FHIR IG analytics| Package | ontariomicdrfhirimplementationguide-0.10.00 |
| Resource Type | CodeSystem |
| Id | CodeSystem-procedure-type-mi-provincial.json |
| FHIR Version | R4 |
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FHIR
FHIRsmith{
"resourceType": "CodeSystem",
"id": "procedure-type-mi-provincial",
"url": "http://ontariohealth.ca/fhir/CodeSystem/procedure-type-mi-provincial",
"version": "0.9.0",
"name": "ProcedureTypeMiProvincial",
"title": "Provincial MI Procedure Types",
"status": "active",
"experimental": false,
"date": "2024-04-19T02:20:56.4940505+00:00",
"description": "This code system contains all Provincial procedure type codes. For PoT, we are only providing some examples from the expansion.",
"content": "complete",
"count": 2335,
"concept": [
{
"code": "100001",
"display": "XA Abdomen Angiography"
},
{
"code": "100002",
"display": "XA Abdominal Aortography"
},
{
"code": "100003",
"display": "XA Angiography"
},
{
"code": "100004",
"display": "XA Aorta Angioplasty"
},
{
"code": "100005",
"display": "XA Carotid Angioplasty"
},
{
"code": "100007",
"display": "XA Common Femoral Angioplasty"
},
{
"code": "100008",
"display": "XA Iliac Angioplasty"
},
{
"code": "100009",
"display": "XA Angioplasty"
},
{
"code": "100010",
"display": "XA Renal Angioplasty Bilateral"
},
{
"code": "100011",
"display": "XA Renal Angioplasty Left"
},
{
"code": "100012",
"display": "XA Renal Angioplasty Right"
},
{
"code": "100013",
"display": "XA Subclavian Artery Angioplasty"
},
{
"code": "100014",
"display": "XA Tibial Angioplasty Bilateral"
},
{
"code": "100015",
"display": "XA Venous Angioplasty"
},
{
"code": "100016",
"display": "XA Vertebral Angioplasty"
},
{
"code": "100017",
"display": "RF Antegrade Pyelography Bilateral"
},
{
"code": "100019",
"display": "XA Abdominal Peripheral Angiography"
},
{
"code": "100020",
"display": "XA Thoracic Aortography"
},
{
"code": "100022",
"display": "XA Arch Aortography"
},
{
"code": "100025",
"display": "XA Aorta Stent"
},
{
"code": "100027",
"display": "XA Angiography AV Fistula Graft"
},
{
"code": "100028",
"display": "XA Carotid Angiography Bilateral"
},
{
"code": "100029",
"display": "XA Carotid Angiography Left"
},
{
"code": "100030",
"display": "XA Carotid Angiography Right"
},
{
"code": "100031",
"display": "XA Cerebral Angiography"
},
{
"code": "100032",
"display": "XA Spinal Angiography"
},
{
"code": "100034",
"display": "XA Vertebral Angiography Bilateral"
},
{
"code": "100035",
"display": "XA Vertebral Angiography Left"
},
{
"code": "100036",
"display": "XA Vertebral Angiography Right"
},
{
"code": "100038",
"display": "RF Biliary Drainage"
},
{
"code": "100039",
"display": "RF Biliary Stone Manipulation"
},
{
"code": "100040",
"display": "RF Biliary Stricture Dilatation"
},
{
"code": "100043",
"display": "XA Brachial Angiography"
},
{
"code": "100044",
"display": "XA Brachial Angiography Left"
},
{
"code": "100045",
"display": "XA Brachial Angiography Right"
},
{
"code": "100046",
"display": "XA Bronchial Angiography"
},
{
"code": "100048",
"display": "XA Cardiac Angiography"
},
{
"code": "100049",
"display": "XA Cardiac Catheterization"
},
{
"code": "100052",
"display": "RF Cecostomy Tube"
},
{
"code": "100053",
"display": "XA Central Line"
},
{
"code": "100066",
"display": "XA Arterial Embolization"
},
{
"code": "100067",
"display": "XA AVM Embolization"
},
{
"code": "100068",
"display": "XA Bronchial Artery Embolization"
},
{
"code": "100069",
"display": "XA Cerebral Artery Embolization"
},
{
"code": "100072",
"display": "XA Fistula Embolization"
},
{
"code": "100073",
"display": "XA Hepatic Artery Embolization"
},
{
"code": "100074",
"display": "XA Internal Iliac Artery Embolization"
},
{
"code": "100075",
"display": "XA Mesenteric Artery Embolization"
},
{
"code": "100076",
"display": "XA Pulmonary Artery Embolization"
},
{
"code": "100077",
"display": "XA Renal Embolization"
},
{
"code": "100078",
"display": "XA Spinal Embolization"
},
{
"code": "100079",
"display": "XA Splenic Artery Embolization"
},
{
"code": "100080",
"display": "XA Uterine Artery Embolization"
},
{
"code": "100081",
"display": "XA Venous Embolization"
},
{
"code": "100082",
"display": "RF Enteric Stent"
},
{
"code": "100083",
"display": "RF Esophageal Dilatation"
},
{
"code": "100085",
"display": "RF Fallopian Tube"
},
{
"code": "100087",
"display": "XA Femoral Angiography"
},
{
"code": "100088",
"display": "XA Femoral Angiography Bilateral"
},
{
"code": "100089",
"display": "XA Femoral Angiography Left"
},
{
"code": "100090",
"display": "XA Femoral Angiography Right"
},
{
"code": "100093",
"display": "XA Intravascular Foreign Body Removal"
},
{
"code": "100094",
"display": "RF Gastric Band Injection"
},
{
"code": "100095",
"display": "RF Gastric Dilatation"
},
{
"code": "100098",
"display": "RF Gastrojejunostomy Tube"
},
{
"code": "100104",
"display": "XA Vena Cavography"
},
{
"code": "100109",
"display": "RF Jejunostomy Tube"
},
{
"code": "100113",
"display": "XA Lower Extremity Angiography"
},
{
"code": "100114",
"display": "XA Lower Extremity Angiography Bilateral"
},
{
"code": "100115",
"display": "XA Lower Extremity Angiography Left"
},
{
"code": "100116",
"display": "XA Lower Extremity Angiography Right"
},
{
"code": "100117",
"display": "RF Lumbar Drainage"
},
{
"code": "100119",
"display": "RF Lymphangiography"
},
{
"code": "100126",
"display": "RF Esophageal Stent"
},
{
"code": "100137",
"display": "XA PICC Line"
},
{
"code": "100141",
"display": "RF Pouchography"
},
{
"code": "100142",
"display": "XA Pseudoaneurysm Injection"
},
{
"code": "100143",
"display": "XA Pulmonary Angiography"
},
{
"code": "100145",
"display": "RF Rectal Colonic Dilatation"
},
{
"code": "100147",
"display": "XA Renal Angiography"
},
{
"code": "100148",
"display": "XA Renal Angiography Bilateral"
},
{
"code": "100149",
"display": "XA Renal Angiography Left"
},
{
"code": "100150",
"display": "XA Renal Angiography Right"
},
{
"code": "100151",
"display": "RF Renal Cyst Puncture"
},
{
"code": "100152",
"display": "RF Retroperitoneal Biopsy"
},
{
"code": "100153",
"display": "XA Splenoportography"
},
{
"code": "100156",
"display": "XA Stent"
},
{
"code": "100157",
"display": "RF Dilatation"
},
{
"code": "100158",
"display": "XA Superior Vena Cavography"
},
{
"code": "100161",
"display": "XA Thrombolysis"
},
{
"code": "100163",
"display": "XA TIPS Stent"
},
{
"code": "100167",
"display": "XA Portovenography"
},
{
"code": "100169",
"display": "RF Trigeminal Rhizotomy"
},
{
"code": "100170",
"display": "XA Upper Extremity Angiography"
},
{
"code": "100171",
"display": "XA Upper Extremity Angiography Bilateral"
},
{
"code": "100172",
"display": "XA Upper Extremity Angiography Left"
},
{
"code": "100173",
"display": "XA Upper Extremity Angiography Right"
},
{
"code": "100175",
"display": "XA Venography"
},
{
"code": "100176",
"display": "XA Lower Extremity Venography"
},
{
"code": "100177",
"display": "XA Lower Extremity Venography Bilateral"
},
{
"code": "100178",
"display": "XA Lower Extremity Venography Left"
},
{
"code": "100179",
"display": "XA Lower Extremity Venography Right"
},
{
"code": "100180",
"display": "XA Renal Venography"
},
{
"code": "100181",
"display": "XA Renal Venography Bilateral"
},
{
"code": "100182",
"display": "XA Renal Venography Left"
},
{
"code": "100183",
"display": "XA Renal Venography Right"
},
{
"code": "100184",
"display": "XA Upper Extremity Venography"
},
{
"code": "100185",
"display": "XA Upper Extremity Venography Bilateral"
},
{
"code": "100186",
"display": "XA Upper Extremity Venography Left"
},
{
"code": "100187",
"display": "XA Upper Extremity Venography Right"
},
{
"code": "100188",
"display": "XA Venous Cannulation"
},
{
"code": "100189",
"display": "XA Adrenal Venous Sampling"
},
{
"code": "100190",
"display": "XA Pancreatic Venous Sampling"
},
{
"code": "100192",
"display": "XA Petrosal Venous Sampling"
},
{
"code": "100193",
"display": "XA Renal Venous Sampling"
},
{
"code": "100194",
"display": "RF Vertebroplasty"
},
{
"code": "100198",
"display": "BMD Whole Body"
},
{
"code": "100200",
"display": "CT Abdomen Pelvis with Contrast"
},
{
"code": "100201",
"display": "CT Abdomen Pelvis"
},
{
"code": "100202",
"display": "CT Abdomen Biopsy"
},
{
"code": "100203",
"display": "CT Abdomen Drainage"
},
{
"code": "100205",
"display": "CT Abdomen Lumbar Spine Pelvis with Contrast"
},
{
"code": "100206",
"display": "CT Abdomen Lumbar Spine Pelvis"
},
{
"code": "100208",
"display": "CT Abdomen with Contrast"
},
{
"code": "100212",
"display": "CT Abdomen"
},
{
"code": "100215",
"display": "CT Adrenals with Contrast"
},
{
"code": "100216",
"display": "CT Adrenals"
},
{
"code": "100218",
"display": "CT Abdomen Angiography"
},
{
"code": "100219",
"display": "CT Abdominal Aorta Angiography"
},
{
"code": "100220",
"display": "CT Aortic Arch Carotid Angiography"
},
{
"code": "100221",
"display": "CT Cardiac Angiography"
},
{
"code": "100222",
"display": "CT Carotid Angiography"
},
{
"code": "100223",
"display": "CT Cerebral Angiography"
},
{
"code": "100224",
"display": "CT Head Neck Angiography"
},
{
"code": "100226",
"display": "CT Pulmonary Angiography"
},
{
"code": "100228",
"display": "CT Ankle Bilateral with Contrast"
},
{
"code": "100229",
"display": "CT Ankle Bilateral"
},
{
"code": "100231",
"display": "CT Ankle Left with Contrast"
},
{
"code": "100232",
"display": "CT Ankle Left"
},
{
"code": "100234",
"display": "CT Ankle Right with Contrast"
},
{
"code": "100235",
"display": "CT Ankle Right"
},
{
"code": "100237",
"display": "CT Ankle with Contrast"
},
{
"code": "100238",
"display": "CT Ankle"
},
{
"code": "100239",
"display": "CT Biopsy"
},
{
"code": "100240",
"display": "CT Bone Biopsy"
},
{
"code": "100241",
"display": "CT Chest Biopsy"
},
{
"code": "100242",
"display": "CT Upper Extremity Biopsy"
},
{
"code": "100243",
"display": "CT Kidney Biopsy"
},
{
"code": "100244",
"display": "CT Kidney Biopsy Left"
},
{
"code": "100245",
"display": "CT Kidney Biopsy Right"
},
{
"code": "100246",
"display": "CT Liver Biopsy"
},
{
"code": "100247",
"display": "CT Lung Biopsy"
},
{
"code": "100248",
"display": "CT Head Biopsy"
},
{
"code": "100249",
"display": "CT Pancreas Biopsy"
},
{
"code": "100250",
"display": "CT Pelvis Biopsy"
},
{
"code": "100251",
"display": "CT Spine Biopsy"
},
{
"code": "100253",
"display": "CT Calcaneus Bilateral with Contrast"
},
{
"code": "100254",
"display": "CT Calcaneus Bilateral"
},
{
"code": "100256",
"display": "CT Calcaneus Left with Contrast"
},
{
"code": "100257",
"display": "CT Calcaneus Left"
},
{
"code": "100259",
"display": "CT Calcaneus Right with Contrast"
},
{
"code": "100260",
"display": "CT Calcaneus Right"
},
{
"code": "100266",
"display": "CT Cervical Lumbar Spine with Contrast"
},
{
"code": "100267",
"display": "CT Cervical Lumbar Spine"
},
{
"code": "100269",
"display": "CT Cervical Thoracic Spine with Contrast"
},
{
"code": "100270",
"display": "CT Cervical Thoracic Spine"
},
{
"code": "100272",
"display": "CT Cervical Spine with Contrast"
},
{
"code": "100273",
"display": "CT Cervical Spine"
},
{
"code": "100275",
"display": "CT Chest Abdomen Pelvis with Contrast"
},
{
"code": "100276",
"display": "CT Chest Abdomen Pelvis"
},
{
"code": "100278",
"display": "CT Chest Abdomen with Contrast"
},
{
"code": "100279",
"display": "CT Chest Abdomen"
},
{
"code": "100281",
"display": "CT Neck Chest with Contrast"
},
{
"code": "100282",
"display": "CT Neck Chest"
},
{
"code": "100287",
"display": "CT Chest with Contrast"
},
{
"code": "100288",
"display": "CT Chest"
},
{
"code": "100291",
"display": "CT Clavicle Left with Contrast"
},
{
"code": "100292",
"display": "CT Clavicle Left"
},
{
"code": "100294",
"display": "CT Clavicle Right with Contrast"
},
{
"code": "100295",
"display": "CT Clavicle Right"
},
{
"code": "100297",
"display": "CT Clavicle Bilateral with Contrast"
},
{
"code": "100298",
"display": "CT Clavicle Bilateral"
},
{
"code": "100299",
"display": "CT Colonoscopy"
},
{
"code": "100302",
"display": "CT Drainage"
},
{
"code": "100304",
"display": "CT Elbow Bilateral with Contrast"
},
{
"code": "100305",
"display": "CT Elbow Bilateral"
},
{
"code": "100307",
"display": "CT Elbow Left with Contrast"
},
{
"code": "100308",
"display": "CT Elbow Left"
},
{
"code": "100310",
"display": "CT Elbow Right with Contrast"
},
{
"code": "100311",
"display": "CT Elbow Right"
},
{
"code": "100314",
"display": "CT Elbow"
},
{
"code": "100319",
"display": "CT Facial Bones Neck with Contrast"
},
{
"code": "100320",
"display": "CT Facial Bones Neck"
},
{
"code": "100322",
"display": "CT Facial Bones with Contrast"
},
{
"code": "100323",
"display": "CT Facial Bones"
},
{
"code": "100325",
"display": "CT Femur Bilateral with Contrast"
},
{
"code": "100326",
"display": "CT Femur Bilateral"
},
{
"code": "100328",
"display": "CT Femur Left with Contrast"
},
{
"code": "100329",
"display": "CT Femur Left"
},
{
"code": "100331",
"display": "CT Femur Right with Contrast"
},
{
"code": "100332",
"display": "CT Femur Right"
},
{
"code": "100335",
"display": "CT Femur"
},
{
"code": "100337",
"display": "CT Foot Bilateral with Contrast"
},
{
"code": "100338",
"display": "CT Foot Bilateral"
},
{
"code": "100340",
"display": "CT Foot Left with Contrast"
},
{
"code": "100341",
"display": "CT Foot Left"
},
{
"code": "100343",
"display": "CT Foot Right with Contrast"
},
{
"code": "100344",
"display": "CT Foot Right"
},
{
"code": "100346",
"display": "CT Foot with Contrast"
},
{
"code": "100347",
"display": "CT Foot"
},
{
"code": "100349",
"display": "CT Forearm Bilateral with Contrast"
},
{
"code": "100350",
"display": "CT Forearm Bilateral"
},
{
"code": "100352",
"display": "CT Forearm Left with Contrast"
},
{
"code": "100353",
"display": "CT Forearm Left"
},
{
"code": "100355",
"display": "CT Forearm Right with Contrast"
},
{
"code": "100356",
"display": "CT Forearm Right"
},
{
"code": "100358",
"display": "CT Forearm with Contrast"
},
{
"code": "100359",
"display": "CT Forearm"
},
{
"code": "100360",
"display": "CT Ablation"
},
{
"code": "100362",
"display": "CT Hand Bilateral with Contrast"
},
{
"code": "100363",
"display": "CT Hand Bilateral"
},
{
"code": "100365",
"display": "CT Hand Left with Contrast"
},
{
"code": "100366",
"display": "CT Hand Left"
},
{
"code": "100368",
"display": "CT Hand Right with Contrast"
},
{
"code": "100369",
"display": "CT Hand Right"
},
{
"code": "100371",
"display": "CT Hand with Contrast"
},
{
"code": "100372",
"display": "CT Hand"
},
{
"code": "100374",
"display": "CT Head Facial Bones with Contrast"
},
{
"code": "100375",
"display": "CT Head Facial Bones"
},
{
"code": "100377",
"display": "CT Head Neck with Contrast"
},
{
"code": "100378",
"display": "CT Head Neck"
},
{
"code": "100381",
"display": "CT Head Orbits"
},
{
"code": "100384",
"display": "CT Head Sella Turcica"
},
{
"code": "100392",
"display": "CT Head with Contrast"
},
{
"code": "100393",
"display": "CT Head"
},
{
"code": "100395",
"display": "CT Hip Bilateral with Contrast"
},
{
"code": "100396",
"display": "CT Hip Bilateral"
},
{
"code": "100398",
"display": "CT Hip Left with Contrast"
},
{
"code": "100399",
"display": "CT Hip Left"
},
{
"code": "100401",
"display": "CT Hip Right with Contrast"
},
{
"code": "100402",
"display": "CT Hip Right"
},
{
"code": "100405",
"display": "CT Hip"
},
{
"code": "100407",
"display": "CT Humerus Bilateral with Contrast"
},
{
"code": "100408",
"display": "CT Humerus Bilateral"
},
{
"code": "100410",
"display": "CT Humerus Left with Contrast"
},
{
"code": "100411",
"display": "CT Humerus Left"
},
{
"code": "100413",
"display": "CT Humerus Right with Contrast"
},
{
"code": "100414",
"display": "CT Humerus Right"
},
{
"code": "100418",
"display": "CT Internal Auditory Canal"
},
{
"code": "100423",
"display": "CT Kidneys with Contrast"
},
{
"code": "100424",
"display": "CT Kidneys"
},
{
"code": "100426",
"display": "CT Knee Bilateral with Contrast"
},
{
"code": "100427",
"display": "CT Knee Bilateral"
},
{
"code": "100429",
"display": "CT Knee Left with Contrast"
},
{
"code": "100430",
"display": "CT Knee Left"
},
{
"code": "100432",
"display": "CT Knee Right with Contrast"
},
{
"code": "100433",
"display": "CT Knee Right"
},
{
"code": "100442",
"display": "CT Liver with Contrast"
},
{
"code": "100443",
"display": "CT Liver"
},
{
"code": "100445",
"display": "CT Lower Extremity Bilateral with Contrast"
},
{
"code": "100446",
"display": "CT Lower Extremity Bilateral"
},
{
"code": "100448",
"display": "CT Lumbar Spine Pelvis with Contrast"
},
{
"code": "100449",
"display": "CT Lumbar Spine Pelvis"
},
{
"code": "100452",
"display": "CT Lumbar Spine Sacroiliac Joint"
},
{
"code": "100454",
"display": "CT Lumbar Spine with Contrast"
},
{
"code": "100455",
"display": "CT Lumbar Spine"
},
{
"code": "100457",
"display": "CT Mandible with Contrast"
},
{
"code": "100458",
"display": "CT Mandible"
},
{
"code": "100464",
"display": "CT Mastoid"
},
{
"code": "100466",
"display": "CT Neck Chest Abdomen Pelvis with Contrast"
},
{
"code": "100467",
"display": "CT Neck Chest Abdomen Pelvis"
},
{
"code": "100469",
"display": "CT Neck Chest Abdomen with Contrast"
},
{
"code": "100470",
"display": "CT Neck Chest Abdomen"
},
{
"code": "100472",
"display": "CT Neck with Contrast"
},
{
"code": "100473",
"display": "CT Neck"
},
{
"code": "100475",
"display": "CT Orbits with Contrast"
},
{
"code": "100476",
"display": "CT Orbits"
},
{
"code": "100477",
"display": "CT Osteoplasty"
},
{
"code": "100482",
"display": "CT Pancreas with Contrast"
},
{
"code": "100483",
"display": "CT Pancreas"
},
{
"code": "100484",
"display": "CT Pelvis Drainage"
},
{
"code": "100486",
"display": "CT Pelvis with Contrast"
},
{
"code": "100487",
"display": "CT Pelvis"
},
{
"code": "100490",
"display": "CT Posterior Fossa with Contrast"
},
{
"code": "100491",
"display": "CT Sacroiliac Joint Injection"
