CT CPT Codes
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More CPT Codes: MRI | Nuclear Medicine | PET/CT | PET/MR | Ultrasound
Premedication for Contrast Allergy
- Patients with hives or rash must be pre-medicated for an IV contrast CT scan (not oral contrast).
- Patients with vomiting or dizziness with IV contrast or shellfish allergy do not require premedication.
- Patients with anaphylaxis or laryngeal edema should be discussed with radiologist before the exam and/or premedication is ordered.
Premedication Protocol
- Prednisone: 50 mg PO (three doses total) to be taken 13 hours, 7 hours and 1 hour prior to appointment.
- Diphenhydramine (Benadryl) (optional): 50 mg PO to be taken 1 hour prior to exam.
Body CT
Prep: NPO 2 hours for all studies w/ contrast
Arrival time: 30 minutes prior to exam for registration and prep
CPT Code 71250
IMG 200
- Lung Nodules (may be done w/contrast if ordering MD desires)
- Pneumonia (may be done w/contrast if ordering MD desires)
- Pleural effusion (may be done w/contrast if ordering MD desires)
- COPD
CPT Codes 71250 (IMG 200) & 76377
- Airway imaging (includes TBM), Tracheal stenosis, Tracheal malacia (Tracheal Tree)
- Redo sternotomy for patients who cannot have contrast
- Aortic or mitral valve for patients who cannot have contrast
CPT Code 71250
IMG 4142
- Interstitial lung disease
CPT Codes 71260
IMG 202
- Lung Cancer (may be done w/o Contrast if ordering MD desires)
- Chest wall mass
- Mediastinal mass/abnormality
- Empyema
- Hilar mass/abnormality
- Aneurysm follow-up (size only)
- Chest Pain (may be done w/o contrast if ordering MD desires)
- Coarctation of the aorta
- Dissection (chest only, no 3D)
CPT Code 71275
IMG 3146
- Pulmonary embolism (PE)
CPT Code 71271
IMG 203
- Lung cancer screening (w /o contrast)
CPT Code 71270
IMG 203
Dissection (if in conjunction with Abdomen and Pelvis CT w/contrast please see “Chest w/ and w/o contrast and Abdomen Pelvis w/contrast” (CPT Code 74177, IMG 698)
CPT Code 71275
IMG 2269
- Aortic or mitral valve
- Thoracic outlet syndrome
- Chronic PE
- Pulmonary AVM (including f/u)
CPT Code 74150
IMG 785
- Adrenal mass detection
CPT Code 74160
IMG 237
- Liver Mass Characterization/Surgical Planning
- Hepatitis/Cirrhosis/Cholangiocarcinoma
- Post treatment HCC (not for metastatic surveillance)
CPT Code 74170
IMG 238
- Renal Mass Characterization/Surgical Planning (if in conjunction with Pelvis CT w/contrast CPT Code 74178, IMG 783)
- Pancreatic mass characterization/surgical planning (if in conjunction with Pelvis CT w/contrast CPT Code 74178, IMG 783)
- Liver chemo embolization or RFA (if in conjunction with Pelvis CT w/ contrast CPT Code 74178, IMG 783)
- Adrenal mass characterization
CPT Code 74176
IMG 784
- Abdomen and pelvis patients who cannot have contrast
CPT Code 74176
IMG 4160
- Renal Stone/RP bleed
CPT Code 74176 & 76377
IMG 995
- Pre- and post-endoluminal grafting for patients who cannot have contrast
CPT Code 74177
IMG 794
- Abdominal pain/abdominal mass/malignancy
- Nausea and vomiting/weight loss/fever
- Diverticulitis/appendicitis/abscess/acute pancreatitis
- Dissection
- Trauma/bowel perforation
- Any other indication that is not already listed
CPT Code 74177
IMG 4166
- CT Enterography (Note: NPO 4 hours
Note: NPO 4 hours. Arrive 90 minutes prior to exam for registration and prep.
