Radiology 2009

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BPOMAS RADIOLOGY TARIFFS 2020_21General Codes

00110 X-ray skeletal survey under five years 544.0000115 X-ray skeletal survey over five years 904.1000120 X-ray sinogram any region 946.4000130 X-ray with mobile unit in other facility 165.1000135 X-ray control view in theatre any region 457.2000140 X-ray fluoroscopy any region 196.40

May only be added to the examination when fluoroscopy is not included in the standard procedure code. May not be added to: • any angiography, venography, lymphangiography or interventional codes. • any contrasted fluoroscopy examination.

00145 X-ray fluoroscopy guidance for biopsy, any region 460.50Add to the procedure eg. 80600, 80605, 80610.

00150 X-ray C-Arm (equipment fee only, not procedure) per half hour 210.50Only to be used if equipment is owned by the radiologist.

00155X-ray C-arm fluoroscopy in theatre per half hour (procedure only) 200.00

00160 X-ray fixed theatre installation (equipment fee only) 196.40Only to be used if equipment is owned by the radiologist.Identification code for the use of contrast with a procedure. Appropriate codes to be supplied.

00210 Ultrasound with mobile unit in other facility 160.00Add to the relevant ultrasound examination codes eg 10200.

00220 Ultrasound intra-operative study 636.40

Covers all regions studied. Single code per operative procedure.00230 Ultrasound guidance 1051.60

Comprehensive ultrasound code including regional study and guidance. Guided procedure code to be added eg. 80600, 80605, 80610.

00240 Ultrasound guidance for tissue ablation 976.70

Comprehensive ultrasound code including regional study and guidance. Radiologist assistance (01030) may be added if procedure is performed by a non-radiologist. Guided procedure code to be added if performed by a radiologist. 80620 or 80630.

00250 Ultrasound limited Doppler study any region 565.0000310 CT planning study for radiotherapy 1857.4000320 CT guidance (separate procedure) 1470.60

Comprehensive CT code including regional study and guidance. Guided procedure code to be added eg 80600, 80605, and 80610.

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00330 CT guidance, with diagnostic procedure 735.20To be added to the diagnostic procedure code. Guided procedure code to be added eg 80600, 80605, 80610.

00340 CT guidance and monitoring for tissue ablation 1838.30May only be used once per procedure for a region. Radiologist assistance (01030) may be added if procedure is performed by a non-radiologist. If performed by radiologist, add procedural code 80620, or 80630.Identification code for the use of contrast with a procedure. Appropriate codes to be supplied.

00410 MR study of the whole body for metastases screening 6119.0000420 MR Spectroscopy any region 2512.0000430 MR guidance for needle replacement 3699.30

Comprehensive MRI code including region studied and guidance. Guided procedure code to be added eg 80600, 80605, 80610.

00440 MR low field strength imaging of peripheral joint any region 1043.0000450 MR planning study for radiotherapy or surgical procedure 3303.00

00455MR planning study for radiotherapy or surgical procedure, with contrast 4085.20Identification code for the use of contrast with a procedure. Appropriate codes to be supplied.

00510 Analogue monoplane screening table 3564.50A machine code may be added once per complete procedure / patient visit.

00520 Analogue monoplane table with DSA attachment 4128.50A machine code may be added once per complete procedure / patient visit.

00530Dedicated angiography suite: Analogue monoplane unit. Once off charge per patient by owner of equipment. 4,128.50A machine code may be added once per complete procedure / patient visit.

00540 Digital monoplane screening table 6,946.60A machine code may be added once per complete procedure / patient visit.

00550Dedicated angiography suite: Digital monoplane unit. Once off charge per patient by owner of equipment. 8,086.00

00560Dedicated angiography suite: Digital bi-plane unit. Once off charge per patient by owner of equipment. 10,864.90A machine code may be added once per complete procedure / patient visit.

00590 Angiography and interventional examination contrast material 7,314.50Identification code for the use of contrast with a procedure. Appropriate codes to be supplied.