},
{
"code": "100493",
"display": "CT Sacroiliac Joint with Contrast"
},
{
"code": "100494",
"display": "CT Sacroiliac Joint"
},
{
"code": "100499",
"display": "CT Sacrum with Contrast"
},
{
"code": "100500",
"display": "CT Sacrum"
},
{
"code": "100501",
"display": "CT Procedure"
},
{
"code": "100502",
"display": "CT Lower Extremity Scanography"
},
{
"code": "100504",
"display": "CT Sella Turcica with Contrast"
},
{
"code": "100505",
"display": "CT Sella Turcica"
},
{
"code": "100507",
"display": "CT Shoulder Bilateral with Contrast"
},
{
"code": "100508",
"display": "CT Shoulder Bilateral"
},
{
"code": "100510",
"display": "CT Shoulder Left with Contrast"
},
{
"code": "100511",
"display": "CT Shoulder Left"
},
{
"code": "100513",
"display": "CT Shoulder Right with Contrast"
},
{
"code": "100514",
"display": "CT Shoulder Right"
},
{
"code": "100518",
"display": "CT Sialography"
},
{
"code": "100520",
"display": "CT Sinuses with Contrast"
},
{
"code": "100521",
"display": "CT Sinuses"
},
{
"code": "100523",
"display": "CT Spine with Contrast"
},
{
"code": "100524",
"display": "CT Spine"
},
{
"code": "100526",
"display": "CT Sternoclavicular Joint with Contrast"
},
{
"code": "100527",
"display": "CT Sternoclavicular Joint"
},
{
"code": "100529",
"display": "CT Sternum with Contrast"
},
{
"code": "100530",
"display": "CT Sternum"
},
{
"code": "100532",
"display": "CT Temporal Bones with Contrast"
},
{
"code": "100533",
"display": "CT Temporal Bones"
},
{
"code": "100535",
"display": "CT Temporomandibular Joints with Contrast"
},
{
"code": "100536",
"display": "CT Temporomandibular Joints"
},
{
"code": "100538",
"display": "CT Thoracic Lumbar Spine with Contrast"
},
{
"code": "100539",
"display": "CT Thoracic Lumbar Spine"
},
{
"code": "100541",
"display": "CT Thoracic Spine with Contrast"
},
{
"code": "100542",
"display": "CT Thoracic Spine"
},
{
"code": "100544",
"display": "CT Thyroid with Contrast"
},
{
"code": "100545",
"display": "CT Thyroid"
},
{
"code": "100547",
"display": "CT Tibia Fibula Bilateral with Contrast"
},
{
"code": "100548",
"display": "CT Tibia Fibula Bilateral"
},
{
"code": "100550",
"display": "CT Tibia Fibula Left with Contrast"
},
{
"code": "100551",
"display": "CT Tibia Fibula Left"
},
{
"code": "100553",
"display": "CT Tibia Fibula Right with Contrast"
},
{
"code": "100554",
"display": "CT Tibia Fibula Right"
},
{
"code": "100556",
"display": "CT Tibia Fibula with Contrast"
},
{
"code": "100557",
"display": "CT Tibia Fibula"
},
{
"code": "100559",
"display": "CT Upper Extremity with Contrast"
},
{
"code": "100560",
"display": "CT Upper Extremity"
},
{
"code": "100561",
"display": "CT Urography"
},
{
"code": "100563",
"display": "CT Wrist Bilateral with Contrast"
},
{
"code": "100564",
"display": "CT Wrist Bilateral"
},
{
"code": "100566",
"display": "CT Wrist Left with Contrast"
},
{
"code": "100567",
"display": "CT Wrist Left"
},
{
"code": "100569",
"display": "CT Wrist Right with Contrast"
},
{
"code": "100570",
"display": "CT Wrist Right"
},
{
"code": "100572",
"display": "CT Wrist with Contrast"
},
{
"code": "100573",
"display": "CT Wrist"
},
{
"code": "100583",
"display": "Mammo Aspiration Left"
},
{
"code": "100584",
"display": "Mammo Aspiration Right"
},
{
"code": "100585",
"display": "Mammo Bilateral"
},
{
"code": "100587",
"display": "Mammo Left"
},
{
"code": "100588",
"display": "Mammo Right"
},
{
"code": "100589",
"display": "Mammo Ductography"
},
{
"code": "100590",
"display": "Mammo Ductography Left"
},
{
"code": "100591",
"display": "Mammo Ductography Right"
},
{
"code": "100595",
"display": "Mammo Localization Bilateral"
},
{
"code": "100596",
"display": "Mammo Localization Left"
},
{
"code": "100597",
"display": "Mammo Localization Right"
},
{
"code": "100604",
"display": "Mammo Specimen"
},
{
"code": "100605",
"display": "Mammo Specimen Left"
},
{
"code": "100606",
"display": "Mammo Specimen Right"
},
{
"code": "100607",
"display": "Mammo Biopsy"
},
{
"code": "100608",
"display": "Mammo Biopsy Left"
},
{
"code": "100610",
"display": "Mammo Biopsy Right"
},
{
"code": "100611",
"display": "Mammo Biopsy Bilateral"
},
{
"code": "100622",
"display": "MR Abdomen"
},
{
"code": "100623",
"display": "MR Abdomen Pelvis"
},
{
"code": "100625",
"display": "MR Abdomen with Contrast"
},
{
"code": "100628",
"display": "MR Ankle"
},
{
"code": "100629",
"display": "MR Ankle Bilateral"
},
{
"code": "100631",
"display": "MR Ankle Left"
},
{
"code": "100632",
"display": "MR Ankle Left with Contrast"
},
{
"code": "100633",
"display": "MR Ankle Right"
},
{
"code": "100634",
"display": "MR Ankle Right with Contrast"
},
{
"code": "100635",
"display": "MR Ankle with Contrast"
},
{
"code": "100638",
"display": "MR Brachial Plexus"
},
{
"code": "100639",
"display": "MR Brachial Plexus Bilateral"
},
{
"code": "100640",
"display": "MR Brachial Plexus Bilateral with Contrast"
},
{
"code": "100641",
"display": "MR Brachial Plexus Left"
},
{
"code": "100642",
"display": "MR Brachial Plexus Left with Contrast"
},
{
"code": "100643",
"display": "MR Brachial Plexus Right"
},
{
"code": "100644",
"display": "MR Brachial Plexus Right with Contrast"
},
{
"code": "100645",
"display": "MR Brachial Plexus with Contrast"
},
{
"code": "100646",
"display": "MR Breast"
},
{
"code": "100647",
"display": "MR Breast Bilateral"
},
{
"code": "100648",
"display": "MR Breast Bilateral with Contrast"
},
{
"code": "100649",
"display": "MR Breast Left"
},
{
"code": "100650",
"display": "MR Breast Left with Contrast"
},
{
"code": "100651",
"display": "MR Breast Right"
},
{
"code": "100652",
"display": "MR Breast Right with Contrast"
},
{
"code": "100661",
"display": "MR Breast with Contrast"
},
{
"code": "100663",
"display": "MR Cardiac"
},
{
"code": "100665",
"display": "MR Cardiac Angiography"
},
{
"code": "100667",
"display": "MR Cervical Lumbar Spine"
},
{
"code": "100668",
"display": "MR Cervical Lumbar Spine with Contrast"
},
{
"code": "100669",
"display": "MR Cervical Thoracic Spine"
},
{
"code": "100670",
"display": "MR Cervical Thoracic Spine with Contrast"
},
{
"code": "100671",
"display": "MR Cervical Spine"
},
{
"code": "100672",
"display": "MR Cervical Spine with Contrast"
},
{
"code": "100673",
"display": "MR Chest"
},
{
"code": "100674",
"display": "MR Chest with Contrast"
},
{
"code": "100681",
"display": "MR Elbow"
},
{
"code": "100682",
"display": "MR Elbow Bilateral"
},
{
"code": "100684",
"display": "MR Elbow Left"
},
{
"code": "100685",
"display": "MR Elbow Left with Contrast"
},
{
"code": "100686",
"display": "MR Elbow Right"
},
{
"code": "100687",
"display": "MR Elbow Right with Contrast"
},
{
"code": "100688",
"display": "MR Elbow with Contrast"
},
{
"code": "100689",
"display": "MR Enterography"
},
{
"code": "100691",
"display": "MR Lower Extremity"
},
{
"code": "100698",
"display": "MR Upper Extremity"
},
{
"code": "100700",
"display": "MR Femur"
},
{
"code": "100701",
"display": "MR Femur Bilateral"
},
{
"code": "100702",
"display": "MR Femur Bilateral with Contrast"
},
{
"code": "100703",
"display": "MR Femur Left"
},
{
"code": "100704",
"display": "MR Femur Left with Contrast"
},
{
"code": "100705",
"display": "MR Femur Right"
},
{
"code": "100706",
"display": "MR Femur Right with Contrast"
},
{
"code": "100707",
"display": "MR Femur with Contrast"
},
{
"code": "100708",
"display": "MR Foot"
},
{
"code": "100709",
"display": "MR Foot Bilateral"
},
{
"code": "100711",
"display": "MR Foot Left"
},
{
"code": "100712",
"display": "MR Foot Left with Contrast"
},
{
"code": "100713",
"display": "MR Foot Right"
},
{
"code": "100714",
"display": "MR Foot Right with Contrast"
},
{
"code": "100715",
"display": "MR Foot with Contrast"
},
{
"code": "100716",
"display": "MR Forearm"
},
{
"code": "100717",
"display": "MR Forearm Bilateral"
},
{
"code": "100719",
"display": "MR Forearm Left"
},
{
"code": "100720",
"display": "MR Forearm Left with Contrast"
},
{
"code": "100721",
"display": "MR Forearm Right"
},
{
"code": "100722",
"display": "MR Forearm Right with Contrast"
},
{
"code": "100723",
"display": "MR Forearm with Contrast"
},
{
"code": "100724",
"display": "MR Hand"
},
{
"code": "100725",
"display": "MR Hand Bilateral"
},
{
"code": "100727",
"display": "MR Hand Left"
},
{
"code": "100728",
"display": "MR Hand Left with Contrast"
},
{
"code": "100729",
"display": "MR Hand Right"
},
{
"code": "100730",
"display": "MR Hand Right with Contrast"
},
{
"code": "100731",
"display": "MR Hand with Contrast"
},
{
"code": "100732",
"display": "MR Head"
},
{
"code": "100733",
"display": "MR Head Angiography"
},
{
"code": "100734",
"display": "MR Head Angiography with Contrast"
},
{
"code": "100735",
"display": "MR Head Cervical Spine"
},
{
"code": "100736",
"display": "MR Head Cervical Spine with Contrast"
},
{
"code": "100737",
"display": "MR Head Neck Angiography"
},
{
"code": "100738",
"display": "MR Head Neck Angiography with Contrast"
},
{
"code": "100740",
"display": "MR Head with Contrast"
},
{
"code": "100742",
"display": "MR Cardiac with Contrast"
},
{
"code": "100743",
"display": "MR Hip"
},
{
"code": "100744",
"display": "MR Hip Bilateral"
},
{
"code": "100745",
"display": "MR Hip Bilateral with Contrast"
},
{
"code": "100746",
"display": "MR Hip Left"
},
{
"code": "100747",
"display": "MR Hip Left with Contrast"
},
{
"code": "100748",
"display": "MR Hip Right"
},
{
"code": "100749",
"display": "MR Hip Right with Contrast"
},
{
"code": "100750",
"display": "MR Hip with Contrast"
},
{
"code": "100751",
"display": "MR Humerus"
},
{
"code": "100752",
"display": "MR Humerus Bilateral"
},
{
"code": "100753",
"display": "MR Humerus Bilateral with Contrast"
},
{
"code": "100754",
"display": "MR Humerus Left"
},
{
"code": "100755",
"display": "MR Humerus Right"
},
{
"code": "100756",
"display": "MR Humerus Left with Contrast"
},
{
"code": "100757",
"display": "MR Humerus Right with Contrast"
},
{
"code": "100758",
"display": "MR Humerus with Contrast"
},
{
"code": "100759",
"display": "MR Internal Auditory Canal"
},
{
"code": "100760",
"display": "MR Kidneys"
},
{
"code": "100761",
"display": "MR Kidneys with Contrast"
},
{
"code": "100762",
"display": "MR Knee"
},
{
"code": "100763",
"display": "MR Knee Bilateral"
},
{
"code": "100764",
"display": "MR Knee Bilateral with Contrast"
},
{
"code": "100765",
"display": "MR Knee Left"
},
{
"code": "100766",
"display": "MR Knee Left with Contrast"
},
{
"code": "100767",
"display": "MR Knee Right"
},
{
"code": "100768",
"display": "MR Knee Right with Contrast"
},
{
"code": "100769",
"display": "MR Knee with Contrast"
},
{
"code": "100770",
"display": "MR Liver"
},
{
"code": "100771",
"display": "MR Liver with Contrast"
},
{
"code": "100772",
"display": "MR Lumbar Sacral Spine"
},
{
"code": "100773",
"display": "MR Lumbar Spine"
},
{
"code": "100774",
"display": "MR Lumbar Spine Sacroiliac Joints"
},
{
"code": "100775",
"display": "MR Lumbar Sacral Spine with Contrast"
},
{
"code": "100776",
"display": "MR Lumbar Spine with Contrast"
},
{
"code": "100779",
"display": "MR Cholangiopancreatography"
},
{
"code": "100780",
"display": "MR Neck"
},
{
"code": "100781",
"display": "MR Neck Angiography"
},
{
"code": "100782",
"display": "MR Neck Angiography with Contrast"
},
{
"code": "100783",
"display": "MR Neck with Contrast"
},
{
"code": "100784",
"display": "MR Orbits"
},
{
"code": "100785",
"display": "MR Orbits with Contrast"
},
{
"code": "100788",
"display": "MR Pelvis"
},
{
"code": "100789",
"display": "MR Pelvis with Contrast"
},
{
"code": "100792",
"display": "MR Sacroiliac Joint"
},
{
"code": "100793",
"display": "MR Sacroiliac Joint with Contrast"
},
{
"code": "100794",
"display": "MR Procedure"
},
{
"code": "100795",
"display": "MR Scapula"
},
{
"code": "100796",
"display": "MR Scapula Left"
},
{
"code": "100797",
"display": "MR Scapula Left with Contrast"
},
{
"code": "100798",
"display": "MR Scapula Right"
},
{
"code": "100799",
"display": "MR Scapula Right with Contrast"
},
{
"code": "100800",
"display": "MR Scapula with Contrast"
},
{
"code": "100801",
"display": "MR Sella Turcica"
},
{
"code": "100802",
"display": "MR Sella Turcica with Contrast"
},
{
"code": "100803",
"display": "MR Shoulder"
},
{
"code": "100804",
"display": "MR Shoulder Bilateral"
},
{
"code": "100805",
"display": "MR Shoulder Bilateral with Contrast"
},
{
"code": "100806",
"display": "MR Shoulder Left"
},
{
"code": "100807",
"display": "MR Shoulder Left with Contrast"
},
{
"code": "100808",
"display": "MR Shoulder Right"
},
{
"code": "100809",
"display": "MR Shoulder Right with Contrast"
},
{
"code": "100810",
"display": "MR Shoulder with Contrast"
},
{
"code": "100811",
"display": "MR Spine"
},
{
"code": "100814",
"display": "MR Sternoclavicular Joints"
},
{
"code": "100815",
"display": "MR Sternoclavicular Joints with Contrast"
},
{
"code": "100816",
"display": "MR Temporomandibular Joints"
},
{
"code": "100817",
"display": "MR Temporomandibular Joints with Contrast"
},
{
"code": "100818",
"display": "MR Thoracic Lumbar Spine"
},
{
"code": "100819",
"display": "MR Thoracic Lumbar Spine with Contrast"
},
{
"code": "100820",
"display": "MR Thoracic Spine"
},
{
"code": "100821",
"display": "MR Thoracic Spine with Contrast"
},
{
"code": "100824",
"display": "MR Tibia Fibula"
},
{
"code": "100825",
"display": "MR Tibia Fibula Bilateral"
},
{
"code": "100826",
"display": "MR Tibia Fibula Bilateral with Contrast"
},
{
"code": "100827",
"display": "MR Tibia Fibula Left"
},
{
"code": "100828",
"display": "MR Tibia Fibula Left with Contrast"
},
{
"code": "100829",
"display": "MR Tibia Fibula Right"
},
{
"code": "100830",
"display": "MR Tibia Fibula Right with Contrast"
},
{
"code": "100831",
"display": "MR Tibia Fibula with Contrast"
},
{
"code": "100832",
"display": "MR Wrist"
},
{
"code": "100841",
"display": "MR Wrist Bilateral"
},
{
"code": "100843",
"display": "MR Wrist Left"
},
{
"code": "100844",
"display": "MR Wrist Left with Contrast"
},
{
"code": "100845",
"display": "MR Wrist Right"
},
{
"code": "100846",
"display": "MR Wrist Right with Contrast"
},
{
"code": "100847",
"display": "MR Wrist with Contrast"
},
{
"code": "100851",
"display": "NM Adrenal Scintigraphy"
},
{
"code": "100853",
"display": "NM Aspiration"
},
{
"code": "100854",
"display": "NM Biliary Scintigraphy"
},
{
"code": "100859",
"display": "NM Blood Volume"
},
{
"code": "100862",
"display": "NM Bone Marrow Scan"
},
{
"code": "100864",
"display": "NM Bone Scan"
},
{
"code": "100872",
"display": "NM Brain Scan"
},
{
"code": "100873",
"display": "NM Breath Test"
},
{
"code": "100878",
"display": "NM CSF Study"
},
{
"code": "100882",
"display": "NM Cystography"
},
{
"code": "100887",
"display": "NM Gallium Scan"
},
{
"code": "100890",
"display": "NM Gastric Emptying"
},
{
"code": "100894",
"display": "NM GI Bleed Study"
},
{
"code": "100897",
"display": "NM Lacrimal Duct Scan"
},
{
"code": "100898",
"display": "NM Leveen Shunt Patency"
},
{
"code": "100899",
"display": "NM Liver Spleen Scan"
},
{
"code": "100903",
"display": "NM Ventilation Perfusion Lung Scan"
},
{
"code": "100905",
"display": "NM Lymphangiography"
},
{
"code": "100906",
"display": "NM Meckels Diverticulum Scan"
},
{
"code": "100907",
"display": "NM Metastatic Survey 111ln Octreotide"
},
{
"code": "100913",
"display": "NM Metastatic Survey MIBG"
},
{
"code": "100914",
"display": "NM Myocardial Infarction Study"
},
{
"code": "100916",
"display": "NM Myocardial Perfusion Study"
},
{
"code": "100935",
"display": "NM Myocardial Viability Study"
},
{
"code": "100937",
"display": "NM Parathyroid Scan"
},
{
"code": "100938",
"display": "NM RBC Liver Scan"
},
{
"code": "100940",
"display": "NM Red Cell Mass and Plasma Volume"
},
{
"code": "100947",
"display": "NM Renal Study"
},
{
"code": "100951",
"display": "NM Salivary Gland Scan"
},
{
"code": "100952",
"display": "NM Schillings Test"
},
{
"code": "100953",
"display": "NM Scintimammography"
},
{
"code": "100955",
"display": "NM Sentinel Node Imaging"
},
{
"code": "100958",
"display": "NM Spleen Scan"
},
{
"code": "100960",
"display": "NM Testicular Scan"
},
{
"code": "100967",
"display": "NM Hyperthyroid Therapy"
},
{
"code": "100973",
"display": "NM Thyroid Scan"
},
{
"code": "100975",
"display": "NM Thyroid Uptake"
},
{
"code": "100976",
"display": "NM Venography"
},
{
"code": "100977",
"display": "NM Wall Motion Study"
},
{
"code": "100981",
"display": "NM WBC Scan"
},
{
"code": "100986",
"display": "PET Cardiac Imaging"
},
{
"code": "100988",
"display": "PET Procedure"
},
{
"code": "100989",
"display": "PET Whole Body"
},
{
"code": "100993",
"display": "XR Abdomen"
},
{
"code": "101003",
"display": "XR Acromioclavicular Joint"
},
{
"code": "101004",
"display": "XR Acromioclavicular Joint Left"
},
{
"code": "101005",
"display": "XR Acromioclavicular Joint Right"
},
{
"code": "101007",
"display": "XR Ankle Bilateral"
},
{
"code": "101008",
"display": "XR Ankle Left"
},
{
"code": "101009",
"display": "XR Ankle Right"
},
{
"code": "101010",
"display": "RF Ankle Arthrography"
},
{
"code": "101011",
"display": "RF Ankle Arthrography Left"
},
{
"code": "101012",
"display": "RF Ankle Arthrography Right"
},
{
"code": "101013",
"display": "RF Elbow Arthrography"
},
{
"code": "101014",
"display": "RF Elbow Arthrography Left"
},
{
"code": "101015",
"display": "RF Elbow Arthrography Right"
},
{
"code": "101016",
"display": "RF Hip Arthrography"
},
{
"code": "101017",
"display": "RF Hip Arthrography Left"
},
{
"code": "101018",
"display": "RF Hip Arthrography Right"
},
{
"code": "101019",
"display": "RF Knee Arthrography"
},
{
"code": "101020",
"display": "RF Knee Arthrography Left"
},
{
"code": "101021",
"display": "RF Knee Arthrography Right"
},
{
"code": "101022",
"display": "RF Lower Extremity Arthrography"
},
{
"code": "101023",
"display": "RF Shoulder Arthrography"
},
{
"code": "101024",
"display": "RF Shoulder Arthrography Left"
},
{
"code": "101025",
