT TIB/FIB 3S"
},
{
"Code": "TILS3E7000",
"Display": "MRI LT TIB/FIB 3SE"
},
{
"Code": "TILS3E7010",
"Display": "MRI LT TIB/FIB 3SE"
},
{
"Code": "TILS407000",
"Display": "MRI LT TIB/FIB 4S"
},
{
"Code": "TILS407010",
"Display": "MRI LT TIB/FIB 4S"
},
{
"Code": "TILS4E7000",
"Display": "MRI LT TIB/FIB 4SE"
},
{
"Code": "TILS4E7010",
"Display": "MRI LT TIB/FIB 4SE"
},
{
"Code": "TILS507000",
"Display": "MRI LT TIB/FIB 5S"
},
{
"Code": "TILS507010",
"Display": "MRI LT TIB/FIB 5S"
},
{
"Code": "TILS5E7000",
"Display": "MRI LT TIB/FIB 5SE"
},
{
"Code": "TILS5E7010",
"Display": "MRI LT TIB/FIB 5SE"
},
{
"Code": "TILS607000",
"Display": "MRI LT TIB/FIB 6+S"
},
{
"Code": "TILS607010",
"Display": "MRI LT TIB/FIB 6+S"
},
{
"Code": "TILS6E7000",
"Display": "MRI LT TIB/FIB 6+SE"
},
{
"Code": "TILS6E7010",
"Display": "MRI LT TIB/FIB 6+SE"
},
{
"Code": "TIRS107000",
"Display": "MRI RT TIB/FIB 1S"
},
{
"Code": "TIRS107010",
"Display": "MRI RT TIB/FIB 1S"
},
{
"Code": "TIRS1E7000",
"Display": "MRI RT TIB/FIB 1SE"
},
{
"Code": "TIRS1E7010",
"Display": "MRI RT TIB/FIB 1SE"
},
{
"Code": "TIRS207000",
"Display": "MRI RT TIB/FIB 2S"
},
{
"Code": "TIRS207010",
"Display": "MRI RT TIB/FIB 2S"
},
{
"Code": "TIRS2E7000",
"Display": "MRI RT TIB/FIB 2SE"
},
{
"Code": "TIRS2E7010",
"Display": "MRI RT TIB/FIB 2SE"
},
{
"Code": "TIRS307000",
"Display": "MRI RT TIB/FIB 3S"
},
{
"Code": "TIRS307010",
"Display": "MRI RT TIB/FIB 3S"
},
{
"Code": "TIRS3E7000",
"Display": "MRI RT TIB/FIB 3SE"
},
{
"Code": "TIRS3E7010",
"Display": "MRI RT TIB/FIB 3SE"
},
{
"Code": "TIRS407000",
"Display": "MRI RT TIB/FIB 4S"
},
{
"Code": "TIRS407010",
"Display": "MRI RT TIB/FIB 4S"
},
{
"Code": "TIRS4E7000",
"Display": "MRI RT TIB/FIB 4SE"
},
{
"Code": "TIRS4E7010",
"Display": "MRI RT TIB/FIB 4SE"
},
{
"Code": "TIRS507000",
"Display": "MRI RT TIB/FIB 5S"
},
{
"Code": "TIRS507010",
"Display": "MRI RT TIB/FIB 5S"
},
{
"Code": "TIRS5E7000",
"Display": "MRI RT TIB/FIB 5SE"
},
{
"Code": "TIRS5E7010",
"Display": "MRI RT TIB/FIB 5SE"
},
{
"Code": "TIRS607000",
"Display": "MRI RT TIB/FIB 6+S"
},
{
"Code": "TIRS607010",
"Display": "MRI RT TIB/FIB 6+S"
},
{
"Code": "TIRS6E7000",
"Display": "MRI RT TIB/FIB 6+SE"
},
{
"Code": "TIRS6E7010",
"Display": "MRI RT TIB/FIB 6+SE"
},
{
"Code": "TMJS107000",
"Display": "MRI T.M.JOINTS 1S"
},
{
"Code": "TMJS107010",
"Display": "MRI T.M. JOINTS 1S"
},
{
"Code": "TMJS207000",
"Display": "MRI T.M.JOINTS 2S"