01010 Emergency call out fee, first case 260.9001020 Emergency call out fee, subsequent cases same trip 173.9001050 Written report on study done elsewhere -short 126.00

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01055 Written report on study done elsewhere - extensive 354.39HeadSkull and Brain

10100 X-ray of the skull 335.4010110 X-ray tomography of the skull 373.9010120 X-ray shuntogram for VP shunt 1,335.2010200 Ultrasound of the brain – Neonatal 641.4010210 Ultrasound of the brain including doppler 1,148.90

10220Ultrasound of the intracranial vasculature, including B mode, pulse and colour doppler 1,307.30

10300 CT Brain uncontrasted 1,968.6010310 CT Brain with contrast only 2,892.5010320 CT Brain pre and post contrast 3,518.5010325 CT brain pre and post contrast for perfusion studies 4,267.70

Stand alone code may not be added to any other CT studies of the brain, except for code 10330

10330 CT angiography of the brain 6,743.0010335 CT of the brain pre and post contrast with angiography 8,510.0010340 CT brain for cranio-stenosis including 3D 2,969.1010350 CT Brain stereotactic localisation 1,682.8010360 CT base of skull coronal high resolution study for CSF leak 3,033.6010400 MR of the brain, limited study 3,786.2010410 MR of the brain uncontrasted 5,545.3010420 MR of the brain with contrast 6,600.4010430 MR of the brain pre and post contrast 9,043.0010440 MR of the brain pre and post contrast, for perfusion studies 9,338.6010450 MR of the brain plus angiography 8,013.9010460 MR of the brain pre and post contrast plus angiography 10,537.2010470 MR angiography of the brain uncontrasted 5,084.9010480 MR angiography of the brain contrasted 6,433.8010485 MR of the brain, with diffusion studies 6,866.4010490 MR of the brain, pre and post contrast, with diffusion studies, 9,616.60

10492MR study of the brain plus angiography plus diffusion, uncontrasted 8,257.40

10495MR of the brain pre and post contrast plus angiography and diffusion 10,903.10

10500 Arteriography of intracranial vessels: 1 - 2 vessels 4,224.4010510 Arteriography of intracranial vessels: 3 - 4 vessels 7,156.0010520 Arteriography of extra-cranial (non-cervical) vessels 4,210.40

10530Arteriography of intracranial and extra-cranial (non-cervical) vessels 10,264.40

10540Arteriography of intracranial vessels (4) plus 3 D rotational angiography 8,480.70

10550Arteriography of intracranial vessels (1) plus 3D rotational angiography 3,241.20

10560 Venography of dural sinuses 4,539.70Facial bones and nasal bones

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Codes 11100 (facial bones) and 11110 (tomography) may be combined

11100 X-ray of the facial bones 341.7011110 X-ray tomography of the facial bones 373.9011120 X-ray of the nasal bones 207.5011300 CT of the facial bones 1,821.9011310 CT of the facial bones with 3D reconstructions 2,642.2011320 CT of the facial bones/soft tissue, pre and post contrast 3,586.4011400 MR of the facial soft tissue 5,423.9011410 MR of the facial soft tissue pre and post contrast 8,744.0011420 MR of the facial soft tissue plus angiography, with contrast 9,587.0011430 MR angiography of the facial soft tissue 6,433.80

Orbits, lacrimal glands and tear ductsCode 12130 (tomography) may be added to 12100 or 12110 or 12120 (orbits) or 12140 (dacrocystography).

12100 X-ray orbits less than three views 309.7012110 X-ray of the orbits, three or more views, including foramina 460.5012120 X-ray of the orbits for foreign body 309.7012130 X-ray tomography of the orbits 373.9012140 X-ray dacrocystography 973.6012200 Ultrasound of the orbit/eye 445.9012210 Ultrasound of the orbit/eye including doppler 953.7012300 CT of the orbits single plane 1,364.6012310 CT of the orbits, more than one plane 1,789.6012320 CT of the orbits pre and post contrast single plane 3,131.9012330 CT of the orbits pre and post contrast multiple planes 3,450.8012400 MR of the orbits 5,428.9012410 MR of the orbitae, pre and post contrast 8,747.60

Paranasal sinusesCode 13120 (tomography) may be added to 13100, 13110 (paranasal sinuses), 13130 (nasopharyngeal).