"display": "RF Shoulder Arthrography Right"
},
{
"code": "101026",
"display": "RF Temporomandibular Joint Arthrography"
},
{
"code": "101027",
"display": "RF Temporomandibular Joint Arthrography Left"
},
{
"code": "101028",
"display": "RF Temporomandibular Joint Arthrography Right"
},
{
"code": "101029",
"display": "RF Upper Extremity Arthrography"
},
{
"code": "101030",
"display": "RF Wrist Arthrography"
},
{
"code": "101031",
"display": "RF Wrist Arthrography Left"
},
{
"code": "101032",
"display": "RF Wrist Arthrography Right"
},
{
"code": "101035",
"display": "RF Colon with Contrast"
},
{
"code": "101039",
"display": "RF Swallow with Contrast"
},
{
"code": "101041",
"display": "RF Bronchography"
},
{
"code": "101042",
"display": "RF Bronchography Bilateral"
},
{
"code": "101045",
"display": "XR Calcaneus"
},
{
"code": "101046",
"display": "XR Calcaneus Bilateral"
},
{
"code": "101047",
"display": "XR Calcaneus Left"
},
{
"code": "101048",
"display": "XR Calcaneus Right"
},
{
"code": "101055",
"display": "XR Cervical Spine"
},
{
"code": "101056",
"display": "XR Chest"
},
{
"code": "101057",
"display": "XR Chest Abdomen"
},
{
"code": "101058",
"display": "XR Clavicle"
},
{
"code": "101059",
"display": "XR Clavicle Bilateral"
},
{
"code": "101060",
"display": "XR Clavicle Left"
},
{
"code": "101061",
"display": "XR Clavicle Right"
},
{
"code": "101062",
"display": "XR Coccyx"
},
{
"code": "101066",
"display": "RF Joint Injection"
},
{
"code": "101067",
"display": "RF Cystography"
},
{
"code": "101069",
"display": "RF Dacrocystography"
},
{
"code": "101070",
"display": "XR Teeth"
},
{
"code": "101072",
"display": "RF Discography"
},
{
"code": "101074",
"display": "XR Elbow"
},
{
"code": "101075",
"display": "XR Elbow Bilateral"
},
{
"code": "101076",
"display": "XR Elbow Left"
},
{
"code": "101077",
"display": "XR Elbow Right"
},
{
"code": "101078",
"display": "RF ERCP"
},
{
"code": "101083",
"display": "RF Facet Joint Injection"
},
{
"code": "101084",
"display": "XR Facial Bones"
},
{
"code": "101085",
"display": "RF Feeding Tube"
},
{
"code": "101086",
"display": "XR Femur"
},
{
"code": "101087",
"display": "XR Femur Bilateral"
},
{
"code": "101088",
"display": "XR Femur Left"
},
{
"code": "101089",
"display": "XR Femur Right"
},
{
"code": "101090",
"display": "XR Finger"
},
{
"code": "101092",
"display": "XR Finger Left"
},
{
"code": "101093",
"display": "XR Finger Right"
},
{
"code": "101094",
"display": "RF Fistulography"
},
{
"code": "101099",
"display": "RF Biopsy"
},
{
"code": "101100",
"display": "RF Abdomen Biopsy"
},
{
"code": "101101",
"display": "RF Kidney Biopsy"
},
{
"code": "101105",
"display": "RF Lower Extremity Biopsy"
},
{
"code": "101106",
"display": "RF Lower Extremity Biopsy Left"
},
{
"code": "101107",
"display": "RF Lower Extremity Biopsy Right"
},
{
"code": "101108",
"display": "RF Lung Biopsy"
},
{
"code": "101109",
"display": "RF Chest Biopsy Left"
},
{
"code": "101110",
"display": "RF Chest Biopsy Right"
},
{
"code": "101112",
"display": "RF Pelvis Biopsy"
},
{
"code": "101119",
"display": "RF Chest Biopsy"
},
{
"code": "101122",
"display": "RF Upper Extremity Biopsy"
},
{
"code": "101123",
"display": "RF Upper Extremity Biopsy Left"
},
{
"code": "101124",
"display": "RF Upper Extremity Biopsy Right"
},
{
"code": "101125",
"display": "RF Drainage"
},
{
"code": "101130",
"display": "RF Lumbar Puncture"
},
{
"code": "101131",
"display": "RF Nerve Root Block"
},
{
"code": "101133",
"display": "RF Sacroiliac Joint Injection"
},
{
"code": "101135",
"display": "RF Fluoroscopy"
},
{
"code": "101136",
"display": "RF Abdomen"
},
{
"code": "101137",
"display": "RF Chest"
},
{
"code": "101141",
"display": "RF Lower Extremity Bilateral"
},
{
"code": "101144",
"display": "RF Pelvis"
},
{
"code": "101145",
"display": "RF Musculoskeletal"
},
{
"code": "101146",
"display": "RF Skull"
},
{
"code": "101147",
"display": "RF Spine"
},
{
"code": "101148",
"display": "RF Upper Extremity Bilateral"
},
{
"code": "101151",
"display": "XR Foot"
},
{
"code": "101156",
"display": "XR Foot Bilateral"
},
{
"code": "101157",
"display": "XR Foot Left"
},
{
"code": "101158",
"display": "XR Foot Right"
},
{
"code": "101159",
"display": "XR Forearm"
},
{
"code": "101160",
"display": "XR Forearm Bilateral"
},
{
"code": "101161",
"display": "XR Forearm Left"
},
{
"code": "101162",
"display": "XR Forearm Right"
},
{
"code": "101163",
"display": "XR Foreign Body Survey"
},
{
"code": "101165",
"display": "XR Gallbladder"
},
{
"code": "101167",
"display": "XR Hand"
},
{
"code": "101173",
"display": "XR Hand Bilateral"
},
{
"code": "101174",
"display": "XR Hand Left"
},
{
"code": "101175",
"display": "XR Hand Right"
},
{
"code": "101176",
"display": "XR Hip"
},
{
"code": "101177",
"display": "XR Hip Bilateral"
},
{
"code": "101178",
"display": "XR Hip Left"
},
{
"code": "101179",
"display": "XR Hip Right"
},
{
"code": "101180",
"display": "XR Humerus"
},
{
"code": "101181",
"display": "XR Humerus Bilateral"
},
{
"code": "101182",
"display": "XR Humerus Left"
},
{
"code": "101183",
"display": "XR Humerus Right"
},
{
"code": "101184",
"display": "RF Hypotonic Duodenography"
},
{
"code": "101185",
"display": "RF Hysterosalpingography"
},
{
"code": "101186",
"display": "RF Ileostomy Enema"
},
{
"code": "101187",
"display": "XR Internal Auditory Canal"
},
{
"code": "101188",
"display": "RF Intestinal Conduit"
},
{
"code": "101192",
"display": "XR Pyelography"
},
{
"code": "101193",
"display": "XR Knee"
},
{
"code": "101194",
"display": "XR Knee Bilateral"
},
{
"code": "101195",
"display": "XR Knee Left"
},
{
"code": "101196",
"display": "XR Knee Right"
},
{
"code": "101197",
"display": "RF Laryngography"
},
{
"code": "101198",
"display": "XR Larynx"
},
{
"code": "101199",
"display": "XR Leg Length Study"
},
{
"code": "101201",
"display": "RF Lithotripsy"
},
{
"code": "101202",
"display": "RF Lithotripsy Left"
},
{
"code": "101203",
"display": "RF Lithotripsy Right"
},
{
"code": "101204",
"display": "RF Loopography"
},
{
"code": "101205",
"display": "XR Lumbar Spine"
},
{
"code": "101206",
"display": "XR Mandible"
},
{
"code": "101207",
"display": "XR Mastoid"
},
{
"code": "101210",
"display": "XR Nasal Bones"
},
{
"code": "101212",
"display": "RF Nasojejunal Tube"
},
{
"code": "101213",
"display": "XR Nasopharynx"
},
{
"code": "101214",
"display": "XR Neck Soft Tissue"
},
{
"code": "101215",
"display": "RF Nephrostography"
},
{
"code": "101216",
"display": "RF Nephrostography Bilateral"
},
{
"code": "101217",
"display": "RF Nephrostography Left"
},
{
"code": "101218",
"display": "RF Nephrostography Right"
},
{
"code": "101223",
"display": "RF Nephrostomy Drainage"
},
{
"code": "101224",
"display": "RF Nephrostomy Drainage Bilateral"
},
{
"code": "101225",
"display": "RF Nephrostomy Drainage Left"
},
{
"code": "101226",
"display": "RF Nephrostomy Drainage Right"
},
{
"code": "101229",
"display": "RF Cholangiography"
},
{
"code": "101230",
"display": "XR Optic Foramina"
},
{
"code": "101234",
"display": "XR Orbits"
},
{
"code": "101235",
"display": "XR Orthoroentgenography"
},
{
"code": "101236",
"display": "XA Cardiac Pacemaker"
},
{
"code": "101237",
"display": "RF Pancreatography"
},
{
"code": "101240",
"display": "XR Patella"
},
{
"code": "101241",
"display": "XR Patella Bilateral"
},
{
"code": "101242",
"display": "XR Patella Left"
},
{
"code": "101243",
"display": "XR Patella Right"
},
{
"code": "101244",
"display": "XR Pelvimetry"
},
{
"code": "101245",
"display": "XR Pelvis"
},
{
"code": "101246",
"display": "XR Pelvis Hip"
},
{
"code": "101247",
"display": "XR Pelvis Hip Bilateral"
},
{
"code": "101248",
"display": "XR Pelvis Hip Left"
},
{
"code": "101249",
"display": "XR Pelvis Hip Right"
},
{
"code": "101250",
"display": "XR Penis"
},
{
"code": "101252",
"display": "RF Peritoneal Dialysis Catheter"
},
{
"code": "101258",
"display": "XR Procedure"
},
{
"code": "101259",
"display": "RF Proctography"
},
{
"code": "101265",
"display": "RF Retrograde Pyelography"
},
{
"code": "101266",
"display": "RF Retrograde Pyelography Bilateral"
},
{
"code": "101270",
"display": "XR Ribs"
},
{
"code": "101271",
"display": "XR Ribs Bilateral"
},
{
"code": "101272",
"display": "XR Ribs Left"
},
{
"code": "101273",
"display": "XR Ribs Right"
},
{
"code": "101274",
"display": "XR Sacroiliac Joint"
},
{
"code": "101277",
"display": "XR Salivary Glands"
},
{
"code": "101278",
"display": "XR Scaphoid"
},
{
"code": "101279",
"display": "XR Scaphoid Bilateral"
},
{
"code": "101280",
"display": "XR Scaphoid Left"
},
{
"code": "101281",
"display": "XR Scaphoid Right"
},
{
"code": "101282",
"display": "XR Scapula"
},
{
"code": "101283",
"display": "XR Scapula Bilateral"
},
{
"code": "101284",
"display": "XR Scapula Left"
},
{
"code": "101285",
"display": "XR Scapula Right"
},
{
"code": "101287",
"display": "XR Sella Turcica"
},
{
"code": "101288",
"display": "XR Shoulder"
},
{
"code": "101289",
"display": "XR Shoulder Bilateral"
},
{
"code": "101290",
"display": "XR Shoulder Left"
},
{
"code": "101291",
"display": "XR Shoulder Right"
},
{
"code": "101293",
"display": "RF Sialography"
},
{
"code": "101294",
"display": "RF Sinography"
},
{
"code": "101295",
"display": "XR Sinuses"
},
{
"code": "101296",
"display": "XR Skeletal Survey"
},
{
"code": "101297",
"display": "XR Skull"
},
{
"code": "101299",
"display": "RF Small Bowel Enema"
},
{
"code": "101300",
"display": "RF Small Bowel Follow Through"
},
{
"code": "101307",
"display": "XR Sternoclavicular Joint"
},
{
"code": "101308",
"display": "XR Sternum"
},
{
"code": "101314",
"display": "XR Temporomandibular Joints"
},
{
"code": "101315",
"display": "RF Thoracentesis"
},
{
"code": "101317",
"display": "XR Thoracic Inlet"
},
{
"code": "101320",
"display": "XR Thoracic Spine"
},
{
"code": "101321",
"display": "XR Thumb"
},
{
"code": "101322",
"display": "XR Thumb Bilateral"
},
{
"code": "101323",
"display": "XR Thumb Left"
},
{
"code": "101324",
"display": "XR Thumb Right"
},
{
"code": "101325",
"display": "XR Tibia Fibula Bilateral"
},
{
"code": "101326",
"display": "XR Tibia Fibula"
},
{
"code": "101327",
"display": "XR Tibia Fibula Left"
},
{
"code": "101328",
"display": "XR Tibia Fibula Right"
},
{
"code": "101329",
"display": "XR Toe"
},
{
"code": "101331",
"display": "XR Toe Left"
},
{
"code": "101332",
"display": "XR Toe Right"
},
{
"code": "101333",
"display": "RF Upper GI"
},
{
"code": "101334",
"display": "RF Upper GI and Small Bowel Follow Through"
},
{
"code": "101344",
"display": "RF Ureterography"
},
{
"code": "101347",
"display": "RF Urethrography"
},
{
"code": "101348",
"display": "RF Vaginography"
},
{
"code": "101349",
"display": "RF Vasography"
},
{
"code": "101362",
"display": "XR Wrist"
},
{
"code": "101363",
"display": "XR Wrist Scaphoid"
},
{
"code": "101364",
"display": "XR Wrist Scaphoid Bilateral"
},
{
"code": "101365",
"display": "XR Wrist Scaphoid Left"
},
{
"code": "101366",
"display": "XR Wrist Scaphoid Right"
},
{
"code": "101367",
"display": "XR Wrist Bilateral"
},
{
"code": "101368",
"display": "XR Wrist Left"
},
{
"code": "101369",
"display": "XR Wrist Right"
},
{
"code": "101370",
"display": "XR Zygomatic Arch"
},
{
"code": "101371",
"display": "US Abdomen"
},
{
"code": "101373",
"display": "US Abdomen Pelvis"
},
{
"code": "101374",
"display": "US Abdomen Drainage"
},
{
"code": "101375",
"display": "US Abdomen Pelvis Transvaginal"
},
{
"code": "101377",
"display": "US Achilles Tendon"
},
{
"code": "101378",
"display": "US Achilles Tendon Bilateral"
},
{
"code": "101379",
"display": "US Achilles Tendon Left"
},
{
"code": "101380",
"display": "US Achilles Tendon Right"
},
{
"code": "101381",
"display": "US Amniocentesis"
},
{
"code": "101382",
"display": "US Ankle"
},
{
"code": "101384",
"display": "US Ankle Bilateral"
},
{
"code": "101385",
"display": "US Ankle Left"
},
{
"code": "101387",
"display": "US Ankle Right"
},
{
"code": "101390",
"display": "US Aspiration"
},
{
"code": "101391",
"display": "US Axilla"
},
{
"code": "101392",
"display": "US Axilla Bilateral"
},
{
"code": "101393",
"display": "US Axilla Left"
},
{
"code": "101394",
"display": "US Axilla Right"
},
{
"code": "101395",
"display": "US Biophysical Profile"
},
{
"code": "101399",
"display": "US Biopsy"
},
{
"code": "101400",
"display": "US Bladder"
},
{
"code": "101403",
"display": "US Brain"
},
{
"code": "101404",
"display": "US Breast"
},
{
"code": "101405",
"display": "US Breast Aspiration Bilateral"
},
{
"code": "101407",
"display": "US Breast Axilla Bilateral"
},
{
"code": "101408",
"display": "US Breast Bilateral"
},
{
"code": "101410",
"display": "US Breast Biopsy"
},
{
"code": "101411",
"display": "US Breast Biopsy Bilateral"
},
{
"code": "101412",
"display": "US Breast Biopsy Left"
},
{
"code": "101413",
"display": "US Breast Biopsy Right"
},
{
"code": "101418",
"display": "US Breast Left"
},
{
"code": "101419",
"display": "US Breast Aspiration Left"
},
{
"code": "101420",
"display": "US Breast Axilla Left"
},
{
"code": "101422",
"display": "US Breast Localization Bilateral"
},
{
"code": "101423",
"display": "US Breast Localization Left"
},
{
"code": "101424",
"display": "US Breast Localization Right"
},
{
"code": "101425",
"display": "US Breast Right"
},
{
"code": "101426",
"display": "US Breast Aspiration Right"
},
{
"code": "101427",
"display": "US Breast Axilla Right"
},
{
"code": "101429",
"display": "US Breast Surgical Specimen Left"
},
{
"code": "101430",
"display": "US Breast Surgical Specimen Right"
},
{
"code": "101431",
"display": "US Calf"
},
{
"code": "101432",
"display": "US Calf Bilateral"
},
{
"code": "101437",
"display": "US Chest"
},
{
"code": "101438",
"display": "US Chest Biopsy"
},
{
"code": "101441",
"display": "US Chorionic Villus Sampling"
},
{
"code": "101445",
"display": "US Dialysis Shunt"
},
{
"code": "101452",
"display": "US Aorta Doppler"
},
{
"code": "101453",
"display": "US Lower Extremity Arterial Doppler"
},
{
"code": "101454",
"display": "US Lower Extremity Arterial Doppler Bilateral"
},
{
"code": "101455",
"display": "US Lower Extremity Arterial Doppler Left"
},
{
"code": "101456",
"display": "US Lower Extremity Arterial Doppler Right"
},
{
"code": "101457",
"display": "US Upper Extremity Arterial Doppler"
},
{
"code": "101458",
"display": "US Upper Extremity Arterial Doppler Bilateral"
},
{
"code": "101459",
"display": "US Upper Extremity Arterial Doppler Left"
},
{
"code": "101460",
"display": "US Upper Extremity Arterial Doppler Right"
},
{
"code": "101461",
"display": "US Carotid Doppler Neck"
},
{
"code": "101466",
"display": "US Renal Transplant Doppler"
},
{
"code": "101467",
"display": "US Liver and Portal System Doppler"
},
{
"code": "101471",
"display": "US Renal Artery Doppler"
},
{
"code": "101475",
"display": "US Superior Mesenteric Artery Doppler"
},
{
"code": "101476",
"display": "US Lower Extremity Venous Doppler"
},
{
"code": "101477",
"display": "US Lower Extremity Venous Doppler Bilateral"
},
{
"code": "101478",
"display": "US Lower Extremity Venous Doppler Left"
},
{
"code": "101479",
"display": "US Lower Extremity Venous Doppler Right"
},
{
"code": "101480",
"display": "US Upper Extremity Venous Doppler"
},
{
"code": "101481",
"display": "US Upper Extremity Venous Doppler Bilateral"
},
{
"code": "101482",
"display": "US Upper Extremity Venous Doppler Left"
},
{
"code": "101483",
"display": "US Upper Extremity Venous Doppler Right"
},
{
"code": "101485",
"display": "US Drainage"
},
{
"code": "101486",
"display": "US Echocardiography Doppler"
},
{
"code": "101488",
"display": "US Elbow"
},
{
"code": "101489",
"display": "US Elbow Bilateral"
},
{
"code": "101495",
"display": "US Extremity"
},
{
"code": "101525",
"display": "US Ovarian Follicle"
},
{
"code": "101526",
"display": "US Foot"
},
{
"code": "101527",
"display": "US Foot Bilateral"
},
{
"code": "101528",
"display": "US Foot Left"
},
{
"code": "101529",
"display": "US Foot Right"
},
{
"code": "101530",
"display": "US Forearm"
},
{
"code": "101531",
"display": "US Forearm Bilateral"
},
{
"code": "101532",
"display": "US Forearm Left"
},
{
"code": "101533",
"display": "US Forearm Right"
},
{
"code": "101534",
"display": "US Gallbladder"
},
{
"code": "101535",
"display": "US Graft"
},
{
"code": "101538",
"display": "US Groin"
},
{
"code": "101539",
"display": "US Groin Bilateral"
},
{
"code": "101540",
"display": "US Groin Left"
},
{
"code": "101541",
"display": "US Groin Right"
},
{
"code": "101542",
"display": "US Hand"
},
{
"code": "101543",
"display": "US Hand Bilateral"
},
{
"code": "101546",
"display": "US Head Neck"
},
{
"code": "101547",
"display": "US Hip"
},
{
"code": "101548",
"display": "US Hip Bilateral"
},
{
"code": "101549",
"display": "US Hip Left"
},
{
"code": "101550",
"display": "US Hip Right"
},
{
"code": "101551",
"display": "US Hysterosonography"
},
{
"code": "101557",
"display": "US Kidney"
},
{
"code": "101562",
"display": "US Kidney Biopsy"
},
{
"code": "101564",
"display": "US Kidney Biopsy Left"
},
{
"code": "101566",
"display": "US Kidney Biopsy Right"
},
{
"code": "101568",
"display": "US Knee"
},
{
"code": "101569",
"display": "US Knee Bilateral"
},
{
"code": "101570",
"display": "US Knee Left"
},
{
"code": "101571",
"display": "US Knee Right"
},
{
"code": "101572",
"display": "US Liver"
},
{
"code": "101573",
"display": "US Liver Biopsy"
},
{
"code": "101574",
"display": "US Liver Transplant Doppler"
},
{
"code": "101575",
"display": "US Abdomen and Liver Transplant Doppler"
},
{
"code": "101576",
"display": "US Lower Extremity"
},
{
"code": "101577",
"display": "US Lower Extremity Left"
},
{
"code": "101578",
"display": "US Lower Extremity Right"
},
{
"code": "101579",
"display": "US Lower Extremity Bilateral"
},
{
"code": "101580",
"display": "US Lymph Node Biopsy"
},
{
"code": "101582",
"display": "US Neck"
},
{
"code": "101586",
"display": "US Obstetric"
},
{
"code": "101595",