},
{
"Code": "TMJS207010",
"Display": "MRI T.M. JOINTS 2S"
},
{
"Code": "TMJS307000",
"Display": "MRI T.M.JOINTS 3S"
},
{
"Code": "TMJS307010",
"Display": "MRI T.M. JOINTS 3S"
},
{
"Code": "TMJS407000",
"Display": "MRI T.M.JOINTS 4S"
},
{
"Code": "TMJS407010",
"Display": "MRI T.M. JOINTS 4S"
},
{
"Code": "TMJS507000",
"Display": "MRI T.M.JOINTS 5S"
},
{
"Code": "TMJS507010",
"Display": "MRI T.M. JOINTS 5S"
},
{
"Code": "TMJS607000",
"Display": "MRI T.M.JOINTS 6+S"
},
{
"Code": "TMJS607010",
"Display": "MRI T.M. JOINTS 6+S"
},
{
"Code": "TSE1007000",
"Display": "MRI THORAX 1S"
},
{
"Code": "TSE1007010",
"Display": "MRI THORAX 1S"
},
{
"Code": "TSE1E07000",
"Display": "MRI TH0RAX 1S E"
},
{
"Code": "TSE1E07010",
"Display": "MRI THORAX 1S E "
},
{
"Code": "TSE1EG7000",
"Display": "MRI THORAX 1S E GATED"
},
{
"Code": "TSE1EG7010",
"Display": "MRI THORAX 1S E GATED"
},
{
"Code": "TSE1G07000",
"Display": "MRI THORAX 1S GATED"
},
{
"Code": "TSE1G07010",
"Display": "MRI THORAX 1S GATED"
},
{
"Code": "TSE2007000",
"Display": "MRI THORAX 2S"
},
{
"Code": "TSE2007010",
"Display": "MRI THORAX 2S"
},
{
"Code": "TSE2E07000",
"Display": "MRI THORAX 2S E"
},
{
"Code": "TSE2E07010",
"Display": "MRI THORAX 2S E "
},
{
"Code": "TSE2EG7000",
"Display": "MRI THORAX 2S E GATED"
},
{
"Code": "TSE2EG7010",
"Display": "MRI THORAX 2S E GATED"
},
{
"Code": "TSE2G07000",
"Display": "MRI THORAX 2S GATED"
},
{
"Code": "TSE2G07010",
"Display": "MRI THORAX 2S GATED"
},
{
"Code": "TSE3007000",
"Display": "MRI THORAX 3S"
},
{
"Code": "TSE3007010",
"Display": "MRI THORAX 3S"
},
{
"Code": "TSE3E07000",
"Display": "MRI THORAX 3S E"
},
{
"Code": "TSE3E07010",
"Display": "MRI THORAX 3S E"
},
{
"Code": "TSE3EG7000",
"Display": "MRI THORAX 3S E GATED"
},
{
"Code": "TSE3EG7010",
"Display": "MRI THORAX 3S E GATED"
},
{
"Code": "TSE3G07000",
"Display": "MRI THORAX 3S GATED"
},
{
"Code": "TSE3G07010",
"Display": "MRI THORAX 3S GATED"
},
{
"Code": "TSE4007000",
"Display": "MRI THORAX 4S"
},
{
"Code": "TSE4007010",
"Display": "MRI THORAX 4S"
},
{
"Code": "TSE4E07000",
"Display": "MRI THORAX 4S E"
},
{
"Code": "TSE4E07010",
"Display": "MRI THORAX 4S E"
},
{
"Code": "TSE4EG7000",
"Display": "MRI THORAX 4S E GATED"
},
{
"Code": "TSE4EG7010",
"Display": "MRI THORAX 4S E GATED"
},
{
"Code": "TSE4G07000",
"Display": "MRI THORAX 4S GATED"
},
{
"Code": "TSE4G07010",
"Display": "MRI THORAX 4S GATED"
},
{
"Code": "TSE5007000",