13100 X-ray of the paranasal sinuses, single view 238.0013110 X-ray of the paranasal sinuses, two or more views 318.1013120 X-ray tomography of the paranasal sinuses 373.9013130 X-ray of the naso-pharyngeal soft tissue 238.0013300 CT of the paranasal sinuses single plane, limited study 625.8013310 CT of the paranasal sinuses, two planes, limited study 1,077.9013320 CT of the paranasal sinuses, any plane, complete study 1,340.30

13330CT of the paranasal sinuses, more than one plane, complete study 1,805.40

13340CT of the paranasal sinuses, any plane, complete study: pre and post contrast 3,019.50

13350CT of the paranasal sinuses, more than one plane, complete study; pre and post contrast 3,564.50

13400 MR of the paranasal sinuses 5,238.5013410 MR of the paranasal sinuses, pre and post contrast 8,395.50

Mandible, teeth and maxilla

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Code 14110 (orthopantomogram) may be combined with 14100 (mandible) if two separate studies are performed. Code 14110 (orthopantomogram) may be combined with 15100 and / or 15110 (TM joint) if complete separate studies are performed. Code 14160 (tomography) may be combined with 14130 or 14140 or 14150 (teeth). Code 14160 (tomography) may be combined with 15100 and / or 15110 (TM joint) if complete separate studies are performed. Code 14330 and 14340 (Dental implants) may be combined if mandible and maxilla are examined at the same visit.

14100 X-ray of the mandible 318.1014110 X-ray orthopantomogram of the jaws and teeth 353.0014120 X-ray maxillofacial cephalometry 240.7014130 X-ray of the teeth single quadrant 173.9014140 X-ray of the teeth more than one quadrant 219.7014150 X-ray of the teeth full mouth 314.8014160 X-ray tomography of the teeth per side 280.7014300 CT of the mandible 1,936.6014310 CT of the mandible, pre and post contrast 3,586.4014320 CT mandible with 3D reconstructions 2,642.2014330 CT for dental implants in the mandible 2,386.0014340 CT for dental implants in the maxilla 2,386.0014400 MR of the mandible/maxilla 5,545.3014410 MR of the mandible/maxilla, pre and post contrast 8,573.60

TM Joints

Code 15100 (TM joint) and 15120 (tomography) may be combined. Code 15110 (TM joint) and 15130 (tomography) may be combined. Code 15140 (arthrography) and 15120 (tomography) may be combined. Code 15150 (arthrography) and 15130 (tomography)may be combined. Codes 15320 (CT arthrogram) and 15420 (MR arthrogram) include introduction of contrast (00140 may not be added).

15100 X-ray tempero-mandibular joint, left 309.7015110 X-ray tempero-mandibular joint, right 309.7015120 X-ray tomography tempero-mandibular joint, left 373.9015130 X-ray tomography tempero-mandibular joint, right 373.9015140 X-ray arthrography of the tempero-mandibular joint, left 1,339.4015150 X-ray arthrography of the tempero-mandibular joint, right 1,339.4015200 Ultrasound tempero-mandibular joints, one or both sides 570.3015300 CT of the tempero-mandibular joints 2,206.1015310 CT of the tempero-mandibular joints plus 3D reconstructions 2,998.6015320 CT arthrogram of the tempero-mandibular joints 3,125.60

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15400 MR of the tempero-mandibular joints 5,545.3015410 MR of the tempero-mandibular joints, pre and post contrast 8,765.0015420 MR arthrogram of the tempero-mandibular joints 6,493.70

Mastoids and internal auditory canal

Code 16100 (mastoids) and 16120 (tomography) may be combined. Code 16110 (mastoids bilat) and 16130 (tomography) may be combined Code 16140 (IAM’s) and 16150 (tomography) may be combined.