"display": "US Obstetric Transvaginal"
},
{
"code": "101598",
"display": "US Nuchal Translucency"
},
{
"code": "101608",
"display": "US Pancreas"
},
{
"code": "101609",
"display": "US Pancreas Biopsy"
},
{
"code": "101610",
"display": "US Chest Aspiration"
},
{
"code": "101614",
"display": "US Pelvis"
},
{
"code": "101615",
"display": "US Pelvis Transvaginal"
},
{
"code": "101616",
"display": "US Pelvis Drainage"
},
{
"code": "101617",
"display": "US Penis"
},
{
"code": "101618",
"display": "US PICC Line"
},
{
"code": "101620",
"display": "US Popliteal Fossa"
},
{
"code": "101621",
"display": "US Popliteal Fossa Bilateral"
},
{
"code": "101622",
"display": "US Popliteal Fossa Left"
},
{
"code": "101623",
"display": "US Popliteal Fossa Right"
},
{
"code": "101627",
"display": "US Prostate"
},
{
"code": "101628",
"display": "US Prostate Biopsy"
},
{
"code": "101629",
"display": "US Prostate Transrectal"
},
{
"code": "101631",
"display": "US Pylorus"
},
{
"code": "101633",
"display": "US Salivary Glands"
},
{
"code": "101641",
"display": "US Scrotum"
},
{
"code": "101642",
"display": "US Shoulder"
},
{
"code": "101643",
"display": "US Shoulder Bilateral"
},
{
"code": "101644",
"display": "US Shoulder Left"
},
{
"code": "101645",
"display": "US Shoulder Right"
},
{
"code": "101649",
"display": "US Spine"
},
{
"code": "101653",
"display": "US Spleen"
},
{
"code": "101654",
"display": "US Procedure"
},
{
"code": "101665",
"display": "US Thigh"
},
{
"code": "101666",
"display": "US Thigh Bilateral"
},
{
"code": "101667",
"display": "US Thigh Left"
},
{
"code": "101668",
"display": "US Thigh Right"
},
{
"code": "101669",
"display": "US Thoracentesis"
},
{
"code": "101670",
"display": "US Thumb"
},
{
"code": "101671",
"display": "US Thumb Bilateral"
},
{
"code": "101674",
"display": "US Thyroid"
},
{
"code": "101675",
"display": "US Thyroid Parathyroid"
},
{
"code": "101676",
"display": "US Thyroid Biopsy"
},
{
"code": "101677",
"display": "US Transcranial Doppler"
},
{
"code": "101680",
"display": "US Transvaginal"
},
{
"code": "101681",
"display": "US Upper Extremity"
},
{
"code": "101683",
"display": "US Vascular Doppler"
},
{
"code": "101685",
"display": "US Wrist Bilateral"
},
{
"code": "101689",
"display": "MR Head Chest"
},
{
"code": "101690",
"display": "MR Head Spine"
},
{
"code": "101691",
"display": "MR Head Spine with Contrast"
},
{
"code": "101692",
"display": "MR Lumbar Spine Pelvis"
},
{
"code": "101693",
"display": "MR Spine with Contrast"
},
{
"code": "101694",
"display": "NM Cardiac Shunt"
},
{
"code": "101698",
"display": "US Spine Abdomen"
},
{
"code": "101699",
"display": "CT Chest Angiography"
},
{
"code": "101700",
"display": "CT Head Angiography"
},
{
"code": "101701",
"display": "CT Neck Angiography"
},
{
"code": "101703",
"display": "CT Consult"
},
{
"code": "101704",
"display": "CT Discography"
},
{
"code": "101712",
"display": "CT Upper Extremity Scanogram"
},
{
"code": "101722",
"display": "Mammo Consult"
},
{
"code": "101723",
"display": "MR Angiography"
},
{
"code": "101724",
"display": "MR Chest Angiography"
},
{
"code": "101726",
"display": "MR Pelvis Angiography"
},
{
"code": "101728",
"display": "MR Breast Biopsy Bilateral"
},
{
"code": "101729",
"display": "MR Breast Biopsy Left"
},
{
"code": "101730",
"display": "MR Breast Biopsy Right"
},
{
"code": "101733",
"display": "MR Face"
},
{
"code": "101734",
"display": "MR Face with Contrast"
},
{
"code": "101735",
"display": "MR Fetal Heart"
},
{
"code": "101736",
"display": "MR Fetus"
},
{
"code": "101740",
"display": "MR Lower Extremity Bilateral"
},
{
"code": "101751",
"display": "MR Upper Extremity Bilateral"
},
{
"code": "101752",
"display": "MR Upper Extremity Left"
},
{
"code": "101753",
"display": "MR Upper Extremity Right"
},
{
"code": "101775",
"display": "NM Consult"
},
{
"code": "101783",
"display": "NM Endocrine"
},
{
"code": "101787",
"display": "NM Whole Body 131 Iodine Survey"
},
{
"code": "101791",
"display": "NM Bowel Transit Study"
},
{
"code": "101793",
"display": "NM Liver"
},
{
"code": "101805",
"display": "NM Metastatic Survey"
},
{
"code": "101811",
"display": "NM Calcium Absorption Study"
},
{
"code": "101826",
"display": "PET Consult"
},
{
"code": "101827",
"display": "PET Brain"
},
{
"code": "101828",
"display": "PET Head Neck"
},
{
"code": "101839",
"display": "RF Abdomen with Contrast"
},
{
"code": "101845",
"display": "RF Chest with Contrast"
},
{
"code": "101855",
"display": "RF Consult"
},
{
"code": "101858",
"display": "RF Cystourethrography"
},
{
"code": "101860",
"display": "RF Gallbladder"
},
{
"code": "101861",
"display": "RF Aspiration"
},
{
"code": "101862",
"display": "RF Head"
},
{
"code": "101866",
"display": "RF Intrathecal Injection with Contrast"
},
{
"code": "101873",
"display": "RF Lower Extremity"
},
{
"code": "101874",
"display": "RF Lower Extremity Left"
},
{
"code": "101875",
"display": "RF Lower Extremity Right"
},
{
"code": "101882",
"display": "RF Cervical Myelography"
},
{
"code": "101900",
"display": "RF Retrograde Urethrography"
},
{
"code": "101904",
"display": "RF Lumbar Myelography"
},
{
"code": "101905",
"display": "RF Thoracic Myelography"
},
{
"code": "101921",
"display": "RF Upper Extremity Aspiration"
},
{
"code": "101923",
"display": "RF Upper Extremity Right"
},
{
"code": "101927",
"display": "RF Upper Extremity Left"
},
{
"code": "101930",
"display": "RF Ureter Stent Bilateral"
},
{
"code": "101931",
"display": "RF Ureter Stent Left"
},
{
"code": "101932",
"display": "RF Ureter Stent Right"
},
{
"code": "101934",
"display": "RF Ureterography Left"
},
{
"code": "101935",
"display": "RF Ureterography Right"
},
{
"code": "101947",
"display": "US Abdomen Transrectal"
},
{
"code": "101948",
"display": "US Abdomen Aspiration"
},
{
"code": "101949",
"display": "US Abdomen Biopsy"
},
{
"code": "101953",
"display": "US Abdomen Localization"
},
{
"code": "101958",
"display": "US Head"
},
{
"code": "101966",
"display": "US Face"
},
{
"code": "101977",
"display": "US Fetal Shunt"
},
{
"code": "101983",
"display": "US Lower Extremity Aspiration"
},
{
"code": "102000",
"display": "US Ophthalmic Echography"
},
{
"code": "102003",
"display": "US Pelvis Aspiration"
},
{
"code": "102004",
"display": "US Pelvis Biopsy"
},
{
"code": "102011",
"display": "US Pelvis Localization"
},
{
"code": "102016",
"display": "US Retroperitoneum"
},
{
"code": "102022",
"display": "US Chest Drainage"
},
{
"code": "102024",
"display": "US Chest Localization"
},
{
"code": "102027",
"display": "US Guidance"
},
{
"code": "102030",
"display": "US Upper Extremity Aspiration"
},
{
"code": "102031",
"display": "US Upper Extremity Bilateral"
},
{
"code": "102036",
"display": "US Upper Extremity Left"
},
{
"code": "102038",
"display": "US Upper Extremity Right"
},
{
"code": "102051",
"display": "XR Sacroiliac Joint Left"
},
{
"code": "102052",
"display": "XR Sacroiliac Joint Right"
},
{
"code": "102062",
"display": "XA Chest Angiography"
},
{
"code": "102064",
"display": "XA Consult"
},
{
"code": "102070",
"display": "XA Cerebral Angioplasty"
},
{
"code": "102071",
"display": "XA Head Angiography"
},
{
"code": "102073",
"display": "XA Neuro Thrombolysis"
},
{
"code": "102074",
"display": "XA Lower Extremity Angioplasty Bilateral"
},
{
"code": "102076",
"display": "RF Lower Extremity Aspiration Bilateral"
},
{
"code": "102078",
"display": "RF Lower Extremity Drainage Bilateral"
},
{
"code": "102079",
"display": "XA Lower Extremity Embolization Bilateral"
},
{
"code": "102080",
"display": "RF Lower Extremity Injection Bilateral"
},
{
"code": "102083",
"display": "RF Neck Aspiration"
},
{
"code": "102084",
"display": "RF Neck Injection"
},
{
"code": "102085",
"display": "XA Neck Angiography"
},
{
"code": "102099",
"display": "RF Cervical Spine"
},
{
"code": "102103",
"display": "RF Thoracic Spine"
},
{
"code": "102113",
"display": "XA Embolization"
},
{
"code": "102118",
"display": "XA Upper Extremity Angioplasty Bilateral"
},
{
"code": "103001",
"display": "RF Ankle Arthrography Bilateral"
},
{
"code": "103002",
"display": "RF Bronchography Left"
},
{
"code": "103003",
"display": "RF Bronchography Right"
},
{
"code": "103004",
"display": "RF Elbow Arthrography Bilateral"
},
{
"code": "103005",
"display": "RF Hip Arthrography Bilateral"
},
{
"code": "103007",
"display": "RF Knee Arthrography Bilateral"
},
{
"code": "103008",
"display": "RF Lithotripsy Bilateral"
},
{
"code": "103010",
"display": "RF Lower Extremity Arthrography Bilateral"
},
{
"code": "103011",
"display": "RF Lower Extremity Arthrography Left"
},
{
"code": "103012",
"display": "RF Lower Extremity Arthrography Right"
},
{
"code": "103013",
"display": "RF Lower Extremity Biopsy Bilateral"
},
{
"code": "103014",
"display": "RF Retrograde Pyelography Left"
},
{
"code": "103015",
"display": "RF Retrograde Pyelography Right"
},
{
"code": "103016",
"display": "RF Shoulder Arthrography Bilateral"
},
{
"code": "103017",
"display": "RF Stent"
},
{
"code": "103018",
"display": "RF Temporomandibular Joint Arthrography Bilateral"
},
{
"code": "103021",
"display": "RF Chest Biopsy Bilateral"
},
{
"code": "103022",
"display": "RF Ureter Stent"
},
{
"code": "103023",
"display": "RF Ureterography Bilateral"
},
{
"code": "103024",
"display": "RF Wrist Arthrography Bilateral"
},
{
"code": "103025",
"display": "XR Acromioclavicular Joint Bilateral"
},
{
"code": "103026",
"display": "XR Ankle"
},
{
"code": "103027",
"display": "XR Sacroiliac Joint Bilateral"
},
{
"code": "103030",
"display": "CT Calcaneus"
},
{
"code": "103031",
"display": "CT Calcaneus with Contrast"
},
{
"code": "103037",
"display": "CT Lower Extremity Biopsy"
},
{
"code": "103038",
"display": "CT Lower Extremity Left"
},
{
"code": "103039",
"display": "CT Lower Extremity Left with Contrast"
},
{
"code": "103040",
"display": "CT Lower Extremity Right"
},
{
"code": "103041",
"display": "CT Lower Extremity Right with Contrast"
},
{
"code": "103042",
"display": "CT Upper Extremity Left"
},
{
"code": "103043",
"display": "CT Upper Extremity Left with Contrast"
},
{
"code": "103044",
"display": "CT Upper Extremity Right"
},
{
"code": "103045",
"display": "CT Upper Extremity Right with Contrast"
},
{
"code": "103046",
"display": "MR Ankle Bilateral with Contrast"
},
{
"code": "103047",
"display": "MR Elbow Bilateral with Contrast"
},
{
"code": "103048",
"display": "MR Foot Bilateral with Contrast"
},
{
"code": "103049",
"display": "MR Forearm Bilateral with Contrast"
},
{
"code": "103050",
"display": "MR Hand Bilateral with Contrast"
},
{
"code": "103051",
"display": "MR Lower Extremity Left"
},
{
"code": "103052",
"display": "MR Lower Extremity Right"
},
{
"code": "103053",
"display": "MR Consult"
},
{
"code": "103054",
"display": "MR Lower Extremity Bilateral with Contrast"
},
{
"code": "103055",
"display": "MR Lower Extremity Right with Contrast"
},
{
"code": "103056",
"display": "MR Lower Extremity Left with Contrast"
},
{
"code": "103057",
"display": "MR Upper Extremity Right with Contrast"
},
{
"code": "103058",
"display": "MR Upper Extremity Left with Contrast"
},
{
"code": "103059",
"display": "MR Wrist Bilateral with Contrast"
},
{
"code": "103060",
"display": "US Calf Left"
},
{
"code": "103061",
"display": "US Calf Right"
},
{
"code": "103062",
"display": "US Consult"
},
{
"code": "103063",
"display": "US Elbow Left"
},
{
"code": "103064",
"display": "US Elbow Right"
},
{
"code": "103065",
"display": "US Breast Localization"
},
{
"code": "103066",
"display": "US Hand Left"
},
{
"code": "103067",
"display": "US Hand Right"
},
{
"code": "103068",
"display": "US Kidney Biopsy Bilateral"
},
{
"code": "103069",
"display": "US Thumb Left"
},
{
"code": "103070",
"display": "US Thumb Right"
},
{
"code": "103072",
"display": "US Wrist Left"
},
{
"code": "103073",
"display": "US Wrist Right"
},
{
"code": "103079",
"display": "RF Lower Extremity Drainage Left"
},
{
"code": "103080",
"display": "RF Lower Extremity Drainage Right"
},
{
"code": "103081",
"display": "RF Lower Extremity Injection Left"
},
{
"code": "103082",
"display": "RF Lower Extremity Injection Right"
},
{
"code": "103083",
"display": "RF Lower Extremity Aspiration Left"
},
{
"code": "103084",
"display": "RF Lower Extremity Aspiration Right"
},
{
"code": "103085",
"display": "RF Antegrade Pyelography"
},
{
"code": "103086",
"display": "RF Antegrade Pyelography Left"
},
{
"code": "103087",
"display": "RF Antegrade Pyelography Right"
},
{
"code": "103088",
"display": "XA Lower Extremity Angioplasty Left"
},
{
"code": "103089",
"display": "XA Lower Extremity Angioplasty Right"
},
{
"code": "103090",
"display": "XA Lower Extremity Embolization Left"
},
{
"code": "103091",
"display": "XA Lower Extremity Embolization Right"
},
{
"code": "103093",
"display": "XA Tibial Angioplasty Left"
},
{
"code": "103094",
"display": "XA Tibial Angioplasty Right"
},
{
"code": "103095",
"display": "XA Upper Extremity Angioplasty Left"
},
{
"code": "103096",
"display": "XA Upper Extremity Angioplasty Right"
},
{
"code": "103100",
"display": "Mammo Aspiration Bilateral"
},
{
"code": "103102",
"display": "Mammo Localization"
},
{
"code": "103104",
"display": "RF Upper Extremity Aspiration Bilateral"
},
{
"code": "103105",
"display": "RF Upper Extremity Aspiration Left"
},
{
"code": "103106",
"display": "RF Upper Extremity Aspiration Right"
},
{
"code": "103107",
"display": "RF Upper Extremity Arthrography Bilateral"
},
{
"code": "103108",
"display": "RF Upper Extremity Arthrography Left"
},
{
"code": "103109",
"display": "RF Upper Extremity Arthrography Right"
},
{
"code": "103110",
"display": "CT Clavicle"
},
{
"code": "103111",
"display": "CT Clavicle with Contrast"
},
{
"code": "103112",
"display": "CT Femur with Contrast"
},
{
"code": "103113",
"display": "CT Hip with Contrast"
},
{
"code": "103114",
"display": "CT Humerus"
},
{
"code": "103115",
"display": "CT Humerus with Contrast"
},
{
"code": "103116",
"display": "CT Kidney Biopsy Bilateral"
},
{
"code": "103117",
"display": "CT Upper Extremity Bilateral"
},
{
"code": "103118",
"display": "CT Upper Extremity Bilateral with Contrast"
},
{
"code": "103123",
"display": "RF Lower Extremity Aspiration"
},
{
"code": "103124",
"display": "RF Lower Extremity Drainage"
},
{
"code": "103125",
"display": "RF Lower Extremity Injection"
},
{
"code": "103128",
"display": "US Breast Aspiration"
},
{
"code": "103129",
"display": "MR Upper Extremity Bilateral with Contrast"
},
{
"code": "103130",
"display": "MR Internal Auditory Canal with Contrast"
},
{
"code": "103131",
"display": "US Salivary Gland Bilateral"
},
{
"code": "103132",
"display": "US Salivary Gland Left"
},
{
"code": "103133",
"display": "US Salivary Gland Right"
},
{
"code": "103134",
"display": "XA Brachial Angiography Bilateral"
},
{
"code": "103135",
"display": "Mammo Mammography"
},
{
"code": "103137",
"display": "Mammo Specimen Bilateral"
},
{
"code": "103138",
"display": "Mammo Ductography Bilateral"
},
{
"code": "103140",
"display": "RF Spine Biopsy"
},
{
"code": "103141",
"display": "RF Liver Biopsy"
},
{
"code": "103142",
"display": "RF Lymph Node Biopsy"
},
{
"code": "103143",
"display": "RF Chest Drainage"
},
{
"code": "103144",
"display": "RF Pelvis Drainage"
},
{
"code": "103145",
"display": "RF Upper Extremity Drainage"
},
{
"code": "103146",
"display": "XA Abdomen Embolization"
},
{
"code": "103147",
"display": "RF Upper Extremity Injection"
},
{
"code": "103151",
"display": "BMD Consult"
},
{
"code": "103152",
"display": "MR Aorta Angiography"
},
{
"code": "103153",
"display": "CT Skeletal"
},
{
"code": "103154",
"display": "MR Lower Extremity Arthrography"
},
{
"code": "103155",
"display": "MR Lower Extremity with Contrast"
},
{
"code": "103156",
"display": "RF Abdomen Drainage"
},
{
"code": "103158",
"display": "XA Lower Extremity Angioplasty"
},
{
"code": "103159",
"display": "RF Pelvis Aspiration"
},
{
"code": "103160",
"display": "XA Renal Angioplasty"
},
{
"code": "103161",
"display": "RF Upper Extremity Injection Bilateral"
},
{
"code": "103162",
"display": "RF Upper Extremity"
},
{
"code": "103163",
"display": "MR Upper Extremity Arthrography"
},
{
"code": "103164",
"display": "CT Lower Extremity"
},
{
"code": "103165",
"display": "CT Lower Extremity with Contrast"
},
{
"code": "103166",
"display": "XA Procedure"
},
{
"code": "103171",
"display": "MR Upper Extremity with Contrast"
},
{
"code": "103174",
"display": "XA Penile Artery Embolization"
},
{
"code": "103175",
"display": "RF Foreign Body Removal"
},
{
"code": "103179",
"display": "RF Arthrography"
},
{
"code": "103180",
"display": "NM Procedure"
},
{
"code": "103182",
"display": "CT Knee"
},
{
"code": "103183",
"display": "CT Knee with Contrast"
},
{
"code": "103184",
"display": "CT Shoulder"
},
{
"code": "103185",
"display": "CT Shoulder with Contrast"
},
{
"code": "103187",
"display": "Mammo Aspiration"
},
{
"code": "103189",
"display": "MR Breast Biopsy"
},
{
"code": "103190",
"display": "XA Carotid Angiography"
},
{
"code": "103191",
"display": "MR Abdomen Angiography"
},
{
"code": "103192",
"display": "XA Tibial Angioplasty"
},
{
"code": "103194",
"display": "MR Scapula Bilateral"
},
{
"code": "103195",
"display": "MR Scapula Bilateral with Contrast"
},
{
"code": "103196",
"display": "CT Mastoid with Contrast"
},
{
"code": "103197",
"display": "MR Acromioclavicular Joint"
},
{
"code": "103198",
"display": "MR Acromioclavicular Joints Bilateral"
},
{
"code": "103199",
"display": "MR Acromioclavicular Joint Left"
},
{
"code": "103200",
"display": "MR Acromioclavicular Joint Right"
},
{
"code": "103202",
"display": "MR Arthrography"
},
{
"code": "103203",
"display": "CT Guidance"
},
{
"code": "103204",
"display": "XA Lower Extremity Embolization"
},
{
"code": "103205",
"display": "XA Upper Extremity Angioplasty"
},
{
"code": "103206",
"display": "XA Vertebral Angiography"
},
{
"code": "103207",
"display": "US Wrist"