"Display": "MRI THORAX 5S"
},
{
"Code": "TSE5007010",
"Display": "MRI THORAX 5S"
},
{
"Code": "TSE5E07000",
"Display": "MRI THORAX 5S E"
},
{
"Code": "TSE5E07010",
"Display": "MRI THORAX 5S E"
},
{
"Code": "TSE5EG7000",
"Display": "MRI THORAX 5S E GATED"
},
{
"Code": "TSE5EG7010",
"Display": "MRI THORAX 5S E GATED"
},
{
"Code": "TSE5G07000",
"Display": "MRI THORAX 5S GATED"
},
{
"Code": "TSE5G07010",
"Display": "MRI THORAX 5S GATED"
},
{
"Code": "TSE6007000",
"Display": "MRI THORAX 6S"
},
{
"Code": "TSE6007010",
"Display": "MRI THORAX 6S"
},
{
"Code": "TSE6E07000",
"Display": "MRI THORAX 6S E"
},
{
"Code": "TSE6E07010",
"Display": "MRI THORAX 6S E"
},
{
"Code": "TSE6EG7000",
"Display": "MRI THORAX 6S E GATED"
},
{
"Code": "TSE6EG7010",
"Display": "MRI THORAX 6S E GATED"
},
{
"Code": "TSE6G07000",
"Display": "MRI THORAX 6S GATED"
},
{
"Code": "TSE6G07010",
"Display": "MRI THORAX 6S GATED"
},
{
"Code": "TSE7007000",
"Display": "MRI THORAX 7+S"
},
{
"Code": "TSE7007010",
"Display": "MRI THORAX 7+S"
},
{
"Code": "TSE7E07000",
"Display": "MRI THORAX 7+S E"
},
{
"Code": "TSE7E07010",
"Display": "MRI THORAX 7+S E"
},
{
"Code": "TSE7EG7000",
"Display": "MRI THORAX 7+S E GATED"
},
{
"Code": "TSE7EG7010",
"Display": "MRI THORAX 7+S E GATED"
},
{
"Code": "TSE7G07000",
"Display": "MRI THORAX 7+S GATED"
},
{
"Code": "TSE7G07010",
"Display": "MRI THORAX 7+S GATED"
},
{
"Code": "TUS0013099",
"Display": "SCROTUM & DOPPLER X1"
},
{
"Code": "US ABDO",
"Display": "US ABDOMEN"
},
{
"Code": "US CHEST",
"Display": "US CHEST"
},
{
"Code": "US DUPLEX",
"Display": "US DUPLEX DOPPER"
},
{
"Code": "US EXTREM",
"Display": "US EXTREMITY"
},
{
"Code": "USAB003099",
"Display": "ABD.SCAN COMPLETE"
},
{
"Code": "USABAA3099",
"Display": "AORTA/FOLLOW UP"
},
{
"Code": "USABL03099",
"Display": "ABD. SCAN LIMITED"
},
{
"Code": "USABPE3099",
"Display": "ABD. PELVIS US"
},
{
"Code": "USAPTD3099",
"Display": "USABD/PELVIS/TV/DOP"
},
{
"Code": "USBASP3099",
"Display": "US BREAST ASPIRATION"
},
{
"Code": "USBBIL3099",
"Display": "BREAST BOTH"
},
{
"Code": "USBBX03099",
"Display": "US BREAST BIOPSY"
},
{
"Code": "USBFNA3099",
"Display": "US BREAST FNA"
},
{
"Code": "USBLO23099",
"Display": "US BREAST LOC, 2ND SITE"
},
{
"Code": "USBLOC3099",
"Display": "US BREAST LOCALIZATION"
},
{
"Code": "USBUNI3099",
"Display": "SINGLE BREAST"
},
{
"Code": "USBX023099",
"Display": "US BIOPSY 2ND SITE"
},
{
"Code": "USBXAB3099",