16100 X-ray of the mastoids, unilateral 312.1016110 X-ray of the mastoids, bilateral 624.0016120 X-ray tomography of the petro-temporal bone, unilateral 373.9016130 X-ray tomography of the petro-temporal bone, bilateral 747.3016140 X-ray internal auditory canal, bilateral 454.6016150 X-ray tomography of the internal auditory canal, bilateral 373.9016300 CT of the mastoids 1,095.3016310 CT of the internal auditory canal 1,866.2016320 CT of the internal auditory canal, pre and post contrast 2,972.6016330 CT of the ear structures, limited study 1,164.60

16340CT of the middle and inner ear structures, high definition including all reconstructions in various planes 3,767.80

16400 MR of the internal auditory canals, limited study 3,786.20

16410MR of the internal auditory canals, pre and post contrast, limited study 5,991.30

16420MR of the internal auditory canals, pre and post contrast, complete study 8,921.30

16430 MR of the ear structures 5,597.6016440 MR of the ear structures, pre and post contrast 8,921.30

Sella turcica

Code 17100 (sella) and 17110 (tomography) may be combined.17100 X-ray of the sella turcica 267.6017110 X-ray tomography of the sella turcica 373.9017300 CT of the sella turcica/hypophysis 1,516.7017310 CT of the sella turcica/hypophysis, pre and post contrast 3,673.1017400 MR of the hypophysis 3,786.2017410 MR of the hypophysis, pre and post contrast 6,434.60

Salivary glands and floor of the mouth

Code 18100 (calculus) and 18110 (open mouth) may be combined. Codes 18120 (sialography) and 18320 (CT sialography) include introduction of contrast and fluoroscopy (00140 may not be added).

18100 X-ray of the salivary glands and ducts for calculus 246.9018110 X-ray of the salivary ducts, open mouth for calculus 165.1018120 X-ray sialography, per gland 1,223.80

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18200 Ultrasound of the salivary glands/floor of the mouth 570.3018300 CT of the salivary glands, uncontrasted 1,095.30

18310CT of the salivary glands/floor of the mouth, pre and post contrast 3,659.60

18320 CT sialography 2,284.3018400 MR of the salivary glands/floor of the mouth 5,493.10

18410MR of the salivary glands/floor of the mouth, pre and post contrast 8,765.00Neck

Code 20120 (laryngography) includes fluoroscopy (00140 may not be added). Code 20130 (speech) includes tomography and cinematography (00140 may not be added). Code 20450 (MR Angiography) may be combined with 10410 (MR brain).

20100 X-ray of soft tissue of the neck 238.0020110 X-ray of the larynx including tomography 816.3020120 X-ray laryngography 720.00

20130X-ray evaluation of pharyngeal movement and speech by screening and / or cine with or without video recording 721.50

20200 Ultrasound of the thyroid 570.3020210 Ultrasound of soft tissue of the neck 570.30

20220Ultrasound of the carotid arteries, bilateral including B mode, pulsed and colour doppler 1,304.00

20230

Ultrasound of the entire extracranial vascular tree including carotids, vertebral and subclavian vessels with B mode, pulse and colour doppler 1,898.30

20240Ultrasound study of the venous system of the neck including pulse and colour Doppler 938.90

20300 CT of the soft tissues of the neck 1,586.4020310 CT of the soft tissues of the neck, with contrast 3,315.9020320 CT of the soft tissues of the neck, pre and post contrast 3,807.8020330 CT angiography of the extracranial vessels in the neck 6,898.00

20340CT angiography of the extracranial vessels in the neck and intracranial vessels of the brain 9,343.60

20350

CT angiography of the extracranial vessels in the neck and intracranial vessels of the brain plus a pre and post contrast study of the brain 10,815.20