},
{
"code": "103208",
"display": "CT Elbow with Contrast"
},
{
"code": "103209",
"display": "RF Gastrostomy Tube"
},
{
"code": "103219",
"display": "CT Lower Extremity Biopsy Left"
},
{
"code": "103220",
"display": "CT Lower Extremity Biopsy Right"
},
{
"code": "103240",
"display": "RF Kidney Biopsy Left"
},
{
"code": "103241",
"display": "RF Kidney Biopsy Right"
},
{
"code": "103242",
"display": "RF Kidney Biopsy Bilateral"
},
{
"code": "103245",
"display": "CT Cardiac"
},
{
"code": "103246",
"display": "NM Therapy"
},
{
"code": "103247",
"display": "RF Abdomen Aspiration"
},
{
"code": "103248",
"display": "RF Ablation"
},
{
"code": "103250",
"display": "RF Bronchus Stent"
},
{
"code": "103252",
"display": "RF Trachea Stent"
},
{
"code": "103253",
"display": "US Ablation"
},
{
"code": "103254",
"display": "US Axilla Biopsy"
},
{
"code": "103255",
"display": "XA Iliac Artery Stent"
},
{
"code": "103256",
"display": "XA Renal Artery Stent"
},
{
"code": "103257",
"display": "XA Upper Extremity Artery Embolization"
},
{
"code": "103258",
"display": "XR Spine"
},
{
"code": "103259",
"display": "NM Cardiac Angiography"
},
{
"code": "103266",
"display": "RF Bone Biopsy"
},
{
"code": "103267",
"display": "BMD Procedure"
},
{
"code": "103268",
"display": "CT Lung Biopsy Left"
},
{
"code": "103269",
"display": "CT Lung Biopsy Right"
},
{
"code": "103270",
"display": "RF Swallowing Assessment"
},
{
"code": "103271",
"display": "RF Intravenous Pyelography"
},
{
"code": "103273",
"display": "RF Lung Biopsy Left"
},
{
"code": "103274",
"display": "RF Lung Biopsy Right"
},
{
"code": "103276",
"display": "CT Angiography"
},
{
"code": "103277",
"display": "CT Head Orbits with Contrast"
},
{
"code": "103278",
"display": "CT Head Sella Turcica with Contrast"
},
{
"code": "103280",
"display": "CT Internal Auditory Canal with Contrast"
},
{
"code": "103284",
"display": "CT Lower Extremity Angiography"
},
{
"code": "103285",
"display": "CT Upper Extremity Angiography"
},
{
"code": "103287",
"display": "CT Extremity"
},
{
"code": "103288",
"display": "CT Chest Drainage"
},
{
"code": "103290",
"display": "RF Lumbar Spine"
},
{
"code": "103291",
"display": "RF Myelography"
},
{
"code": "103292",
"display": "RF Cholecystostomy"
},
{
"code": "103294",
"display": "MR Extremity"
},
{
"code": "103297",
"display": "XR Sacrum Coccyx"
},
{
"code": "103298",
"display": "CT Abdomen Pelvis Angiography"
},
{
"code": "103299",
"display": "CT Chest Abdomen Angiography"
},
{
"code": "103300",
"display": "CT Chest Abdomen Pelvis Angiography"
},
{
"code": "103301",
"display": "CT Cystography"
},
{
"code": "103302",
"display": "CT Extremity Angiography"
},
{
"code": "103305",
"display": "CT Extremity with Contrast"
},
{
"code": "103306",
"display": "CT Lymph Node Biopsy"
},
{
"code": "103307",
"display": "CT Spleen Biopsy"
},
{
"code": "103308",
"display": "CT Thoracentesis"
},
{
"code": "103309",
"display": "MR Abdomen Pelvis with Contrast"
},
{
"code": "103310",
"display": "MR Aorta Iliac Angiography"
},
{
"code": "103312",
"display": "MR Extremity with Contrast"
},
{
"code": "103313",
"display": "MR Head Neck"
},
{
"code": "103314",
"display": "MR Head Neck with Contrast"
},
{
"code": "103315",
"display": "MR Sacrum Coccyx"
},
{
"code": "103316",
"display": "RF Joint Aspiration"
},
{
"code": "103317",
"display": "RF Nasogastric Tube"
},
{
"code": "103318",
"display": "RF Paracentesis"
},
{
"code": "103319",
"display": "RF Rib Biopsy"
},
{
"code": "103320",
"display": "RF Small Bowel Intubation"
},
{
"code": "103321",
"display": "US Appendix"
},
{
"code": "103322",
"display": "US Face Neck"
},
{
"code": "103323",
"display": "US Paracentesis"
},
{
"code": "103324",
"display": "US Soft Tissue"
},
{
"code": "103325",
"display": "XR Chest Ribs"
},
{
"code": "103326",
"display": "XR Chest Ribs Bilateral"
},
{
"code": "103327",
"display": "XR Chest Ribs Left"
},
{
"code": "103328",
"display": "XR Chest Ribs Right"
},
{
"code": "103329",
"display": "XR Consult"
},
{
"code": "103333",
"display": "XR Lower Extremity Bilateral"
},
{
"code": "103334",
"display": "XR Lower Extremity Left"
},
{
"code": "103335",
"display": "XR Lower Extremity Right"
},
{
"code": "103336",
"display": "XR Sacrum"
},
{
"code": "103337",
"display": "XR Upper Extremity Bilateral"
},
{
"code": "103338",
"display": "XR Upper Extremity Left"
},
{
"code": "103339",
"display": "XR Upper Extremity Right"
},
{
"code": "103344",
"display": "CT Head Spine with Contrast"
},
{
"code": "103345",
"display": "CT Head Spine"
},
{
"code": "103346",
"display": "XR Tomography"
},
{
"code": "103347",
"display": "US Extremity Arterial Doppler"
},
{
"code": "103354",
"display": "US Extremity Vascular Doppler"
},
{
"code": "103356",
"display": "US Extremity Venous Doppler"
},
{
"code": "103359",
"display": "US Abdomen Iliac Vascular Doppler"
},
{
"code": "103371",
"display": "US Biophysical Profile Umbilical Artery Doppler"
},
{
"code": "103378",
"display": "US Carotid Doppler"
},
{
"code": "103379",
"display": "US Carotid Doppler Thyroid"
},
{
"code": "103390",
"display": "US Groin Arterial Doppler Bilateral"
},
{
"code": "103391",
"display": "US Groin Arterial Doppler Left"
},
{
"code": "103392",
"display": "US Groin Arterial Doppler Right"
},
{
"code": "103394",
"display": "US Iliac Artery Doppler"
},
{
"code": "103395",
"display": "US Iliac Vascular Doppler"
},
{
"code": "103396",
"display": "US Iliac Vascular Doppler Bilateral"
},
{
"code": "103397",
"display": "US Inferior Vena Cava Femoral Vein Doppler"
},
{
"code": "103404",
"display": "US Obstetric Biophysical Profile and Transvaginal"
},
{
"code": "103406",
"display": "US Opthamalic Artery Doppler"
},
{
"code": "103407",
"display": "US Organ Transplant Doppler"
},
{
"code": "103409",
"display": "US Portal Vein Doppler"
},
{
"code": "103414",
"display": "US Subclavian Artery Doppler"
},
{
"code": "103415",
"display": "US Subclavian Jugular Doppler Bilateral"
},
{
"code": "103416",
"display": "US Subclavian Jugular Doppler Left"
},
{
"code": "103417",
"display": "US Subclavian Jugular Doppler Right"
},
{
"code": "103419",
"display": "US Umbilical Artery Doppler"
},
{
"code": "103421",
"display": "CT Abdomen Aspiration"
},
{
"code": "103423",
"display": "CT Chest Aspiration"
},
{
"code": "103424",
"display": "CT Pelvis Aspiration"
},
{
"code": "103425",
"display": "CT Aspiration"
},
{
"code": "103443",
"display": "XA Venous Sampling"
},
{
"code": "103444",
"display": "XA Parathyroid Venous Sampling"
},
{
"code": "103445",
"display": "US Arteriovenous Fistula"
},
{
"code": "103446",
"display": "CT Aorta Angiography"
},
{
"code": "103448",
"display": "XA Aortography"
},
{
"code": "103449",
"display": "NM Thyroid Uptake and Scan"
},
{
"code": "103450",
"display": "NM Thyroid Metastatic Study"
},
{
"code": "103457",
"display": "NM Peritoneal Imaging"
},
{
"code": "103461",
"display": "NM Neuroendocrine Imaging"
},
{
"code": "103464",
"display": "NM Arthrography"
},
{
"code": "103465",
"display": "NM Lower Extremity Arthrography"
},
{
"code": "103468",
"display": "NM Esophageal Motility and Reflux"
},
{
"code": "103469",
"display": "NM Cardiac SPECT CT"
},
{
"code": "103470",
"display": "NM Neck SPECT CT"
},
{
"code": "103471",
"display": "NM Red Cell Survival Study"
},
{
"code": "103472",
"display": "NM Platelet Survival Study"
},
{
"code": "103473",
"display": "CT Head Chest Abdomen Pelvis with Contrast"
},
{
"code": "103474",
"display": "MR Sacrum"
},
{
"code": "103475",
"display": "CT Neck Biopsy"
},
{
"code": "103476",
"display": "US Neck Biopsy"
},
{
"code": "103477",
"display": "CT Head Abdomen Pelvis with Contrast"
},
{
"code": "103478",
"display": "XA Extremity Angiography"
},
{
"code": "103479",
"display": "XR Chest Pelvis Hip Left"
},
{
"code": "103480",
"display": "XR Chest Pelvis Hip Right"
},
{
"code": "103482",
"display": "CT Sinuses Chest"
},
{
"code": "103483",
"display": "CT Head Cervical Spine"
},
{
"code": "103484",
"display": "CT Head Lumbar Spine"
},
{
"code": "103485",
"display": "CT Sacrum Coccyx"
},
{
"code": "103486",
"display": "CT Sacrum Coccyx with Contrast"
},
{
"code": "103488",
"display": "XR Knee Left and Orthoroentgenography"
},
{
"code": "103489",
"display": "XR Knee Right and Orthoroentgenography"
},
{
"code": "103490",
"display": "XR Lumbar Spine Pelvis Hip Left"
},
{
"code": "103491",
"display": "XR Lumbar Spine Pelvis Hip Bilateral"
},
{
"code": "103492",
"display": "XR Lumbar Spine Pelvis Hip Right"
},
{
"code": "103493",
"display": "MR Lower Extremity Arthrography Left"
},
{
"code": "103494",
"display": "MR Lower Extremity Arthrography Right"
},
{
"code": "103495",
"display": "MR Upper Extremity Arthrography Left"
},
{
"code": "103496",
"display": "MR Upper Extremity Arthrography Right"
},
{
"code": "103497",
"display": "MR Sacrum with Contrast"
},
{
"code": "103498",
"display": "NM Esophageal Study"
},
{
"code": "103500",
"display": "XR Pelvis Sacroiliac Joint"
},
{
"code": "103501",
"display": "XR Specimen"
},
{
"code": "103502",
"display": "US Lower Extremity Injection Bilateral"
},
{
"code": "103503",
"display": "US Lower Extremity Injection Left"
},
{
"code": "103504",
"display": "US Lower Extremity Injection Right"
},
{
"code": "103505",
"display": "US Lower Extremity Injection"
},
{
"code": "103506",
"display": "US Upper Extremity Injection Bilateral"
},
{
"code": "103507",
"display": "US Upper Extremity Injection Left"
},
{
"code": "103508",
"display": "US Upper Extremity Injection Right"
},
{
"code": "103509",
"display": "US Upper Extremity Injection"
},
{
"code": "103510",
"display": "CT Abdomen Sinography"
},
{
"code": "103511",
"display": "CT Abdomen Sinography with Contrast"
},
{
"code": "103512",
"display": "CT Pelvis Sinography"
},
{
"code": "103513",
"display": "RF Spine Injection"
},
{
"code": "103514",
"display": "CT Abdomen Pelvis Sinography with Contrast"
},
{
"code": "103515",
"display": "CT Abdomen Pelvis Sinography"
},
{
"code": "103516",
"display": "RF Injection"
},
{
"code": "103520",
"display": "US Injection"
},
{
"code": "103521",
"display": "CT Sinography"
},
{
"code": "103522",
"display": "US Neck Injection"
},
{
"code": "103523",
"display": "US Salivary Gland Injection"
},
{
"code": "103524",
"display": "CT Acromioclavicular Joint"
},
{
"code": "103525",
"display": "CT Acromioclavicular Joint Bilateral"
},
{
"code": "103526",
"display": "CT Acromioclavicular Joint Left"
},
{
"code": "103527",
"display": "CT Acromioclavicular Joint Right"
},
{
"code": "103528",
"display": "CT Chest Pelvis Lower Extremity Angiography"
},
{
"code": "103529",
"display": "CT Facet Joint Injection"
},
{
"code": "103530",
"display": "CT Gastrography"
},
{
"code": "103531",
"display": "CT Head Neck Chest Angiography"
},
{
"code": "103532",
"display": "CT Head Thoracic Spine"
},
{
"code": "103533",
"display": "CT Lower Extremity Arthrography"
},
{
"code": "103534",
"display": "CT Lower Extremity Arthrography Bilateral"
},
{
"code": "103535",
"display": "CT Lower Extremity Arthrography Left"
},
{
"code": "103536",
"display": "CT Lower Extremity Arthrography Right"
},
{
"code": "103537",
"display": "CT Neck Chest Angiography"
},
{
"code": "103538",
"display": "CT Paracentesis"
},
{
"code": "103539",
"display": "CT Pelvis Angiography"
},
{
"code": "103540",
"display": "CT Pelvis Lower Extremity Angiography"
},
{
"code": "103541",
"display": "CT Renal Cyst Puncture"
},
{
"code": "103542",
"display": "CT Upper Extremity Arthrography"
},
{
"code": "103543",
"display": "CT Upper Extremity Arthrography Bilateral"
},
{
"code": "103544",
"display": "CT Upper Extremity Arthrography Left"
},
{
"code": "103545",
"display": "CT Upper Extremity Arthrography Right"
},
{
"code": "103546",
"display": "MR Abdomen Angiography with Contrast"
},
{
"code": "103547",
"display": "MR Aorta Angiography with Contrast"
},
{
"code": "103548",
"display": "MR Cardiac Abdomen"
},
{
"code": "103549",
"display": "MR Femoral Angiography"
},
{
"code": "103550",
"display": "MR Femoral Angiography with Contrast"
},
{
"code": "103551",
"display": "MR Lower Extremity Arthrography Bilateral"
},
{
"code": "103552",
"display": "MR Pelvis Hip Bilateral"
},
{
"code": "103553",
"display": "MR Pelvis Hip Left"
},
{
"code": "103554",
"display": "MR Pelvis Hip Right"
},
{
"code": "103555",
"display": "MR Upper Extremity Arthrography Bilateral"
},
{
"code": "103556",
"display": "RF Breast Biopsy"
},
{
"code": "103557",
"display": "RF Urodynamics"
},
{
"code": "103558",
"display": "US Breast Axilla"
},
{
"code": "103559",
"display": "US Cholecystostomy"
},
{
"code": "103560",
"display": "US Spleen Biopsy"
},
{
"code": "103562",
"display": "XA Abdomen Angioplasty"
},
{
"code": "103563",
"display": "XA Abdomen Pelvis Angiography"
},
{
"code": "103564",
"display": "XA Aorta Lower Extremity Angiography"
},
{
"code": "103565",
"display": "XA Aorta Spinal Artery Angiography"
},
{
"code": "103566",
"display": "XA Aortic Arch Subclavian Brachial Artery Angiography"
},
{
"code": "103567",
"display": "XR Bone Biopsy"
},
{
"code": "103568",
"display": "XR Chest Pelvis Hip"
},
{
"code": "103569",
"display": "XR Chest Pelvis Hip Bilateral"
},
{
"code": "103570",
"display": "XR Lumbar Spine Pelvis Hip"
},
{
"code": "103571",
"display": "XR Shoulder Acromioclavicular Joint Left"
},
{
"code": "103572",
"display": "XR Shoulder Acromioclavicular Joint Right"
},
{
"code": "103573",
"display": "XR Shoulder Acromioclavicular Joints"
},
{
"code": "103574",
"display": "XR Shoulder Acromioclavicular Joints Bilateral"
},
{
"code": "103575",
"display": "XR Ventriculoperitoneal Shunt"
},
{
"code": "103576",
"display": "CT Thoracic Aorta Angiography"
},
{
"code": "103577",
"display": "XA Injection"
},
{
"code": "103578",
"display": "US Renal Cyst Puncture"
},
{
"code": "103579",
"display": "XR Knee and Orthoroentgenography"
},
{
"code": "103580",
"display": "XR Knee Bilateral and Orthoroentgenography"
},
{
"code": "103581",
"display": "XR Lumbosacral Spine"
},
{
"code": "103583",
"display": "MR Biopsy"
},
{
"code": "103584",
"display": "US Thyroid Aspiration"
},
{
"code": "103587",
"display": "XA Pelvis Angiography"
},
{
"code": "103588",
"display": "CT Thyroid Biopsy"
},
{
"code": "103589",
"display": "XA Cavernosography"
},
{
"code": "103590",
"display": "CT Injection"
},
{
"code": "103591",
"display": "MR Pelvis Hip"
},
{
"code": "103592",
"display": "CT Enterography"
},
{
"code": "103593",
"display": "CT Head Abdomen Pelvis"
},
{
"code": "103594",
"display": "CT Head Chest Abdomen Pelvis"
},
{
"code": "103595",
"display": "RF Upper Extremity Injection Left"
},
{
"code": "103596",
"display": "RF Upper Extremity Injection Right"
},
{
"code": "103597",
"display": "XR Lower Extremity"
},
{
"code": "103598",
"display": "XR Upper Extremity"
},
{
"code": "103599",
"display": "XR Skull Sinuses"
},
{
"code": "103600",
"display": "CT Aorta"
},
{
"code": "103601",
"display": "MR Thoracic Sacral Spine"
},
{
"code": "103602",
"display": "MR Thoracic Sacral Spine with Contrast"
},
{
"code": "103603",
"display": "CT Neck Sinuses with Contrast"
},
{
"code": "103604",
"display": "US Abdomen Pelvis Scrotum"
},
{
"code": "103605",
"display": "US Abdomen Scrotum"
},
{
"code": "103606",
"display": "CT Neck Sinuses"
},
{
"code": "103607",
"display": "CT Chest Abdomen Pelvis Extremity Angiography"
},
{
"code": "103608",
"display": "CT Abdomen Pelvis Extremity Angiography"
},
{
"code": "103609",
"display": "US Aorta Iliac Extremity Arterial Doppler"
},
{
"code": "103610",
"display": "US Obstetric and Abdomen"
},
{
"code": "103611",
"display": "CT Abdomen Lumbar Spine"
},
{
"code": "103612",
"display": "CT Abdomen Pelvis Cystography"
},
{
"code": "103613",
"display": "CT Abdomen Pelvis Cystography with Contrast"
},
{
"code": "103614",
"display": "CT Abdomen Pelvis Extremity"
},
{
"code": "103615",
"display": "CT Abdomen Pelvis Extremity with Contrast"
},
{
"code": "103616",
"display": "CT Abdomen Pelvis Lower Extremity Angiography"
},
{
"code": "103617",
"display": "CT Abdomen Lumbar Spine Pelvis Angiography"
},
{
"code": "103618",
"display": "CT Abdomen Lumbar Spine Pelvis Extremity Angiography"
},
{
"code": "103620",
"display": "CT Spine Abdomen Pelvis"
},
{
"code": "103621",
"display": "CT Spine Abdomen Pelvis with Contrast"
},
{
"code": "103622",
"display": "CT Thoracic Lumbar Spine Abdomen Pelvis Angiography"
},
{
"code": "103623",
"display": "CT Thoracic Spine Abdomen Pelvis Angiography"
},
{
"code": "103624",
"display": "CT Adrenal Gland Biopsy"
},
{
"code": "103625",
"display": "CT Aorta Abdomen Pelvis Lower Extremity Angiography"
},
{
"code": "103626",
"display": "CT Axilla with Contrast"
},
{
"code": "103627",
"display": "CT Chest Abdomen Lumbar Spine Pelvis"
},
{
"code": "103628",
"display": "CT Chest Abdomen Lumbar Spine Pelvis with Contrast"
},
{
"code": "103629",
"display": "CT Thoracic Lumbar Spine Chest Abdomen Pelvis"
},
{
"code": "103630",
"display": "CT Thoracic Lumbar Spine Chest Abdomen Pelvis with Contrast"
},
{
"code": "103631",
"display": "CT Thoracic Spine Chest Abdomen Pelvis"
},
{
"code": "103632",
"display": "CT Thoracic Spine Chest Abdomen Pelvis with Contrast"
},
{
"code": "103633",
"display": "CT Thoracic Spine Chest Abdomen"
},
{
"code": "103634",
"display": "CT Thoracic Spine Chest Abdomen with Contrast"
},
{
"code": "103635",
"display": "CT Chest Extremity Angiography"
},
{
"code": "103636",
"display": "CT Chest Pelvis Extremity Angiography"
},
{
"code": "103637",
"display": "CT Chest Pelvis with Contrast"
},
{
"code": "103638",
"display": "CT Spine Chest"
},
{
"code": "103639",
"display": "CT Spine Chest with Contrast"
},
{
"code": "103640",
"display": "CT Thoracic Spine Chest"
},
{
"code": "103641",
"display": "CT Thoracic Spine Chest Angiography"
},
{
"code": "103642",
"display": "CT Thoracic Spine Chest with Contrast"
},
{
"code": "103643",
"display": "CT Cholecystostomy"
},
{
"code": "103645",