"Display": "BX / LIMITED ABD"
},
{
"Code": "USBXTR3099",
"Display": "BX / TRANSRECTAL"
},
{
"Code": "USCYBR3099",
"Display": "US CYBERKNIFE SEED PLACEMENT"
},
{
"Code": "USDCOM3099",
"Display": "US DOPPLER ABD"
},
{
"Code": "USDLTD3099",
"Display": "QUICK DOPPLER/STRUCTURE"
},
{
"Code": "USEINJ3099",
"Display": "US ETHANOL INJECTION"
},
{
"Code": "USENDO3099",
"Display": "US ENDOMETRIOSIS"
},
{
"Code": "USEXT23099",
"Display": "EXT. / LIMB (X2)"
},
{
"Code": "USEXTL3099",
"Display": "EXT. / LIMB LT"
},
{
"Code": "USEXTR3099",
"Display": "EXT. / LIMB RT"
},
{
"Code": "USFIBS3099",
"Display": "ULTRASOUND FIBROSCAN LIVER"
},
{
"Code": "USFUNB3099",
"Display": "US F/U SAMEDAY NONBILLABLE"
},
{
"Code": "USGSI03099",
"Display": "GOLD SEED INSERT"
},
{
"Code": "USGUIX3040",
"Display": "ULTRASOUND GUIDANCE"
},
{
"Code": "USHEAD3099",
"Display": "BRAIN SCAN COMP"
},
{
"Code": "USKUBL3099",
"Display": "US KUB"
},
{
"Code": "USLGHE3099",
"Display": "US HEMATOLOGY LEG VEINS"
},
{
"Code": "USLV1L3099",
"Display": "LEG VEINS X1LT"
},
{
"Code": "USLV1R3099",
"Display": "LEG VEINS X1RT"
},
{
"Code": "USLV203099",
"Display": "LEG VEINS X2"
},
{
"Code": "USNECK3099",
"Display": "FACE / NECK"
},
{
"Code": "USPARA3099",
"Display": "PARACENTESIS"
},
{
"Code": "USPINE3099",
"Display": "US SPINE"
},
{
"Code": "USRFAO3099",
"Display": "INTRA-OP RFA"
},
{
"Code": "USRFAX3099",
"Display": "US RADIO FREQ ABLATION"
},
{
"Code": "USTCD03080",
"Display": "TRANS-CRANIAL DOPPLER STUDY"
},
{
"Code": "USTCD03099",
"Display": "T.C. DOPPLER"
},
{
"Code": "USTHBX3099",
"Display": "THYROID & BIOPSY"
},
{
"Code": "USTHOR3099",
"Display": "THORACENTESIS"
},
{
"Code": "USTHY03099",
"Display": "US THYROID"
},
{
"Code": "USTHYD3099",
"Display": "US THYROID DOPPLER"
},
{
"Code": "USTR003099",
"Display": "TRANSRECTAL US"
},
{
"Code": "USTV003099",
"Display": "TRANSVAGINAL US"
},
{
"Code": "VAS402000",
"Display": "CV US ABDOMINAL ARTERIAL ASSESSMENT OF VISCERAL ARTERIES"
},
{
"Code": "VAS402001",
"Display": "CV US ABDOMINAL LIMITED OF PORTAL VENOUS SYSTEM"
},
{
"Code": "VAS402002",
"Display": "CV US ABDOMINAL LIMITED OF AORTA AND ILIAC ARTERIES"
},
{
"Code": "VAS402003",
"Display": "CV US ABDOMINAL VENOUS ASSESSMENT OF IVC AND ILIAC VEINS"
},
{
"Code": "VAS402004",
"Display": "CV US ANKLE / BRACHIAL INDICES EXTREMITY COMPLETE"
},
{
"Code": "VAS402005",
"Display": "CV US DOPPLER ARTERIAL ARM LEFT"
},
{
"Code": "VAS402006",