20400 Mr of the soft tissue of the neck 5,527.9020410 MR of the soft tissue of the neck, pre and post contrast 8,869.10

20420 MR of the soft tissue of the neck and uncontrasted angiography 8,048.60

20430MR angiography of the extracranial vessels in the neck, without contrast 5,180.30

20440MR angiography of the extracranial vessels in the neck, with contrast 6,433.80

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20450MR angiography of the extra and intracranial vessels with contrast 10,086.70

20460MR angiography of the intra and extra cranial vessels plus brain, without contrast 11,748.80

20470MR angiography of the intra and extra cranial vessels plus brain, with contrast 13,563.80

20500 Arteriography of cervical vessels: carotid 1 - 2 vessels 3,861.7020510 Arteriography of cervical vessels: vertebral 1 - 2 vessels 4,409.5020520 Arteriography of cervical vessels: carotid and vertebral 6,747.7020530 Arteriography of aortic arch and cervical vessels 7,994.0020540 Arteriography of aortic arch, cervical and intracranial vessels 9,462.9020550 Venography of jugular and vertebral veins 4,254.60

ThoraxChest wall, pleura, lungs and mediastinum

Code 30140 (tomography) may be combined with 30100 or 30110 (chest) or 30150 or 30155 (ribs) or 30160 (thoracic inlet). Codes 30170 (Sterno-clavicular) and 30175 (tomography) may be combined. Code 30180 (sternum) and 30185 (tomography) may be combined. Code 30340 (CT limited high resolution) may be combined with 30310 or 30320 or 30330 (CT chest). Motivation may be required. Code 30350 (high resolution) is a stand alone study. Code 30360, (CT chest for pulmonary embolism) is a complete examination and includes the preceding uncontrasted CT scan of the chest, and may not be combined with 40330 or 40333 (CT abdomen and pelvis). Code 30370 (CT pulmonary embolism plus CT venography) may not be combined with 70230 (Doppler).

30100 X-ray of the chest, single view 264.0030110 X-ray of the chest two views, PA and lateral 333.8030120 X-ray of the chest complete with additional views 368.5030130 X-ray of the chest complete including fluoroscopy 389.3030140 X-ray tomography of the chest 373.9030150 X-ray of the ribs 416.2030155 X-ray of the chest and ribs 558.1030160 X-ray of the thoracic inlet 222.6030170 X-ray of the sterno-clavicular joints 366.2030175 X-ray tomography of the sterno-clavicular joint 373.9030180 X-ray of the sternum 366.2030185 X-ray tomography of the sternum 373.9030200 Ultrasound of the chest wall, any region 570.3030210 Ultrasound of the pleural space 570.3030220 Ultrasound of the mediastinal structures 570.3030300 CT of the chest, limited study 825.60

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30310 CT of the chest uncontrasted 2,311.9030320 CT of the chest contrasted 3,688.0030330 CT of the chest, pre and post contrast 3,972.2030340 CT of the chest, limited high resolution study 973.6030350 CT of the chest, complete high resolution study 2,086.90

30355CT of the chest, complete high resolution study with additonal prone and expiratory studies 2,894.60

30360 CT of the chest for pulmonary embolism 4,964.80

30370CT of the chest for pulmonary embolism with CT venography of abdomen, pelvis and lower limbs 6,978.00

30400 MR of the chest 5,527.9030410 MR of the chest with uncontrasted angiography 8,048.6030420 MR of the chest, pre and post contrast 8,869.10

OesophagusCodes 31100, 31110, 31120 (swallow) include fluoroscopy (00140 may not be added).