"display": "CT Esophagus"
},
{
"code": "103646",
"display": "CT Extremity Biopsy"
},
{
"code": "103647",
"display": "CT Facial Bones Cervical Spine"
},
{
"code": "103648",
"display": "CT Feeding Tube"
},
{
"code": "103649",
"display": "CT Femoral Angiography"
},
{
"code": "103650",
"display": "CT Gastrointestinal Angiography"
},
{
"code": "103651",
"display": "CT Head Cervical Spine with Contrast"
},
{
"code": "103652",
"display": "CT Head Cervical Thoracic Spine"
},
{
"code": "103653",
"display": "CT Head Chest"
},
{
"code": "103654",
"display": "CT Head Chest Abdomen"
},
{
"code": "103655",
"display": "CT Head Chest Abdomen with Contrast"
},
{
"code": "103656",
"display": "CT Head Chest with Contrast"
},
{
"code": "103657",
"display": "CT Head Facial Bones Cervical Spine"
},
{
"code": "103658",
"display": "CT Head Facial Bones Cervical Spine with Contrast"
},
{
"code": "103659",
"display": "CT Head Facial Bones Neck Spine"
},
{
"code": "103660",
"display": "CT Head Facial Bones Spine"
},
{
"code": "103661",
"display": "CT Head Neck Abdomen Pelvis"
},
{
"code": "103662",
"display": "CT Head Neck Abdomen Pelvis with Contrast"
},
{
"code": "103663",
"display": "CT Head Neck Chest Abdomen"
},
{
"code": "103664",
"display": "CT Head Neck Spine"
},
{
"code": "103665",
"display": "CT Head Spine Abdomen Pelvis with Contrast"
},
{
"code": "103666",
"display": "CT Head Spine Chest Abdomen Pelvis with Contrast"
},
{
"code": "103667",
"display": "CT Hepatic Angiography"
},
{
"code": "103668",
"display": "CT Ileal Conduit"
},
{
"code": "103669",
"display": "CT Iliac Angiography"
},
{
"code": "103670",
"display": "CT Joint Injection"
},
{
"code": "103671",
"display": "CT Lower Extremity Angiography Bilateral"
},
{
"code": "103672",
"display": "CT Lumbar Spine Puncture"
},
{
"code": "103673",
"display": "CT Lumbar Spine Sacroiliac Joint with Contrast"
},
{
"code": "103674",
"display": "CT Lumbosacral Spine"
},
{
"code": "103675",
"display": "CT Mesenteric Angiography"
},
{
"code": "103676",
"display": "CT Nasal Bones"
},
{
"code": "103677",
"display": "CT Nasal Bones with Contrast"
},
{
"code": "103678",
"display": "CT Neck Abdomen Pelvis"
},
{
"code": "103679",
"display": "CT Neck Abdomen Pelvis with Contrast"
},
{
"code": "103680",
"display": "CT Neck Biopsy with Contrast"
},
{
"code": "103681",
"display": "CT Neck Cervical Spine"
},
{
"code": "103682",
"display": "CT Neck Cervical Spine with Contrast"
},
{
"code": "103683",
"display": "CT Neck Spine"
},
{
"code": "103684",
"display": "CT Nerve Block"
},
{
"code": "103685",
"display": "CT Pelvis Extremity"
},
{
"code": "103686",
"display": "CT Pelvis Extremity Angiography"
},
{
"code": "103687",
"display": "CT Pelvis Extremity with Contrast"
},
{
"code": "103688",
"display": "CT Pelvis Hip Bilateral"
},
{
"code": "103689",
"display": "CT Pelvis Hip Bilateral with Contrast"
},
{
"code": "103690",
"display": "CT Pelvis Hip Left"
},
{
"code": "103691",
"display": "CT Pelvis Hip Right"
},
{
"code": "103692",
"display": "CT Pelvis Lower Extremity Bilateral with Contrast"
},
{
"code": "103693",
"display": "CT Pelvis Lower Extremity Left"
},
{
"code": "103694",
"display": "CT Pelvis Lower Extremity Right"
},
{
"code": "103695",
"display": "CT Pelvis Lower Extremity with Contrast"
},
{
"code": "103696",
"display": "CT Peritoneum Aspiration"
},
{
"code": "103697",
"display": "CT Peritoneum Biopsy"
},
{
"code": "103698",
"display": "CT Prostate Biopsy"
},
{
"code": "103699",
"display": "CT Renal Angiography"
},
{
"code": "103700",
"display": "CT Renal Cyst Aspiration"
},
{
"code": "103701",
"display": "CT Retroperitoneal Biopsy"
},
{
"code": "103702",
"display": "CT Rib Biopsy Left"
},
{
"code": "103703",
"display": "CT Rib Biopsy Right"
},
{
"code": "103704",
"display": "CT Ribs Bilateral"
},
{
"code": "103705",
"display": "CT Ribs Bilateral with Contrast"
},
{
"code": "103707",
"display": "CT Scaphoid Bilateral"
},
{
"code": "103708",
"display": "CT Scaphoid Bilateral with Contrast"
},
{
"code": "103709",
"display": "CT Scaphoid Left"
},
{
"code": "103710",
"display": "CT Scaphoid Right"
},
{
"code": "103711",
"display": "CT Scapula Biopsy Left"
},
{
"code": "103712",
"display": "CT Scapula Biopsy Right"
},
{
"code": "103713",
"display": "CT Sinuses Neck Chest with Contrast"
},
{
"code": "103715",
"display": "CT Spine Drainage"
},
{
"code": "103716",
"display": "CT Teeth"
},
{
"code": "103717",
"display": "CT Upper Extremity Angiography Bilateral"
},
{
"code": "103718",
"display": "CT Upper Extremity Biopsy Left"
},
{
"code": "103719",
"display": "CT Upper Extremity Biopsy Right"
},
{
"code": "103720",
"display": "CT Ureter Biopsy"
},
{
"code": "103724",
"display": "MR Abdomen Venography"
},
{
"code": "103725",
"display": "MR Abdomen Venography with Contrast"
},
{
"code": "103727",
"display": "MR Bladder with Contrast"
},
{
"code": "103732",
"display": "MR Calf Bilateral"
},
{
"code": "103733",
"display": "MR Calf Left"
},
{
"code": "103734",
"display": "MR Calf Right"
},
{
"code": "103735",
"display": "MR Cardiac Thoracic Aorta"
},
{
"code": "103736",
"display": "MR Carotid Angiography with Contrast"
},
{
"code": "103737",
"display": "MR Cervical Spine Shoulder Left"
},
{
"code": "103738",
"display": "MR Cervical Spine Shoulder Right"
},
{
"code": "103739",
"display": "MR Chest Angiography with Contrast"
},
{
"code": "103740",
"display": "MR Chest Lower Extremity"
},
{
"code": "103741",
"display": "MR Clavicle Bilateral"
},
{
"code": "103742",
"display": "MR Clavicle Left"
},
{
"code": "103743",
"display": "MR Clavicle Left with Contrast"
},
{
"code": "103744",
"display": "MR Clavicle Right"
},
{
"code": "103745",
"display": "MR Clavicle Right with Contrast"
},
{
"code": "103746",
"display": "MR Clavicle With Contrast"
},
{
"code": "103747",
"display": "MR Extremity Angiography"
},
{
"code": "103748",
"display": "MR Extremity Angiography with Contrast"
},
{
"code": "103750",
"display": "MR Head Face"
},
{
"code": "103751",
"display": "MR Head Face with Contrast"
},
{
"code": "103753",
"display": "MR Head Lumbar Spine"
},
{
"code": "103754",
"display": "MR Head Lumbar Spine with Contrast"
},
{
"code": "103755",
"display": "MR Head Orbits"
},
{
"code": "103756",
"display": "MR Head Orbits Bilateral"
},
{
"code": "103757",
"display": "MR Head Orbits Bilateral with Contrast"
},
{
"code": "103758",
"display": "MR Head Orbits with Contrast"
},
{
"code": "103759",
"display": "MR Head Sinuses"
},
{
"code": "103762",
"display": "MR Head Thoracic Spine"
},
{
"code": "103763",
"display": "MR Head Thoracic Spine with Contrast"
},
{
"code": "103764",
"display": "MR Head Venography with Contrast"
},
{
"code": "103765",
"display": "MR Lower Extremity Angiography"
},
{
"code": "103766",
"display": "MR Lower Extremity Angiography Bilateral with Contrast"
},
{
"code": "103767",
"display": "MR Lower Extremity Angiography Left with Contrast"
},
{
"code": "103768",
"display": "MR Lower Extremity Angiography Right with Contrast"
},
{
"code": "103769",
"display": "MR Lumbar Plexus"
},
{
"code": "103770",
"display": "MR Lumbar Plexus with Contrast"
},
{
"code": "103771",
"display": "MR Lumbar Spine Pelvis with Contrast"
},
{
"code": "103772",
"display": "MR Lumbar Spine Sacroiliac Joints with Contrast"
},
{
"code": "103773",
"display": "MR Mandible with Contrast"
},
{
"code": "103774",
"display": "MR Myelography"
},
{
"code": "103775",
"display": "MR Nasopharynx with Contrast"
},
{
"code": "103776",
"display": "MR Ovary with Contrast"
},
{
"code": "103778",
"display": "MR Pelvis Angiography with Contrast"
},
{
"code": "103779",
"display": "MR Pelvis Extremity"
},
{
"code": "103780",
"display": "MR Pelvis Lower Extremity"
},
{
"code": "103781",
"display": "MR Spine Pelvis"
},
{
"code": "103782",
"display": "MR Pelvis Venography with Contrast"
},
{
"code": "103783",
"display": "MR Proctography"
},
{
"code": "103784",
"display": "MR Prostate with Contrast"
},
{
"code": "103785",
"display": "MR Rectum with Contrast"
},
{
"code": "103788",
"display": "MR Renal Arteries with Contrast"
},
{
"code": "103790",
"display": "MR Scrotum with Contrast"
},
{
"code": "103791",
"display": "MR Sinuses"
},
{
"code": "103792",
"display": "MR Sinuses with Contrast"
},
{
"code": "103793",
"display": "MR Specimen"
},
{
"code": "103794",
"display": "MR Spine Angiography with Contrast"
},
{
"code": "103795",
"display": "MR Spleen with Contrast"
},
{
"code": "103796",
"display": "MR Sternum with Contrast"
},
{
"code": "103797",
"display": "MR Thigh Bilateral"
},
{
"code": "103798",
"display": "MR Thigh Left"
},
{
"code": "103799",
"display": "MR Thigh Left with Contrast"
},
{
"code": "103800",
"display": "MR Thigh Right"
},
{
"code": "103801",
"display": "MR Thigh Right with Contrast"
},
{
"code": "103802",
"display": "MR Upper Extremity Angiography"
},
{
"code": "103803",
"display": "MR Upper Extremity Angiography Bilateral with Contrast"
},
{
"code": "103804",
"display": "MR Upper Extremity Angiography Left with Contrast"
},
{
"code": "103805",
"display": "MR Upper Extremity Angiography Right with Contrast"
},
{
"code": "103807",
"display": "MR Urography"
},
{
"code": "103808",
"display": "MR Urography with Contrast"
},
{
"code": "103809",
"display": "MR Vertebral Artery"
},
{
"code": "103810",
"display": "NM Liver Lung"
},
{
"code": "103815",
"display": "RF Bladder Drainage"
},
{
"code": "103816",
"display": "RF Breast"
},
{
"code": "103817",
"display": "RF Breast Aspiration"
},
{
"code": "103818",
"display": "RF Breast Drainage"
},
{
"code": "103819",
"display": "RF Cervical Puncture"
},
{
"code": "103820",
"display": "RF Colonoscopy"
},
{
"code": "103821",
"display": "RF Cystostomy"
},
{
"code": "103822",
"display": "RF Endoscopy"
},
{
"code": "103823",
"display": "RF Extremity Drainage"
},
{
"code": "103824",
"display": "RF Extremity Fistulography"
},
{
"code": "103825",
"display": "RF Facet Joint Nerve Block"
},
{
"code": "103827",
"display": "RF Intussusception"
},
{
"code": "103828",
"display": "RF Liver"
},
{
"code": "103829",
"display": "RF Liver Cyst Ablation"
},
{
"code": "103830",
"display": "RF Loopography Left"
},
{
"code": "103831",
"display": "RF Loopography Right"
},
{
"code": "103832",
"display": "RF Lower Extremity Bone Biopsy"
},
{
"code": "103833",
"display": "RF Osteoplasty"
},
{
"code": "103834",
"display": "RF Pericardial Drainage"
},
{
"code": "103835",
"display": "RF Pleurodesis"
},
{
"code": "103836",
"display": "RF Renal Cyst Ablation"
},
{
"code": "103837",
"display": "RF Retrograde Cystography and Ureteric Stent"
},
{
"code": "103838",
"display": "RF Shunt"
},
{
"code": "103839",
"display": "RF Sigmoidoscopy"
},
{
"code": "103840",
"display": "RF Splanchnic Plexus Neurolysis"
},
{
"code": "103841",
"display": "RF Spleen Biopsy"
},
{
"code": "103842",
"display": "RF Stomach Biopsy"
},
{
"code": "103843",
"display": "RF Thyroid Biopsy"
},
{
"code": "103844",
"display": "US Abdomen and Renal Transplant Doppler"
},
{
"code": "103845",
"display": "US Abdomen Soft Tissue"
},
{
"code": "103846",
"display": "US Abdomen and Thoracentesis"
},
{
"code": "103847",
"display": "US Abdomen Extremity"
},
{
"code": "103848",
"display": "US Abdomen Groin Scrotum"
},
{
"code": "103849",
"display": "US Abdomen Lower Extremity Arterial Doppler and ABI"
},
{
"code": "103850",
"display": "US Abdomen Lower Extremity Venous Doppler"
},
{
"code": "103851",
"display": "US Abdomen Lower Extremity Venous Doppler Bilateral"
},
{
"code": "103853",
"display": "US Abdomen Obstetric Biophysical Profile"
},
{
"code": "103854",
"display": "US Abdomen Obstetric Transvaginal"
},
{
"code": "103855",
"display": "US Abdomen Paracentesis"
},
{
"code": "103857",
"display": "US Abdomen Pelvis Transcranial Doppler"
},
{
"code": "103858",
"display": "US Abdomen Pelvis Intracavitary"
},
{
"code": "103859",
"display": "US Abdomen Pelvis Lower Extremity Bilateral"
},
{
"code": "103860",
"display": "US Abdomen Pelvis Lower Extremity Left"
},
{
"code": "103861",
"display": "US Abdomen Pelvis Lower Extremity Right"
},
{
"code": "103862",
"display": "US Abdomen Pelvis Lower Extremity Venous Doppler Bilateral"
},
{
"code": "103864",
"display": "US Abdomen Pelvis Transrectal"
},
{
"code": "103865",
"display": "US Abdomen Transvaginal"
},
{
"code": "103867",
"display": "US Adrenal Gland Bilateral"
},
{
"code": "103868",
"display": "US Adrenal Gland Biopsy"
},
{
"code": "103869",
"display": "US Adrenal Gland Biopsy Left"
},
{
"code": "103870",
"display": "US Adrenal Gland Biopsy Right"
},
{
"code": "103871",
"display": "US Ankle Brachial Pressure Index Doppler"
},
{
"code": "103872",
"display": "US Aorta Femoral Arterial Doppler"
},
{
"code": "103873",
"display": "US Aorta Femoral Arterial Doppler Bilateral"
},
{
"code": "103874",
"display": "US Aorta Iliac Arterial Doppler Bilateral"
},
{
"code": "103875",
"display": "US Aorta Iliac Lower Extremity Arterial Doppler"
},
{
"code": "103876",
"display": "US Aorta Lower Extremity Arterial Doppler"
},
{
"code": "103877",
"display": "US Appendix Obstetric"
},
{
"code": "103878",
"display": "US Appendix Obstetric Transvaginal"
},
{
"code": "103879",
"display": "US Appendix Transvaginal"
},
{
"code": "103880",
"display": "US Arterial Doppler"
},
{
"code": "103881",
"display": "US Arteriovenous Fistula Graft Doppler"
},
{
"code": "103882",
"display": "US Axilla Biopsy Bilateral"
},
{
"code": "103883",
"display": "US Axilla Biopsy Left"
},
{
"code": "103884",
"display": "US Axilla Biopsy Right"
},
{
"code": "103885",
"display": "US Back"
},
{
"code": "103886",
"display": "US Biophysical Profile and Fetal Head Doppler"
},
{
"code": "103887",
"display": "US Biophysical Profile Intracavitary"
},
{
"code": "103888",
"display": "US Biophysical Profile Transvaginal"
},
{
"code": "103889",
"display": "US Bladder and Renal Transplant Doppler"
},
{
"code": "103890",
"display": "US Brain Abdomen"
},
{
"code": "103891",
"display": "US Brain Abdomen Pelvis"
},
{
"code": "103892",
"display": "US Brain Abdomen Spine"
},
{
"code": "103893",
"display": "US Breast Axilla Biopsy"
},
{
"code": "103894",
"display": "US Breast Axilla Localization"
},
{
"code": "103897",
"display": "US Breast Drainage Bilateral"
},
{
"code": "103898",
"display": "US Breast Drainage Left"
},
{
"code": "103899",
"display": "US Breast Drainage Right"
},
{
"code": "103900",
"display": "US Breast Extremity"
},
{
"code": "103901",
"display": "US Breast Surgical Specimen"
},
{
"code": "103902",
"display": "US Breast Upper Extremity Bilateral"
},
{
"code": "103903",
"display": "US Breast Upper Extremity Left"
},
{
"code": "103904",
"display": "US Breast Upper Extremity Right"
},
{
"code": "103905",
"display": "US Buttock Bilateral"
},
{
"code": "103906",
"display": "US Buttock Biopsy Bilateral"
},
{
"code": "103907",
"display": "US Buttock Biopsy Left"
},
{
"code": "103908",
"display": "US Buttock Biopsy Right"
},
{
"code": "103909",
"display": "US Buttock Left"
},
{
"code": "103910",
"display": "US Buttock Right"
},
{
"code": "103911",
"display": "US Carotid Lower Extremity Venous Doppler Bilateral"
},
{
"code": "103912",
"display": "US Central Line"
},
{
"code": "103913",
"display": "US Cervix"
},
{
"code": "103914",
"display": "US Chest Abdomen"
},
{
"code": "103915",
"display": "US Chest Abdomen Pelvis"
},
{
"code": "103916",
"display": "US Chest Axilla Bilateral"
},
{
"code": "103917",
"display": "US Chest Axilla Left"
},
{
"code": "103918",
"display": "US Chest Axilla Right"
},
{
"code": "103919",
"display": "US Extremity Soft Tissue"
},
{
"code": "103920",
"display": "US Extremity Aspiration"
},
{
"code": "103921",
"display": "US Extremity Biopsy"
},
{
"code": "103922",
"display": "US Extremity Drainage"
},
{
"code": "103924",
"display": "US Face Neck Biopsy"
},
{
"code": "103925",
"display": "US Femoral Artery Doppler Bilateral"
},
{
"code": "103926",
"display": "US Fetal Echocardiography Doppler"
},
{
"code": "103927",
"display": "US Fetal Head"
},
{
"code": "103928",
"display": "US Finger Brachial Index"
},
{
"code": "103929",
"display": "US Fistula"
},
{
"code": "103930",
"display": "US Foreign Body Removal"
},
{
"code": "103931",
"display": "US Gold Seed Insertion"
},
{
"code": "103932",
"display": "US Graft Doppler"
},
{
"code": "103933",
"display": "US Groin Biopsy Left"
},
{
"code": "103934",
"display": "US Groin Biopsy Right"
},
{
"code": "103935",
"display": "US Groin Scrotum"
},
{
"code": "103936",
"display": "US Groin Scrotum Bilateral"
},
{
"code": "103937",
"display": "US Groin Scrotum Left"
},
{
"code": "103938",
"display": "US Groin Scrotum Right"
},
{
"code": "103939",
"display": "US Groin Vascular Doppler Left"
},
{
"code": "103940",
"display": "US Groin Vascular Doppler Right"
},
{
"code": "103941",
"display": "US Head Abdomen"
},
{
"code": "103942",
"display": "US Head Carotid Doppler"
},
{
"code": "103943",
"display": "US Head Neck Aspiration"
},
{
"code": "103945",
"display": "US Iliac Artery Doppler Bilateral"
},
{
"code": "103946",
"display": "US Iliac Artery Doppler Left"
},
{
"code": "103947",
"display": "US Iliac Artery Doppler Right"
},
{
"code": "103948",
"display": "US Iliac Vascular Doppler Left"
},
{
"code": "103949",
"display": "US Iliac Vascular Doppler Right"
},
{
"code": "103951",
"display": "US Inferior Vena Cava Iliac Vein Doppler"
},
{
"code": "103952",
"display": "US Intracavitary"
},
{
"code": "103953",
"display": "US Kidney Bilateral"
},
{
"code": "103954",
"display": "US Kidney Left"
},
{
"code": "103955",
"display": "US Kidney Pelvis Transvaginal"
},
{
"code": "103956",
"display": "US Kidney Right"
},
{
"code": "103957",
"display": "US Knee Lower Extremity Venous Doppler"
},
{
"code": "103958",
"display": "US Knee Lower Extremity Venous Doppler Bilateral"
},
{
"code": "103959",
"display": "US Lower Extremity Arterial Doppler and ABI"
},
{
"code": "103960",
"display": "US Lower Extremity Arterial Doppler Bilateral and ABI"
},
{
"code": "103961",