"Display": "CV US DOPPLER ARTERIAL ARM RIGHT"
},
{
"Code": "VAS402007",
"Display": "CV US DOPPLER ARTERIAL ARMS BILATERAL"
},
{
"Code": "VAS402008",
"Display": "CV US DOPPLER ARTERIAL LEG LEFT"
},
{
"Code": "VAS402009",
"Display": "CV US DOPPLER ARTERIAL LEG RIGHT"
},
{
"Code": "VAS402010",
"Display": "CV US DOPPLER ARTERIAL LEGS BILATERAL"
},
{
"Code": "VAS402011",
"Display": "CV US DOPPLER CAROTIDS"
},
{
"Code": "VAS402012",
"Display": "CV US DOPPLER VENOUS ARM LEFT"
},
{
"Code": "VAS402013",
"Display": "CV US DOPPLER VENOUS ARM RIGHT"
},
{
"Code": "VAS402014",
"Display": "CV US DOPPLER VENOUS ARMS BILATERAL"
},
{
"Code": "VAS402015",
"Display": "CV US DOPPLER VENOUS LEG LEFT"
},
{
"Code": "VAS402016",
"Display": "CV US DOPPLER VENOUS LEG RIGHT"
},
{
"Code": "VAS402017",
"Display": "CV US DOPPLER VENOUS LEGS BILATERAL"
},
{
"Code": "VAS402018",
"Display": "CV US FEMORAL BILATERAL"
},
{
"Code": "VAS402019",
"Display": "CV US FEMORAL LEFT"
},
{
"Code": "VAS402020",
"Display": "CV US FEMORAL RIGHT"
},
{
"Code": "VAS402021",
"Display": "CV US GUIDED THROMBIN INJECTION REPAIR OF ARTERIAL PSEUDOANEURYSM"
},
{
"Code": "VAS402022",
"Display": "CV US RENAL ARTERY STENOSIS HYPERTENSION COMPLETE"
},
{
"Code": "VAS402024",
"Display": "CV US TRANSCRANIAL DOPPLER INTRACRANIAL ARTERIES (TCD IN-PATIENT ONLY)"
},
{
"Code": "VAS402025",
"Display": "CV US AAA ENDOVASCULAR GRAFT CONTRAST INJECTION"
},
{
"Code": "VAS402026",
"Display": "CV US HEMODIALYSIS ARTERIO-VENOUS FISTULA ARM LEFT"
},
{
"Code": "VAS402027",
"Display": "CV US HEMODIALYSIS ARTERIO-VENOUS FISTULA ARM RIGHT"
},
{
"Code": "VAS402028",
"Display": "CV US HEMODIALYSIS ARTERIO-VENOUS FISTULA LEG LEFT"
},
{
"Code": "VAS402029",
"Display": "CV US HEMODIALYSIS ARTERIO-VENOUS FISTULA LEG RIGHT"
},
{
"Code": "VAS402030",
"Display": "CV US DOPPLER VENOUS NECK"
},
{
"Code": "VAS402031",
"Display": "CV US ABDOMINAL ARTERIAL ASSESSMENT OF AAA ENDOVASCULAR GRAFT"
},
{
"Code": "VAS402033",
"Display": "CV US MINOR ASSESSMENT"
},
{
"Code": "VAS402035 ",
"Display": "CV US ABDOMINAL LIMITED OF IVC AND RENAL VEINS"
},
{
"Code": "VASTOS7000",
"Display": "MRI VASC THORACIC OUTLET SYN E"
},
{
"Code": "VASTOS7010",
"Display": "MRI VASC THORACIC OUTLET SYN E"
},
{
"Code": "VENO004000",
"Display": "VENOGRAM"
},
{
"Code": "WBCIN14000",
"Display": "WBC, IN-111, SS"
},
{
"Code": "WBCIN24000",
"Display": "WBC, IN-111, WB"
},
{
"Code": "WBCIN34000",