31100 X-ray barium swallow 573.7031105 Xray 3 phase dynamic contrasted swallow 1,095.3031110 X-ray barium swallow, double contrast 688.3031120 X-ray barium swallow with cinematography 875.30

Aorta and large vesselsCodes 32210 and 32220 (Ivus) may be combined

32200Ultrasound intravascular arterial or venous assessment for intervention, once per complete procedure 365.00

32210 Ultrasound intravascular (IVUS) first vessel 733.6032220 Ultrasound intravascular (IVUS) subsequent vessels 460.5032300 CT angiography of the aorta and branches 6,873.60

32305CT angiography of the thoracic and abdominal aorta and branches 9,170.10

32310 CT angiography of the pulmonary vasculature 6,873.6032400 MR angiography of the aorta and branches 6,823.1032410 MR angiography of the pulmonary vasculature 9,150.0032500 Arteriography of thoracic aorta 2,456.2032510 Arteriography of bronchial intercostal vessels alone 4,359.00

32520 Arteriography of thoracic aorta, bronchial and intercostal vessels 5,860.8032530 Arteriography of pulmonary vessels 5,499.2032540 Arteriography of heart chambers, coronary arteries 3,847.8032550 Venography of thoracic vena cava 2,467.0032560 Venography of vena cava, azygos system 4,894.5032570 Venography patency of A-port or other central line 1,707.00

HeartCodes 33300 (CT anatomy / function) and 33310 (CT Angiography) may be done as stand alone studies or as additive studies if both are performed at the same time.

33205Ultrasound study of the heart for foetal or paediatric cases including doppler 1,068.90

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Code 33205 is a stand alone study and may not be added to 33200 or 33210. This code is intended for paediatric and foetal cases only

33200 Ultrasound study of the heart, including Doppler 712.9033210 Ultrasound study of the heart trans-oesophageal 914.40

33220Ultrasound intravascular imaging to guide placement of intracoronary stent once per vessel 451.90

33300 CT anatomical/functional study of the heart 3,008.4033310 CT angiography of heart vessels 7,064.8033400 MR of the heart, anatomical study 5,406.3033410 MR of the heart, anatomical and functional study 5,997.7033420 MR of the heart, pre and post contrast 8,956.3033430 MR angiography of the heart vessels 6,145.80

33440MR of the heart, anatomical, functional and coronary angiography 9,286.30Mammogram

Codes 34110 (localization), 34120 (stereo-tactic localization) and 34130 (stereo-tactic biopsy) may not be combined. Code 34130 (stereo-tactic biopsy). Add procedural code 80610 (cutting needle) or 34150 (mammotome) Code 34205 (U/S FNA) includes the procedural code (may not be combined with 34150).

34100 X-ray mammography including ultrasound 907.4034101 X-Ray mammography unilateral, including ultrasound 725.90

Code 34100 may not be combined with 34205 when these two procedures are done in the same sitting. Code 34100 includes ultrasound. In this situation use code 80605 (fine needle aspiration) with 34100

34105 X-ray mammography galactography 816.90Once off fee per visit. May be added to 34100

34110 X-ray mammography study for localisation 629.2034120 X-ray stereotactic mammography – localisation 904.1034130 X-ray stereotactic mammography – biopsy 1,008.4034140 X-ray of biopsy specimen of the mamma 238.0034150 X-ray Mammotome hand held biopsy apparatus 851.8034200 Ultrasound study of the breast 686.5034205 Ultrasound guided aspiration FNA/localisation of the breast 1,051.6034300 Computer assisted diagnosis for mammography 121.4034400 MR study of the breast 5,441.2034410 MR study of the breast pre and post contrast 8,765.00

Soft TissueAbdomen and PelvisAbdomen/stomach/bowel

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Code 40120 (tomography) may be combined with 40100 or 40105 or 40110 (abdomen). Codes 40140 to 40190 (barium studies) include fluoroscopy (00140 may not be added). Code 40190 (intussusception) is a stand alone code and may not be combined with 40160 or 40165 (barium enema), (00140 may not be added).