"display": "US Lower Extremity Arterial Doppler Left and ABI"
},
{
"code": "103962",
"display": "US Lower Extremity Arterial Doppler Right and ABI"
},
{
"code": "103963",
"display": "US Lower Extremity Biopsy"
},
{
"code": "103964",
"display": "US Lower Extremity Biopsy Bilateral"
},
{
"code": "103965",
"display": "US Lower Extremity Biopsy Left"
},
{
"code": "103966",
"display": "US Lower Extremity Biopsy Right"
},
{
"code": "103967",
"display": "US Lower Extremity Drainage Left"
},
{
"code": "103968",
"display": "US Lower Extremity Drainage Right"
},
{
"code": "103969",
"display": "US Lower Extremity Segmental Pressure"
},
{
"code": "103971",
"display": "US Lower Extremity Vascular Doppler"
},
{
"code": "103972",
"display": "US Lower Extremity Vascular Doppler Bilateral"
},
{
"code": "103973",
"display": "US Lower Extremity Vascular Doppler Bilateral and ABI"
},
{
"code": "103974",
"display": "US Lower Extremity Vascular Doppler Left"
},
{
"code": "103975",
"display": "US Lower Extremity Vascular Doppler Left and ABI"
},
{
"code": "103976",
"display": "US Lower Extremity Vascular Doppler Right"
},
{
"code": "103981",
"display": "US Mesenteric Vessel Doppler"
},
{
"code": "103982",
"display": "US Neck Vascular Doppler"
},
{
"code": "103983",
"display": "US Nephrostomy Left"
},
{
"code": "103984",
"display": "US Nephrostomy Right"
},
{
"code": "103986",
"display": "US Obstetric Pelvis"
},
{
"code": "103987",
"display": "US Obstetric Pelvis Transvaginal"
},
{
"code": "103988",
"display": "US Obstetric Translabial"
},
{
"code": "103990",
"display": "US Pelvis Groin"
},
{
"code": "103991",
"display": "US Pelvis Groin Scrotum"
},
{
"code": "103992",
"display": "US Pelvis Intracavitary"
},
{
"code": "103993",
"display": "US Pelvis Lower Extremity Bilateral"
},
{
"code": "103994",
"display": "US Pelvis Lower Extremity Left"
},
{
"code": "103995",
"display": "US Pelvis Lower Extremity Right"
},
{
"code": "103996",
"display": "US Pelvis Lower Extremity Venous Doppler Bilateral"
},
{
"code": "103997",
"display": "US Pelvis Scrotum"
},
{
"code": "103998",
"display": "US Pelvis Transrectal"
},
{
"code": "103999",
"display": "US Penis Scrotum"
},
{
"code": "104000",
"display": "US Peritoneum Biopsy"
},
{
"code": "104002",
"display": "US Pseudoaneurysm"
},
{
"code": "104003",
"display": "US Renal Cyst Aspiration Bilateral"
},
{
"code": "104004",
"display": "US Renal Cyst Puncture Left"
},
{
"code": "104005",
"display": "US Renal Cyst Puncture Right"
},
{
"code": "104006",
"display": "US Renal Vein Doppler"
},
{
"code": "104007",
"display": "US Retroperitoneal Biopsy"
},
{
"code": "104008",
"display": "US Sacroiliac Joint Injection Bilateral"
},
{
"code": "104009",
"display": "US Sacroiliac Joint Injection Left"
},
{
"code": "104010",
"display": "US Sacroiliac Joint Injection Right"
},
{
"code": "104011",
"display": "US Segmental Pressures"
},
{
"code": "104012",
"display": "US Shunt"
},
{
"code": "104013",
"display": "US Sinuses"
},
{
"code": "104014",
"display": "US Subclavian Artery Doppler Bilateral"
},
{
"code": "104015",
"display": "US Subclavian Artery Doppler Left"
},
{
"code": "104016",
"display": "US Subclavian Artery Doppler Right"
},
{
"code": "104017",
"display": "US Subclavian Vascular Doppler"
},
{
"code": "104018",
"display": "US Subclavian Vein Doppler Bilateral"
},
{
"code": "104019",
"display": "US Subclavian Vein Doppler Left"
},
{
"code": "104020",
"display": "US Subclavian Vein Doppler Right"
},
{
"code": "104021",
"display": "US Superior Vena Cava Upper Extremity Venous Doppler Left"
},
{
"code": "104022",
"display": "US Superior Vena Cava Upper Extremity Venous Doppler Right"
},
{
"code": "104023",
"display": "US Thoracic Outlet"
},
{
"code": "104024",
"display": "US Thoracic Outlet Arterial Doppler"
},
{
"code": "104025",
"display": "US Thyroid Pelvis Transvaginal"
},
{
"code": "104026",
"display": "US TIPS Doppler"
},
{
"code": "104027",
"display": "US Transcranial Carotid Doppler"
},
{
"code": "104028",
"display": "US Transesophageal Echocardiography Doppler"
},
{
"code": "104029",
"display": "US Translabial"
},
{
"code": "104030",
"display": "US Upper Extremity and WBI"
},
{
"code": "104031",
"display": "US Upper Extremity Arterial Doppler Bilateral and ABI"
},
{
"code": "104032",
"display": "US Upper Extremity Arterial Doppler Left and ABI"
},
{
"code": "104033",
"display": "US Upper Extremity Arterial Doppler Right and ABI"
},
{
"code": "104034",
"display": "US Upper Extremity Biopsy"
},
{
"code": "104035",
"display": "US Upper Extremity Biopsy Bilateral"
},
{
"code": "104036",
"display": "US Upper Extremity Biopsy Left"
},
{
"code": "104037",
"display": "US Upper Extremity Biopsy Right"
},
{
"code": "104038",
"display": "US Upper Extremity Drainage Left"
},
{
"code": "104039",
"display": "US Upper Extremity Drainage Right"
},
{
"code": "104040",
"display": "US Upper Extremity Segmental Pressure"
},
{
"code": "104041",
"display": "US Upper Extremity Vascular Doppler"
},
{
"code": "104042",
"display": "US Upper Extremity Vascular Doppler Bilateral"
},
{
"code": "104043",
"display": "US Upper Extremity Vascular Doppler Left"
},
{
"code": "104044",
"display": "US Upper Extremity Vascular Doppler Right"
},
{
"code": "104045",
"display": "US Uterine Artery Doppler"
},
{
"code": "104046",
"display": "US Vascular Fistula Doppler"
},
{
"code": "104049",
"display": "US Venous Doppler"
},
{
"code": "104050",
"display": "XA Abdomen Aorta Femoral Iliac Angioplasty"
},
{
"code": "104051",
"display": "XA Abdomen Femoral Angiography"
},
{
"code": "104052",
"display": "XA Abdomen Femoral Angiography Bilateral"
},
{
"code": "104053",
"display": "XA Abdomen Femoral Iliac Angioplasty Bilateral"
},
{
"code": "104054",
"display": "XA Abdomen Femoral Lower Extremity Angioplasty"
},
{
"code": "104055",
"display": "XA Abdomen Stent"
},
{
"code": "104056",
"display": "XA Aorta Extremity Angiography"
},
{
"code": "104058",
"display": "XA Aorta Lower Extremity Angiography Bilateral"
},
{
"code": "104059",
"display": "XA Aortic Arch Abdomen Angiography"
},
{
"code": "104060",
"display": "XA Aortic Arch Abdomen Femoral Angiography"
},
{
"code": "104061",
"display": "XA Aortic Arch Subclavian Angioplasty"
},
{
"code": "104062",
"display": "XA Arterial Catheterization"
},
{
"code": "104063",
"display": "XA Brachial Abdomen Angiography"
},
{
"code": "104064",
"display": "XA Brachial Abdomen Femoral Angiography"
},
{
"code": "104065",
"display": "XA Brachial Arch Angiography"
},
{
"code": "104066",
"display": "XA Carotid Aortic Arch Angiography"
},
{
"code": "104068",
"display": "XA Central Line Extremity"
},
{
"code": "104069",
"display": "XA Chest Abdomen Angiography"
},
{
"code": "104070",
"display": "XA Chest Abdomen Femoral Angiography"
},
{
"code": "104071",
"display": "XA Endovascular Shunt"
},
{
"code": "104072",
"display": "XA Extremity Angioplasty"
},
{
"code": "104073",
"display": "XA Extremity Embolization"
},
{
"code": "104074",
"display": "XA Femoral Artery Angioplasty Left"
},
{
"code": "104075",
"display": "XA Femoral Artery Angioplasty Right"
},
{
"code": "104076",
"display": "XA Femoral Iliac Angioplasty"
},
{
"code": "104077",
"display": "XA Femoral Lower Extremity Angioplasty"
},
{
"code": "104078",
"display": "XA Head Neck Angiography"
},
{
"code": "104079",
"display": "XA Head Neck Embolization"
},
{
"code": "104080",
"display": "XA Iliac Angioplasty and Stent"
},
{
"code": "104081",
"display": "XA Iliac Angioplasty and Stent Bilateral"
},
{
"code": "104082",
"display": "XA Iliac Angioplasty and Stent Left"
},
{
"code": "104083",
"display": "XA Iliac Angioplasty and Stent Right"
},
{
"code": "104084",
"display": "XA Lower Extremity Atherectomy"
},
{
"code": "104085",
"display": "XA Pelvis Embolization"
},
{
"code": "104086",
"display": "XA PICC Line Extremity Angiography"
},
{
"code": "104087",
"display": "XA Renal Angioplasty and Stent Left"
},
{
"code": "104088",
"display": "XA Renal Angioplasty and Stent Right"
},
{
"code": "104089",
"display": "XA Sclerotherapy"
},
{
"code": "104090",
"display": "XA Subclavian Angiography Bilateral"
},
{
"code": "104091",
"display": "XA Subclavian Angiography Left"
},
{
"code": "104092",
"display": "XA Subclavian Angiography Right"
},
{
"code": "104093",
"display": "XA Subclavian Upper Extremity Angioplasty"
},
{
"code": "104094",
"display": "XA Superior Vena Cava Upper Extremity Bilateral"
},
{
"code": "104095",
"display": "XA Thoracic Aortic Arch Angiography"
},
{
"code": "104097",
"display": "XA Transarterial Chemoembolization"
},
{
"code": "104098",
"display": "XA Upper Extremity Abdomen Femoral Iliac Angioplasty"
},
{
"code": "104099",
"display": "XR Cervical Lumbar Spine"
},
{
"code": "104100",
"display": "XR Cervical Spine Pelvis"
},
{
"code": "104101",
"display": "XR Cervical Spine Shoulder"
},
{
"code": "104102",
"display": "XR Cervical Thoracic Lumbar Spine"
},
{
"code": "104103",
"display": "XR Cervical Thoracic Spine"
},
{
"code": "104104",
"display": "XR Chest Pelvis"
},
{
"code": "104105",
"display": "XR Chest Sternum"
},
{
"code": "104106",
"display": "XR Colonoscopy"
},
{
"code": "104107",
"display": "XR Extremity"
},
{
"code": "104108",
"display": "XR Facial Bones Mandible"
},
{
"code": "104109",
"display": "XR Facial Bones Nasal Bones"
},
{
"code": "104110",
"display": "XR Facial Bones Orbits"
},
{
"code": "104111",
"display": "XR Injection"
},
{
"code": "104112",
"display": "XR Lumbar Spine Hip"
},
{
"code": "104113",
"display": "XR Lumbar Spine Hip Bilateral"
},
{
"code": "104114",
"display": "XR Lumbar Spine Pelvis Sacroiliac Joint"
},
{
"code": "104115",
"display": "XR Lumbar Spine Pelvis Sacroiliac Joint Hip"
},
{
"code": "104116",
"display": "XR Lumbar Spine Pelvis Sacroiliac Joint Hip Bilateral"
},
{
"code": "104118",
"display": "XR Mandible Temporomandibular Joints"
},
{
"code": "104119",
"display": "XR Pelvis Femur Bilateral"
},
{
"code": "104120",
"display": "XR Ribs Sternum Sternoclavicular Joint"
},
{
"code": "104121",
"display": "XR Sacrum Sacroiliac Joints"
},
{
"code": "104126",
"display": "XR Shunt"
},
{
"code": "104127",
"display": "XR Skull Cervical Spine"
},
{
"code": "104128",
"display": "XR Skull Chest Abdomen"
},
{
"code": "104129",
"display": "XR Skull Facial Bones"
},
{
"code": "104130",
"display": "XR Thoracic Lumbar Spine"
},
{
"code": "104131",
"display": "CT Arthrography"
},
{
"code": "104132",
"display": "CT Bronchoscopy"
},
{
"code": "104133",
"display": "CT Cervical Myelography"
},
{
"code": "104134",
"display": "CT Enteroclysis"
},
{
"code": "104135",
"display": "CT Head Neck Chest Abdomen Pelvis"
},
{
"code": "104136",
"display": "CT Head Neck Chest Abdomen Pelvis with Contrast"
},
{
"code": "104137",
"display": "CT Head Neck Chest Abdomen with Contrast"
},
{
"code": "104138",
"display": "CT Lumbar Myelography"
},
{
"code": "104139",
"display": "CT Myelography"
},
{
"code": "104140",
"display": "CT Nasopharynx"
},
{
"code": "104141",
"display": "CT Nasopharynx with Contrast"
},
{
"code": "104142",
"display": "CT Nephrostomy Drainage"
},
{
"code": "104143",
"display": "CT Parathyroid"
},
{
"code": "104144",
"display": "CT Posterior Fossa"
},
{
"code": "104145",
"display": "CT Spine Angiography"
},
{
"code": "104146",
"display": "CT Spleen"
},
{
"code": "104148",
"display": "MR Adrenal Glands"
},
{
"code": "104149",
"display": "MR Adrenal Glands with Contrast"
},
{
"code": "104150",
"display": "MR Aorta"
},
{
"code": "104151",
"display": "MR Aorta with Contrast"
},
{
"code": "104152",
"display": "MR Bladder"
},
{
"code": "104153",
"display": "MR Calf"
},
{
"code": "104154",
"display": "MR Carotid Angiography"
},
{
"code": "104155",
"display": "MR Clavicle"
},
{
"code": "104156",
"display": "MR Head Venography"
},
{
"code": "104157",
"display": "MR Mandible"
},
{
"code": "104158",
"display": "MR Nasopharynx"
},
{
"code": "104159",
"display": "MR Ovary"
},
{
"code": "104160",
"display": "MR Pancreas"
},
{
"code": "104161",
"display": "MR Pancreas with Contrast"
},
{
"code": "104162",
"display": "MR Parathyroid Gland"
},
{
"code": "104164",
"display": "MR Pelvis Venography"
},
{
"code": "104165",
"display": "MR Prostate"
},
{
"code": "104166",
"display": "MR Rectum"
},
{
"code": "104167",
"display": "MR Renal Arteries"
},
{
"code": "104168",
"display": "MR Scrotum"
},
{
"code": "104169",
"display": "MR Spine Angiography"
},
{
"code": "104170",
"display": "MR Spleen"
},
{
"code": "104171",
"display": "MR Sternum"
},
{
"code": "104172",
"display": "MR Thoracic Aorta"
},
{
"code": "104173",
"display": "MR Thoracic Aorta with Contrast"
},
{
"code": "104174",
"display": "MR Thyroid"
},
{
"code": "104175",
"display": "MR Venography"
},
{
"code": "104176",
"display": "NM Therapy Malignancy"
},
{
"code": "104177",
"display": "RF Cardiac"
},
{
"code": "104178",
"display": "RF Celiac Plexus Block"
},
{
"code": "104179",
"display": "RF Genitourinary Tract"
},
{
"code": "104180",
"display": "RF Kyphoplasty"
},
{
"code": "104181",
"display": "RF Nephrolithotomy"
},
{
"code": "104182",
"display": "RF Pancreas Biopsy"
},
{
"code": "104183",
"display": "RF Ureter Dilatation"
},
{
"code": "104184",
"display": "RF Urinary Tract"
},
{
"code": "104186",
"display": "US Adrenal Gland"
},
{
"code": "104187",
"display": "US Aorta Iliac Arterial Doppler"
},
{
"code": "104188",
"display": "US Bone Biopsy"
},
{
"code": "104190",
"display": "US Buttock"
},
{
"code": "104191",
"display": "US Finger"
},
{
"code": "104192",
"display": "US Gallbladder Drainage"
},
{
"code": "104193",
"display": "US Inferior Vena Cava Doppler"
},
{
"code": "104194",
"display": "US Joint"
},
{
"code": "104195",
"display": "US Lumbar Spine"
},
{
"code": "104196",
"display": "US Lung Biopsy"
},
{
"code": "104197",
"display": "US Neck Aspiration"
},
{
"code": "104198",
"display": "US Nephrostomy"
},
{
"code": "104199",
"display": "US Nuchal Translucency Transvaginal"
},
{
"code": "104200",
"display": "US Ovum Retrieval"
},
{
"code": "104201",
"display": "US Renal Cyst Aspiration"
},
{
"code": "104202",
"display": "US Renal Transplant Biopsy"
},
{
"code": "104203",
"display": "US Ribs"
},
{
"code": "104204",
"display": "US Sacrum"
},
{
"code": "104205",
"display": "US Salivary Gland Biopsy"
},
{
"code": "104206",
"display": "US Sentinel Node Injection"
},
{
"code": "104207",
"display": "US Soft Tissue Biopsy"
},
{
"code": "104208",
"display": "US Specimen"
},
{
"code": "104209",
"display": "US Supraclavicular Fossa"
},
{
"code": "104210",
"display": "US Transrectal"
},
{
"code": "104211",
"display": "US Vertebral Artery Doppler"
},
{
"code": "104213",
"display": "XA Abdomen Aorta Angioplasty"
},
{
"code": "104214",
"display": "XA Abdomen Thoracic Aortic Arch Femoral Angiography"
},
{
"code": "104215",
"display": "XA Angiography Pressure Measurements"
},
{
"code": "104217",
"display": "XA Aortic Aneurysm Repair"
},
{
"code": "104218",
"display": "XA Arterial Venous Shunt"
},
{
"code": "104219",
"display": "XA Cardiac Angioplasty"
},
{
"code": "104220",
"display": "XA Cardiac Atherectomy"
},
{
"code": "104221",
"display": "XA Cardiac Biopsy"
},
{
"code": "104222",
"display": "XA Carotid Stent"
},
{
"code": "104223",
"display": "XA Celiac Angiography"
},
{
"code": "104224",
"display": "XA Cerebral Stent"
},
{
"code": "104225",
"display": "XA Cerebral Venography"
},
{
"code": "104226",
"display": "XA Extremity Venography"
},
{
"code": "104227",
"display": "XA Femoral Angioplasty"
},
{
"code": "104228",
"display": "XA Fistula Angioplasty"
},
{
"code": "104229",
"display": "XA Iliac Embolization"
},
{
"code": "104230",
"display": "XA Mesenteric Angiography"
},
{
"code": "104231",
"display": "XA Pelvis Venography"
},
{
"code": "104234",
"display": "XA Portal Vein Embolization"
},
{
"code": "104235",
"display": "XA Subclavian Angiography"
},
{
"code": "104236",
"display": "XA Superior Mesenteric Angiography"
},
{
"code": "104237",
"display": "XA Superior Vena Cava Angioplasty"
},
{
"code": "104238",
"display": "XA Superior Vena Cava Stent"
},
{
"code": "104239",
"display": "XA Thoracic Embolization"
},
{
"code": "104240",
"display": "XA Thrombectomy"
},
{
"code": "104241",
"display": "XA Varicocele Embolization"
},
{
"code": "104242",
"display": "XR Kidney Tomography"
},
{
"code": "104243",
"display": "XR Lumbar Spine Pelvis"
},
{
"code": "104244",
"display": "XR Lumbar Spine Sacroiliac Joint"
},
{
"code": "104246",
"display": "MR Aorta Iliac Angiography with Contrast"
},
{
"code": "104247",
"display": "MR Sacrum Coccyx with Contrast"
},
{
"code": "104252",
"display": "US Upper Extremity Aspiration Bilateral"
},
{
"code": "104253",
"display": "US Upper Extremity Aspiration Left"
},
{
"code": "104254",
"display": "US Upper Extremity Aspiration Right"
},
{
"code": "104257",
"display": "XR Spine Chest"
},
{
"code": "104258",
"display": "XR Spine Chest Pelvis"
},
{
"code": "104259",
"display": "XR Pelvis Lower Extremity"
},
{
"code": "104260",
"display": "XR Pelvis Lower Extremity Bilateral"
},
{
"code": "104261",
"display": "XR Pelvis Lower Extremity Left"
},
{
"code": "104262",
"display": "XR Pelvis Lower Extremity Right"
},
{
"code": "104263",
"display": "XR Spine Pelvis"
},
{
"code": "104264",
"display": "US Lower Extremity Aspiration Bilateral"
},
{
"code": "104265",
"display": "US Lower Extremity Aspiration Left"
},
{
"code": "104266",
"display": "US Lower Extremity Aspiration Right"
},
{
"code": "104267",
"display": "US Abdomen Lower Extremity Bilateral"
},
{
"code": "104268",
"display": "US Abdomen Lower Extremity Left"
},
{
"code": "104269",
"display": "US Abdomen Lower Extremity Right"
},
{
"code": "104270",
"display": "US Abdomen Extremity Venous Doppler"
},
{
"code": "104271",
"display": "US Abdomen Pelvis Extremity Venous Doppler"
},
{
"code": "104273",
"display": "US Pelvis Extremity Venous Doppler"
},
{
"code": "104274",
"display": "US Musculoskeletal"
},
{
"code": "104275",
"display": "XA Inferior Vena Cava Filter"