CPT Code 74178
IMG 783
- Ischemic Bowel
- GI bleeding Angiography
CPT Code 74175
IMG 4118
- Pre liver transplant/portal vein embolization
- Hepatic resection candidates
- Living liver donor
CPT Code 74174
IMG 240
- Pre- and post-endoluminal grafting/TAVI
- TRAM flap surgical planning
- Living renal donor
- Gated TAVI (if in conjunction with Heart CT w/contrast (Morphology), CPT code 75572, IMG 7603)
CPT Code 71260 &74177
IMG 2246
- Malignancy staging/malignancy follow-up angiography
CPT Code 71250 & 74176
IMG 994
- Pre- and post-endoluminal grafting for patients who cannot have contrast
CPT Code 71275 & 74174
IMG 2232
- Pre- and post-endoluminal grafting
- Minimally invasive cannulation
CPT Code 71250 & 74176
IMG994
- Pre- and post-endoluminal grafting for patients who cannot have contrast
CPT Code 74261
IMG 1233
- Failed colonoscopy (if with IV contrast, CPT Code 74262, IMG 2251)
- Patients that cannot be sedated or cannot stop blood thinners for conventional colonoscopy (if with IV contrast, CPT Code 74262, IMG 2251)
CPT Code 74178 & 76377
IMG 7592
- Hematuria (if w/o 3D reconstructions, CPT Code 74178, IMG 2252)
Note: Instruct patient to arrive 45 minutes prior to exam for registration and prep.
CPT Code 75635
IMG 1663
- CT AIF/bypass evaluation/cold leg/leg ischemia
Cardiac CT
Prep: Patient should not have caffeine 24 hours prior to exam; NPO 2 hours for all studies w/ contrast
Arrival time: 30 minutes prior to exam for registration and prep
CPT Code 75574
IMG 2250
- Coronary artery disease/Bypass graft evaluation
- Chest pain suspected cardiac
CPT Code 75572
IMG 2253
- Pulmonary venous mapping
- Pulmonary vein evaluation
CPT Code 75572 & 74174
IMG 7603
- Gated TAVI
Neuro CT
Prep: NPO 2 hours for all studies w/ contrast
Arrival time: 30 minutes prior to exam for registration and prep
CPT Code 70450
IMG 181
- Headache/trauma/stroke/TIA
- Dizziness/intracranial bleed
CPT Code 70470
IMG 182
- Mass/metastatic disease
CPT Code 70491
IMG 192
- Neck mass/malignancy staging/malignancy follow (if contrast is not desired, w/o contrast CPT Code 70490, IMG 191)
CPT Code 70486
IMG 1245
- Acute or chronic sinusitis/nasal cavity polyps
CPT Code 70480
IMG 2256
- Trauma/black eye/visual defects
CPT Code 70486
IMG 188
- Trauma/black eye/facial contusion/jaw injury
CPT Code 70487
IMG 189
- Facial weakness/neoplasm/malignancy/cellulitis/abscess
CPT Code 70480
IMG 2258
- Ear disorder/deafness/acute mastoiditis
- Trauma/ear injury
- Intraparenchymal hematoma
CPT Code 70480
IMG 4133
- Pre/Post cochlear implant
CPT Code 70496
IMG 786
- Intracranial aneurysm/stenosis/dissection
- Subarachnoid hemorrhage (SAH)/Arteriovenous malformation (AVM)
CPT Code 70496 and 70498
IMG 2228
- Extracranial aneurysm/stenosis/dissection
- Subarachnoid hemorrhage (SAH)/Arteriovenous malformation (AVM)
- Penetrating neck injury
- Cervical spine fracture
CPT Code 72125, IMG 207 (C-Spine)
CPT Code 72128, IMG 210 (T-Spine)
CPT Code 72131, IMG 213 (L-Spine)
- Radiculopathy/trauma/pain
Myeolography CT
Prep: NPO 4 hours; may drink clear liquids up to 30 minutes prior to exam
Arrival time: 30 minutes prior to exam for registration and prep
CPT Code 72240 (Precert CPT Code 72240 & 72126)
IMG 7604
- Problem cases unresolved by non-invasive imaging
- Patients with contraindications for MR
- Cervical myelopathy or radiculopathy in which fine bone detail is desired
- Presurgical planning and mapping
CPT Code 72255 (Precert CPT Code 72255 & 72129)
IMG 7605
- Problem cases unresolved by non-invasive imaging
- Patients with contraindications for MR
- Thoracic myelopathy or radiculopathy in which fine bone detail is desired
- Presurgical planning and mapping
CPT Code 72265 (Precert CPT Code 72265 & 72132)
IMG 214
- Problem cases unresolved by non-invasive imaging
- Patients with contraindications for MR
- Lumbar radiculopathy in which fine bone detail is desired presurgical planning and mapping
Musculoskeletal CT
Prep: NPO 2 hours for all studies w/ contrast