"Display": "WBC, IN-111, SS, SPECT"
},
{
"Code": "WBCIN44000",
"Display": "WBC, IN-111, WB, SPECT"
},
{
"Code": "WBCTC14000",
"Display": "WBC, HMPAO, SS"
},
{
"Code": "WBCTC24000",
"Display": "WBC, HMPAO, WB"
},
{
"Code": "WBCTC34000",
"Display": "WBC, HMPAO, SS, SPECT"
},
{
"Code": "WBCTC44000",
"Display": "WBC, HMPAO, WB, SPECT"
},
{
"Code": "WBUSSB1520",
"Display": "US BREAST SINGLE + BIOPSY"
},
{
"Code": "WRLS107000",
"Display": "MRI LT WRIST 1S"
},
{
"Code": "WRLS107010",
"Display": "MRI LT WRIST 1S"
},
{
"Code": "WRLS1E7000",
"Display": "MRI LT WRIST 1SE"
},
{
"Code": "WRLS1E7010",
"Display": "MRI LT WRIST 1SE"
},
{
"Code": "WRLS207000",
"Display": "MRI LT WRIST 2S"
},
{
"Code": "WRLS207010",
"Display": "MRI LT WRIST 2S"
},
{
"Code": "WRLS2E7000",
"Display": "MRI LT WRIST 2SE"
},
{
"Code": "WRLS2E7010",
"Display": "MRI LT WRIST 2SE"
},
{
"Code": "WRLS307000",
"Display": "MRI LT WRIST 3S"
},
{
"Code": "WRLS307010",
"Display": "MRI LT WRIST 3S"
},
{
"Code": "WRLS3E7000",
"Display": "MRI LT WRIST 3SE"
},
{
"Code": "WRLS3E7010",
"Display": "MRI LT WRIST 3SE"
},
{
"Code": "WRLS407000",
"Display": "MRI LT WRIST 4S"
},
{
"Code": "WRLS407010",
"Display": "MRI LT WRIST 4S"
},
{
"Code": "WRLS4E7000",
"Display": "MRI LT WRIST 4SE"
},
{
"Code": "WRLS4E7010",
"Display": "MRI LT WRIST 4SE"
},
{
"Code": "WRLS507000",
"Display": "MRI LT WRIST 5S"
},
{
"Code": "WRLS507010",
"Display": "MRI LT WRIST 5S"
},
{
"Code": "WRLS5E7000",
"Display": "MRI LT WRIST 5SE"
},
{
"Code": "WRLS5E7010",
"Display": "MRI LT WRIST 5SE"
},
{
"Code": "WRLS607000",
"Display": "MRI LT WRIST 6+S"
},
{
"Code": "WRLS607010",
"Display": "MRI LT WRIST 6+S"
},
{
"Code": "WRLS6E7000",
"Display": "MRI LT WRIST 6+SE"
},
{
"Code": "WRLS6E7010",
"Display": "MRI LT WRIST 6+SE"
},
{
"Code": "WRRS107000",
"Display": "MRI RT WRIST 1S"
},
{
"Code": "WRRS107010",
"Display": "MRI RT WRIST 1S"
},
{
"Code": "WRRS1E7000",
"Display": "MRI RT WRIST 1SE"
},
{
"Code": "WRRS1E7010",
"Display": "MRI RT WRIST 1SE"
},
{
"Code": "WRRS207000",
"Display": "MRI RT WRIST 2S"
},
{
"Code": "WRRS207010",
"Display": "MRI RT WRIST 2S"
},
{
"Code": "WRRS2E7000",
"Display": "MRI RT WRIST 2SE"
},
{
"Code": "WRRS2E7010",
"Display": "MRI RT WRIST 2SE"
},
{
"Code": "WRRS307000",
"Display": "MRI RT WRIST 3S"
},
{
"Code": "WRRS307010",
"Display": "MRI RT WRIST 3S"
},
{
"Code": "WRRS3E7000",
"Display": "MRI RT WRIST 3SE"
},
{
"Code": "WRRS3E7010",