},
{
"code": "104276",
"display": "MR Angiography with Contrast"
},
{
"code": "104277",
"display": "US Obstetric Intracavitary"
},
{
"code": "104278",
"display": "US Penile Brachial Pressure Index Doppler"
},
{
"code": "104279",
"display": "MR Whole Body"
},
{
"code": "104280",
"display": "XR Cervical Lumbar Spine Pelvis"
},
{
"code": "104281",
"display": "XR Cervical Thoracic Lumbar Spine Chest"
},
{
"code": "104282",
"display": "XR Cervical Thoracic Lumbar Spine Chest Pelvis"
},
{
"code": "104283",
"display": "XR Thoracic Lumbar Spine Chest Pelvis"
},
{
"code": "104284",
"display": "XR Lumbosacral Spine Hip"
},
{
"code": "104285",
"display": "XR Lumbosacral Spine Hip Bilateral"
},
{
"code": "104286",
"display": "XR Lumbosacral Spine Sacroiliac Joints"
},
{
"code": "104287",
"display": "CT Kidney Aspiration"
},
{
"code": "104288",
"display": "RF Pancreas Aspiration"
},
{
"code": "104289",
"display": "RF Spleen Aspiration"
},
{
"code": "104290",
"display": "RF Thyroid Aspiration"
},
{
"code": "104291",
"display": "US Axilla Aspiration Left"
},
{
"code": "104292",
"display": "US Axilla Aspiration Right"
},
{
"code": "104293",
"display": "US Renal Aspiration"
},
{
"code": "104294",
"display": "US Subclavian Vein Doppler"
},
{
"code": "104295",
"display": "US Joint Aspiration"
},
{
"code": "104296",
"display": "US Joint Injection"
},
{
"code": "104297",
"display": "US Perineum"
},
{
"code": "104298",
"display": "CT Scapula Bilateral"
},
{
"code": "104299",
"display": "CT Scapula Bilateral with Contrast"
},
{
"code": "104300",
"display": "CT Scapula Left"
},
{
"code": "104301",
"display": "CT Scapula Left with Contrast"
},
{
"code": "104302",
"display": "CT Scapula Right"
},
{
"code": "104303",
"display": "CT Scapula Right with Contrast"
},
{
"code": "104304",
"display": "MR Ankle Arthrography Left"
},
{
"code": "104305",
"display": "MR Ankle Arthrography Right"
},
{
"code": "104306",
"display": "MR Elbow Arthrography Left"
},
{
"code": "104308",
"display": "MR Elbow Arthrography Right"
},
{
"code": "104309",
"display": "MR Hip Arthrography"
},
{
"code": "104310",
"display": "MR Hip Arthrography Bilateral"
},
{
"code": "104311",
"display": "MR Hip Arthrography Left"
},
{
"code": "104312",
"display": "MR Hip Arthrography Right"
},
{
"code": "104313",
"display": "MR Knee Arthrography"
},
{
"code": "104314",
"display": "MR Knee Arthrography Left"
},
{
"code": "104315",
"display": "MR Knee Arthrography Right"
},
{
"code": "104316",
"display": "MR Shoulder Arthrography"
},
{
"code": "104317",
"display": "MR Shoulder Arthrography Left"
},
{
"code": "104318",
"display": "MR Shoulder Arthrography Right"
},
{
"code": "104319",
"display": "MR Wrist Arthrography"
},
{
"code": "104320",
"display": "MR Wrist Arthrography Left"
},
{
"code": "104322",
"display": "MR Wrist Arthrography Right"
},
{
"code": "104324",
"display": "NM Hip Arthrography"
},
{
"code": "104325",
"display": "NM Knee Arthrography"
},
{
"code": "104326",
"display": "RF Liver Drainage"
},
{
"code": "104327",
"display": "US Salivary Gland Biopsy Left"
},
{
"code": "104328",
"display": "US Salivary Gland Biopsy Right"
},
{
"code": "104329",
"display": "XA Abdomen Femoral Iliac Angioplasty"
},
{
"code": "104330",
"display": "XA PICC Line Extremity Venography"
},
{
"code": "104331",
"display": "US Spine Injection"
},
{
"code": "104332",
"display": "RF Cyst Puncture"
},
{
"code": "104334",
"display": "RF Pericardiocentesis"
},
{
"code": "104335",
"display": "US Axilla Aspiration Bilateral"
},
{
"code": "104336",
"display": "CT Cervical Spine Chest Abdomen Pelvis with Contrast"
},
{
"code": "104337",
"display": "CT Chest Abdomen Pelvis Extremity with Contrast"
},
{
"code": "104339",
"display": "US Femoral Artery Doppler Left"
},
{
"code": "104340",
"display": "US Femoral Artery Doppler Right"
},
{
"code": "104341",
"display": "MR Salivary Glands"
},
{
"code": "104342",
"display": "MR Salivary Glands with Contrast"
},
{
"code": "104343",
"display": "US Obstetric and Biophysical Profile"
},
{
"code": "104344",
"display": "MR Head Carotid"
},
{
"code": "104345",
"display": "CT Chest Pelvis Lower Extremity Bilateral"
},
{
"code": "104346",
"display": "US Abdomen and Biophysical Profile"
},
{
"code": "104347",
"display": "US Abdomen Biophysical Profile Transvaginal"
},
{
"code": "104348",
"display": "US Abdomen Biophysical Profile Perineal"
},
{
"code": "104349",
"display": "US Abdomen Obstetric Perineal"
},
{
"code": "104350",
"display": "US Abdomen Pelvis Scrotum Transrectal"
},
{
"code": "104351",
"display": "US Groin Biopsy"
},
{
"code": "104352",
"display": "US Biophysical Profile Translabial"
},
{
"code": "104353",
"display": "US Pelvis Groin Bilateral"
},
{
"code": "104354",
"display": "US Pelvis Groin Left"
},
{
"code": "104355",
"display": "US Pelvis Groin Right"
},
{
"code": "104356",
"display": "US Pelvis Perineum"
},
{
"code": "104357",
"display": "US Pelvis Scrotum Transrectal"
},
{
"code": "104358",
"display": "CT Chest Abdomen Pelvis Extremity"
},
{
"code": "104359",
"display": "US Abdomen Biophysical Profile Translabial and Transvaginal"
},
{
"code": "104360",
"display": "US Abdomen Obstetric Translabial and Transvaginal"
},
{
"code": "104361",
"display": "US Biophysical Profile Translabial and Transvaginal"
},
{
"code": "104362",
"display": "US Obstetric Translabial and Transvaginal"
},
{
"code": "104363",
"display": "US Facet Joint Injection"
},
{
"code": "104364",
"display": "US Femoral Vein Doppler"
},
{
"code": "104365",
"display": "XR Temporomandibular Joint Tomography"
},
{
"code": "104366",
"display": "XR Facial Bone Tomography"
},
{
"code": "104367",
"display": "XR Lumbar Spine Tomography"
},
{
"code": "104368",
"display": "XR Cervical Spine Tomography"
},
{
"code": "104369",
"display": "XR Thoracic Spine Tomography"
},
{
"code": "104370",
"display": "XR Shoulder Tomography Left"
},
{
"code": "104371",
"display": "XR Shoulder Tomography Right"
},
{
"code": "104372",
"display": "XR Upper Extremity Tomography Left"
},
{
"code": "104373",
"display": "XR Upper Extremity Tomography Right"
},
{
"code": "104374",
"display": "XR Pelvis Hip Tomography Left"
},
{
"code": "104375",
"display": "XR Pelvis Hip Tomography Right"
},
{
"code": "104376",
"display": "XR Lower Extremity Tomography Left"
},
{
"code": "104377",
"display": "XR Lower Extremity Tomography Right"
},
{
"code": "104378",
"display": "XR Femur Tomography Left"
},
{
"code": "104379",
"display": "XR Femur Tomography Right"
},
{
"code": "104380",
"display": "XR Rib Tomography Left"
},
{
"code": "104381",
"display": "XR Rib Tomography Right"
},
{
"code": "104382",
"display": "XR Sternum Tomography"
},
{
"code": "104383",
"display": "XR Lung Tomography"
},
{
"code": "104384",
"display": "XR Abdomen Tomography"
},
{
"code": "104385",
"display": "US Obstetric and Fetal Head Doppler"
},
{
"code": "104386",
"display": "US Abdomen Pelvis and Organ Transplant Doppler"
},
{
"code": "104387",
"display": "US Abdomen Pelvis and Renal Transplant Doppler"
},
{
"code": "104388",
"display": "US Pelvis and Renal Transplant Doppler"
},
{
"code": "104389",
"display": "US Cervical Spine"
},
{
"code": "104391",
"display": "US Thoracic Spine"
},
{
"code": "104392",
"display": "US Internal Mammary Artery Doppler"
},
{
"code": "104393",
"display": "MR Cervical Spine Brachial Plexus"
},
{
"code": "104394",
"display": "US Temporal Artery Doppler"
},
{
"code": "104395",
"display": "XR Chest Tomography"
},
{
"code": "104396",
"display": "US Saphenous Vein Doppler Bilateral"
},
{
"code": "104397",
"display": "XR Salivary Gland Left"
},
{
"code": "104398",
"display": "XR Salivary Gland Right"
},
{
"code": "104399",
"display": "XR Internal Auditory Canal Tomography"
},
{
"code": "104400",
"display": "CT Chest Abdomen Extremity Angiography"
},
{
"code": "104401",
"display": "MR Extremity Arthrography"
},
{
"code": "104402",
"display": "XR Ear Soft Tissue"
},
{
"code": "104403",
"display": "US Saphenous Vein Doppler Left"
},
{
"code": "104404",
"display": "US Saphenous Vein Doppler Right"
},
{
"code": "104405",
"display": "US Back Biopsy"
},
{
"code": "104407",
"display": "MR Upper Extremity Angiography with Contrast"
},
{
"code": "104408",
"display": "XR Femur Tomography"
},
{
"code": "104409",
"display": "XR Pelvis Hip Tomography"
},
{
"code": "104410",
"display": "MR Abdomen Pelvis Angiography"
},
{
"code": "104411",
"display": "MR Lower Extremity Angiography with Contrast"
},
{
"code": "104412",
"display": "MR Thigh Bilateral with Contrast"
},
{
"code": "104413",
"display": "XA Fistula Injection"
},
{
"code": "104414",
"display": "CT Spleen Aspiration"
},
{
"code": "104415",
"display": "US Spleen Aspiration"
},
{
"code": "104416",
"display": "US Breast Drainage"
},
{
"code": "104417",
"display": "US Ovarian Cyst Aspiration"
},
{
"code": "104418",
"display": "CT Axilla"
},
{
"code": "104420",
"display": "US Cyst Aspiration"
},
{
"code": "104421",
"display": "MR Skeleton"
},
{
"code": "104422",
"display": "MR Skeleton with Contrast"
},
{
"code": "104423",
"display": "US Thyroid Cyst Aspiration"
},
{
"code": "104424",
"display": "US Groin Transvaginal"
},
{
"code": "104425",
"display": "CT Pelvis Lower Extremity"
},
{
"code": "104426",
"display": "MR Pelvis Hip Bilateral with Contrast"
},
{
"code": "104427",
"display": "US Jugular Doppler"
},
{
"code": "104428",
"display": "US Biceps"
},
{
"code": "104429",
"display": "US Biceps Bilateral"
},
{
"code": "104430",
"display": "US Pelvis Groin Transvaginal"
},
{
"code": "104431",
"display": "US Abdomen Groin"
},
{
"code": "104432",
"display": "US Abdomen Groin Bilateral"
},
{
"code": "104433",
"display": "US Abdomen Pelvis Groin"
},
{
"code": "104438",
"display": "US Abdomen Pelvis Groin Bilateral"
},
{
"code": "104439",
"display": "CT Head Venography"
},
{
"code": "104440",
"display": "XR Upper Extremity Tomography"
},
{
"code": "104441",
"display": "RF Renal Cyst Aspiration"
},
{
"code": "104442",
"display": "XR Lower Extremity Tomography"
},
{
"code": "104443",
"display": "MR Extremity Venography"
},
{
"code": "104444",
"display": "XA Subclavian Venography"
},
{
"code": "104445",
"display": "XR Shoulder Tomography"
},
{
"code": "104446",
"display": "XR Hip Tomography"
},
{
"code": "104447",
"display": "XR Pelvis Tomography"
},
{
"code": "104448",
"display": "XR Skull Tomography"
},
{
"code": "104449",
"display": "XR Spine Tomography"
},
{
"code": "104450",
"display": "XA Superior Vena Cava Extremity"
},
{
"code": "104451",
"display": "MR Chest Lower Extremity Bilateral with Contrast"
},
{
"code": "104452",
"display": "MR Cervical Thoracic Lumbar Spine Pelvis"
},
{
"code": "104453",
"display": "CT Enterography with Contrast"
},
{
"code": "104454",
"display": "MR Pelvis Extremity Angiography"
},
{
"code": "104455",
"display": "MR Neck Venography"
},
{
"code": "104456",
"display": "MR Neck Venography with Contrast"
},
{
"code": "104457",
"display": "US Penile Pressure"
},
{
"code": "104458",
"display": "US Pericardiocentesis"
},
{
"code": "104459",
"display": "MR Thoracic Inlet"
},
{
"code": "104460",
"display": "MR Thoracic Inlet with Contrast"
},
{
"code": "104461",
"display": "RF Cyst Aspiration"
},
{
"code": "104462",
"display": "XR Soft Tissue"
},
{
"code": "104463",
"display": "MR Cholangiopancreatography with Contrast"
},
{
"code": "104464",
"display": "MR Thyroid with Contrast"
},
{
"code": "104465",
"display": "MR Calf with Contrast"
},
{
"code": "104466",
"display": "MR Calf Bilateral with Contrast"
},
{
"code": "104467",
"display": "MR Thigh with Contrast"
},
{
"code": "104468",
"display": "US Abdomen Lower Extremity Vascular Doppler Bilateral"
},
{
"code": "104469",
"display": "US Abdomen Lower Extremity Vascular Doppler Left"
},
{
"code": "104470",
"display": "US Abdomen Lower Extremity Vascular Doppler Right"
},
{
"code": "104471",
"display": "CT Thoracic Myelography"
},
{
"code": "104472",
"display": "US Abdomen Lower Extremity Venous Doppler Left"
},
{
"code": "104473",
"display": "US Abdomen Lower Extremity Venous Doppler Right"
},
{
"code": "104474",
"display": "US Abdomen Pelvis Lower Extremity Venous Doppler Left"
},
{
"code": "104475",
"display": "US Abdomen Pelvis Lower Extremity Venous Doppler Right"
},
{
"code": "104476",
"display": "US Pelvis Lower Extremity Venous Doppler Left"
},
{
"code": "104477",
"display": "US Pelvis Lower Extremity Venous Doppler Right"
},
{
"code": "104478",
"display": "US Femoral Vascular Doppler"
},
{
"code": "104479",
"display": "MR Thigh"
},
{
"code": "104480",
"display": "MR Calf Left with Contrast"
},
{
"code": "104481",
"display": "MR Calf Right with Contrast"
},
{
"code": "104482",
"display": "NM Transcapillary Escape Rate"
},
{
"code": "104483",
"display": "US Scrotum Aspiration"
},
{
"code": "104484",
"display": "US Toe"
},
{
"code": "104485",
"display": "US Toe Left"
},
{
"code": "104486",
"display": "US Toe Right"
},
{
"code": "104487",
"display": "US Finger Left"
},
{
"code": "104488",
"display": "US Finger Right"
},
{
"code": "104489",
"display": "US Renal Vascular Doppler"
},
{
"code": "104491",
"display": "DI Procedure"
},
{
"code": "104492",
"display": "DI Consult"
},
{
"code": "104493",
"display": "US Abdomen Pelvis Lower Extremity"
},
{
"code": "104494",
"display": "XA Femoral Artery Stent"
},
{
"code": "104495",
"display": "XA Popliteal Artery Stent"
},
{
"code": "104496",
"display": "XA Femoral Iliac Artery Stent"
},
{
"code": "104497",
"display": "XA Renal Iliac Angioplasty"
},
{
"code": "104498",
"display": "XA Popliteal Angioplasty"
},
{
"code": "104499",
"display": "DI Abdomen"
},
{
"code": "104500",
"display": "DI Lower Extremity"
},
{
"code": "104501",
"display": "DI Pelvis"
},
{
"code": "104502",
"display": "DI Head"
},
{
"code": "104503",
"display": "DI Upper Extremity"
},
{
"code": "104504",
"display": "DI Chest"
},
{
"code": "104505",
"display": "DI Spine"
},
{
"code": "104506",
"display": "DI Neck"
},
{
"code": "104507",
"display": "CT Salivary Glands"
},
{
"code": "104508",
"display": "CT Salivary Glands with Contrast"
},
{
"code": "104509",
"display": "CT Abdomen Pelvis Upper Extremity Angiography"
},
{
"code": "104510",
"display": "CT Head Spine Chest Abdomen Pelvis Lower Extremity"
},
{
"code": "104511",
"display": "XA Pelvis Angioplasty"
},
{
"code": "104512",
"display": "CT Neck Drainage"
},
{
"code": "104513",
"display": "XA Spine Angioplasty"
},
{
"code": "104514",
"display": "RF Pyeloplasty"
},
{
"code": "104515",
"display": "RF Ventriculostomy"
},
{
"code": "104516",
"display": "CT Spine Chest Abdomen Pelvis"
},
{
"code": "104517",
"display": "CT Spine Chest Abdomen Pelvis with Contrast"
},
{
"code": "104518",
"display": "CT Chest Extremity"
},
{
"code": "104519",
"display": "CT Chest Extremity with Contrast"
},
{
"code": "104520",
"display": "RF Lung Biopsy Bilateral"
},
{
"code": "104521",
"display": "CT Abdomen Pelvis Lower Extremity Bilateral with Contrast"
},
{
"code": "104522",
"display": "CT Abdomen Pelvis Lower Extremity Left with Contrast"
},
{
"code": "104523",
"display": "CT Abdomen Pelvis Lower Extremity Right with Contrast"
},
{
"code": "104524",
"display": "CT Abdomen Pelvis Lower Extremity"
},
{
"code": "104525",
"display": "CT Upper Extremity Drainage"
},
{
"code": "104526",
"display": "CT Upper Extremity Drainage Left"
},
{
"code": "104527",
"display": "CT Upper Extremity Drainage Right"
},
{
"code": "104528",
"display": "CT Lower Extremity Drainage"
},
{
"code": "104529",
"display": "CT Lower Extremity Drainage Left"
},
{
"code": "104530",
"display": "CT Lower Extremity Drainage Right"
},
{
"code": "104531",
"display": "CT Lumbosacral Spine with Contrast"
},
{
"code": "104532",
"display": "CT Upper Extremity Angiography Left"
},
{
"code": "104533",
"display": "CT Upper Extremity Angiography Right"
},
{
"code": "104534",
"display": "CT Scapula"
},
{
"code": "104535",
"display": "RF Endopyelotomy"
},
{
"code": "104536",
"display": "US Parathyroid"
},
{
"code": "104537",
"display": "XA Chest Angioplasty"
},
{
"code": "104538",
"display": "CT Abdomen Pelvis Lower Extremity with Contrast"
},
{
"code": "104539",
"display": "CT Abdomen Pelvis Upper Extremity"
},
{
"code": "104540",
"display": "CT Abdomen Pelvis Upper Extremity with Contrast"
},
{
"code": "104541",
"display": "CT Abdomen Pelvis Upper Extremity Bilateral with Contrast"
},
{
"code": "104542",
"display": "CT Abdomen Pelvis Upper Extremity Left with Contrast"
},
{
"code": "104543",
"display": "CT Abdomen Pelvis Upper Extremity Right with Contrast"
},
{
"code": "104544",
"display": "Mammo Tomosynthesis"
},
{
"code": "104545",
"display": "Mammo Tomosynthesis Bilateral"
},
{
"code": "104546",
"display": "Mammo Tomosynthesis Left"
},
{
"code": "104547",
"display": "Mammo Tomosynthesis Right"
},
{
"code": "104548",
"display": "MR Prostate Biopsy"
},
{
"code": "104549",
"display": "RF Sacroiliac Joint Arthrography"
},
{
"code": "104550",
"display": "RF Sacroiliac Joint Arthrography Bilateral"
},
{
"code": "104551",
"display": "RF Sacroiliac Joint Arthrography Left"
},
{
"code": "104552",
"display": "RF Sacroiliac Joint Arthrography Right"
},
{
"code": "104553",
"display": "CT Chest Lower Extremity with Contrast"
},
{
"code": "104554",
"display": "US Abdomen Lower Extremity Arterial Doppler Bilateral"
},
{
"code": "104555",
"display": "US Abdomen Lower Extremity Arterial Doppler Left"
},
{
"code": "104556",
"display": "US Abdomen Lower Extremity Arterial Doppler Right"
},
{
"code": "104557",
"display": "US Abdomen Pelvis Lower Extremity Vascular Doppler"
},
{
"code": "104558",
"display": "US Rectum"
},
{
"code": "104559",
"display": "US Scrotum Biopsy"
},
{
"code": "104560",
"display": "US Rectum Biopsy"
},
{
"code": "104561",
"display": "US Fetal Head Doppler"
},
{
"code": "104562",
"display": "US Embolization"
},
{
"code": "104563",
"display": "CT Lower Extremity Angiography Left"
},
{
"code": "104564",
"display": "CT Lower Extremity Angiography Right"
}
]
}