Arrival time: 30 minutes prior to exam for registration and prep
CPT Code 71250
IMG 4141
- Fracture
- Trauma
CPT Code 71260
IMG 4144
- Mass/Tumor
- Infection
CPT Code 73200
IMG 1723 (Left)
IMG 1726 (Right)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
- Arthroplasty loosening evaluation
CPT Code 73201
IMG 1319 (Left)
IMG 1724 (Right)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73201
IMG 2288 (Left)
IMG 2289 (Right)
- Rotator cuff or labral injury, unable to get MRI
- Arthroplasty evaluation
CPT Code 73200
IMG 220 (Left)
IMG 221 (Right)
- Fracture, trauma
CPT Code 73201
IMG 222 (Left)
IMG 223 (Right)
- Mass/Tumor
- Infection
CPT Code 73200
IMG 244 (Left)
IMG 194 (Right)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
- Arthroplasty evaluation
CPT Code 73201
IMG 246 (Left)
IMG 1263 (Right)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73201
IMG 94 (Left)
IMG 95 (Right)
- Osteochondral lesion (OCD)
- Cartilage injury or repair loose body
- Loose body
CPT Code 73200
IMG 1727 (Left)
IMG 1728 (Right)
- Fracture, trauma
CPT Code 73201
IMG 1729 (Left)
IMG 1730 (Right)
- Mass/Tumor
- Infection
CPT Code 73200
IMG 1733 (Left)
IMG 1734 (Right)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
CPT Code 73201
IMG 1735 (Left)
IMG 1736 (Right)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73201
IMG 106 (Left)
IMG 107 (Right)
- Ligament injury
- Triangular fibrocartilage (TFC) complex injury
- Articular cartilage injury
CPT Code 73200
IMG 1739 (Left)
IMG 1740 (Right)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
CPT Code 73201
IMG 1024 (Left)
IMG 1741 (Right)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 72192
IMG 217
- Fracture, trauma
- Osteoarthritis (OA)
- Bone stock/bone graft harvest evaluation
CPT Code 72192
IMG 4154
- Fracture, trauma
- Osteoarthritis (OA)
- Bone stock/bone graft harvest evaluation
CPT Code 72193
IMG 218
- Mass/Tumor
- Infection
CPT Code 73700
IMG 1371 (Left)
IMG 1372 (Right)
IMG 622 (Bilat)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
- Arthroplasty evaluation
CPT Code 73701
IMG 230 (Left)
IMG 1381 (Right)
IMG 623 (Bilat)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73701
IMG 4099 (Left)
IMG 4100 (Right)
- Labral tear
- Articular cartilage injury
CPT Code 73700 (specify unilateral or bilateral)
IMG 1373 (Left)
IMG 1374 (Right)
IMG 601 (Bilat)
- Fracture, trauma
CPT Code 73701 (specify unilateral or bilateral)
IMG 1669 (Left)
IMG 1382 (Right)
IMG 602 (Bilat)
- Mass/Tumor
- Infection
CPT Code 73700 (specify unilateral or bilateral)
IMG 228 (Left)
IMG 229 (Right)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
- Arthroplasty evaluation
IMG 670 (Bilat)
CPT Code 73701 (specify unilateral or bilateral)
IMG 1384 (Left)
IMG 231 (Right)
IMG 671 (Bilat)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73701
IMG 4101 (Left)
IMG 4102 (Right)
- Meniscus tear or repair
- Cartilage injury or repair
- Osteochondral lesion (OCD)
- Loose body
CPT Code 73700 (specify unilateral or bilateral)
IMG 2298 (Left)
IMG 2299 (Right)
IMG 686 (Bilat)
- Fracture, trauma
CPT Code 73701 (specify unilateral or bilateral)
IMG 4109 (Left)
IMG 4110 (Right)
IMG 687 (Bilat)
- Mass/Tumor
- Infection
CPT Code 73700 (specify unilateral or bilateral)
IMG 3143 (Left)
IMG 3144 (Right)
IMG 586 (Bilat)
- Fracture, trauma
- Osteoarthritis (OA)
- Arthrodesis evaluation
- Arthroplasty evaluation
CPT Code 73701 (specify unilateral or bilateral)
IMG 2806 (Left)
IMG 2807 (Right)
IMG 587 (Bilat)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
CPT Code 73701
IMG 2808 (Left)
IMG 2809 (Right)
- Osteochondral lesion (OCD)
- Cartilage injury or repair
- Loose body
CPT Code 73700 (specify unilateral or bilateral)
IMG 1377 (Left)
IMG 1378 (Right)
IMG 604 (Bilat)
- Fracture, trauma
- Osteoarthritis (OA)
- Evaluation
CPT Code 73701 (specify unilateral or bilateral)
IMG 1380 (Left)
IMG 1671 (Right)
IMG 606 (Bilat)
- Mass/Tumor
- Infection (if concern for septic joint should be aspirated prior to CT)
Not all exams are available at all locations.