"Display": "MRI RT WRIST 3SE"
},
{
"Code": "WRRS407000",
"Display": "MRI RT WRIST 4S"
},
{
"Code": "WRRS407010",
"Display": "MRI RT WRIST 4S"
},
{
"Code": "WRRS4E7000",
"Display": "MRI RT WRIST 4SE"
},
{
"Code": "WRRS4E7010",
"Display": "MRI RT WRIST 4SE"
},
{
"Code": "WRRS507000",
"Display": "MRI RT WRIST 5S"
},
{
"Code": "WRRS507010",
"Display": "MRI RT WRIST 5S"
},
{
"Code": "WRRS5E7000",
"Display": "MRI RT WRIST 5SE"
},
{
"Code": "WRRS5E7010",
"Display": "MRI RT WRIST 5SE"
},
{
"Code": "WRRS607000",
"Display": "MRI RT WRIST 6+S"
},
{
"Code": "WRRS607010",
"Display": "MRI RT WRIST 6+S"
},
{
"Code": "WRRS6E7000",
"Display": "MRI RT WRIST 6+SE"
},
{
"Code": "WRRS6E7010",
"Display": "MRI RT WRIST 6+SE"
},
{
"Code": "X081011510",
"Display": "1 ADDED SURVEY VIEW/FILM"
},
{
"Code": "X081021510",
"Display": "2 ADDED SURVEY VIEWS/FILM"
},
{
"Code": "X081031510",
"Display": "3 ADDED SURVEY VIEWS/FILM"
},
{
"Code": "X124C02500",
"Display": "NECK W&W/O CONTRAST"
},
{
"Code": "X125C02500",
"Display": "THORAX W&W/O CONT"
},
{
"Code": "X126C02500",
"Display": "ABD W&W/O CONTRAST"
},
{
"Code": "X128C02500",
"Display": "SPINE W&W/O CONTRAST"
},
{
"Code": "X168C02500",
"Display": "CT BIOPSY MASS/ORGAN"
},
{
"Code": "X188C02500",
"Display": "HEAD W & W/O CONTRAST"
},
{
"Code": "X188SB2500",
"Display": "HEAD, STEREOTACTIC, W&W/O CONT"
},
{
"Code": "X231C02500",
"Display": "PELVIS W/O CONTRAST"
},
{
"Code": "X232C02500",
"Display": "PELVIS CONTRAST"
},
{
"Code": "X233C02500",
"Display": "PELVIS W&W/O CONTRAST"
},
{
"Code": "X400C02500",
"Display": "HEAD W/O CONTRAST"
},
{
"Code": "X400SN2500",
"Display": "HEAD, STEREOTACTIC, W/O CONT"
},
{
"Code": "X401C02500",
"Display": "HEAD CONTRAST"
},
{
"Code": "X401SB2500",
"Display": "HEAD, STEREOTACTIC CONT"
},
{
"Code": "X402C02500",
"Display": "HEAD, COMPLEX, W/O CONT"
},
{
"Code": "X403C02500",
"Display": "NECK W/O CONTRAST"
},
{
"Code": "X404C02500",
"Display": "NECK - CONTRAST"
},
{
"Code": "X405C02500",
"Display": "HEAD, COMPLEX, CONT"
},
{
"Code": "X406C02500",
"Display": "THORAX W/O CONTRAST"
},
{
"Code": "X407C02500",
"Display": "THORAX CONTRAST"
},
{
"Code": "X408C02500",
"Display": "HEAD, COMPLEX, W&W/O CONT"
},
{
"Code": "X409C02500",
"Display": "ABD W/O CONTRAST"
},
{
"Code": "X410C02500",
"Display": "ABD CONTRAST"
},
{
"Code": "X415C02500",
"Display": "SPINE W/O CONTRAST"
},
{
"Code": "X416C02500",
"Display": "SPINE CONTRAST"
}
]
}
]
}
}