40100 X-ray of the abdomen 288.6040105 X-ray of the abdomen supine and erect, or decubitus 466.1040110 X-ray of the abdomen multiple views including chest 704.0040120 X-ray tomography of the abdomen 373.9040140 X-ray barium meal single contrast 771.3040143 X-ray barium meal double contrast 1,042.3040147 X-ray barium meal double contrast with follow through 1,373.3040150 X-ray small bowel enteroclysis (meal) 2,212.10

Code 40150 excludes duodenal intubation and 40175 (Duodenal intubation) may be added.

40153 X-ray small bowel meal follow through single contrast 1,699.3040157 X-ray small bowel meal with pneumocolon 2,227.8040160 X-ray large bowel enema single contrast 1,127.6040165 X-ray large bowel enema double contrast 1,706.1040170 X-ray guided gastro oesophageal intubation 139.2040175 X-ray guided duodenal intubation 243.5040180 X-ray defaecogram 1,127.6040190 X-ray guided reduction of intussusception 1,414.1040200 Ultrasound study of the abdominal wall 481.4040210 Ultrasound study of the whole abdomen including the pelvis 716.4040300 CT study of the abdomen 2,295.4040310 CT study of the abdomen with contrast 3,895.8040313 CT study of the abdomen pre and post contrast 4,606.0040320 CT of the pelvis 2,271.2040323 CT of the pelvis with contrast 4,126.9040327 CT of the pelvis pre and post contrast 4,682.4040330 CT of the abdomen and pelvis 3,346.4040333 CT of the abdomen and pelvis with contrast 5,403.8040337 CT of the abdomen and pelvis pre and post contrast 5,860.80

40340CT triphasic study of the liver, abdomen and pelvis pre and post contrast 6,441.70

40345 CT of the chest, abdomen and pelvis without contrast 6,094.6040350 CT of the chest, abdomen and pelvis with contrast 7,679.30

40355CT of the chest triphasic of the liver, abdomen and pelvis with contrast 8,087.70

40360 CT of the base of skull to symphysis pubis with contrast 8,929.2040365 CT colonoscopy 3,023.2040400 MR of the abdomen 5,613.1040410 MR of the abdomen pre and post contrast 8,765.0040420 MR of the pelvis, soft tissue 5,613.10

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40430 MR of the pelvis, soft tissue, pre and post contrast 8,869.10Code 41110, 41120 and 41130 (cholangiography) include fluoroscopy (00140 may not be added).

41100 X-ray ERCP including screening 1,642.7041105 X-ray ERCP reporting on images done in theatre 208.7041110 X-ray cholangiography intra-operative 734.6041120 X-ray T-tube cholangiography post operative 1,221.3041130 X-ray transhepatic percutaneous cholangiography 2,811.0041200 Ultrasound study of the upper abdomen 608.50

41210

Ultrasound doppler of the hepatic and splenic veins and inferior vena cava in assessment of portal venous hypertension or thrombosis 851.80Code 41210 is a stand alone study and may not be added to 40200, 40210, 41200 or 42200

41300 CT of the abdomen triphasic study – liver 4,771.8041400 MR study of the liver/pancreas 5,630.7041410 MR study of the liver/pancreas pre and post contrast 8,765.0041420 MRCP 4,276.4041430 MR study of the abdomen with MRCP 8,081.8041440 MR study of the abdomen pre and post contrast with MRCP 11,612.30

Renal tract42100 X-ray tomography of the renal tract 373.90

Code 42100 (tomography) may not be added to 42110 or 42115 (IVP). Codes 42115 (IVP), 42120 (cystography), 42130 (urethography), 42140 (MCU), 42150 (retrograde), and 42160 (prograde) include fluoroscopy (00140 may not be added).

42110 X-ray excretory urogram including tomography 2,160.70

42115X-ray excretory urogram including tomography with micturating study 2,856.10

42120 X-ray cystography 1,308.1042130 X-ray urethrography 1,335.8042140 X-ray micturating cysto-urethrography 1,677.5042150 X-ray retrograde/prograde pyelography 1,089.00

42155X-ray retrograde/prograde pyelography reporting on images done in theatre 209.50

42160 X-ray prograde pyelogram – percutaneous 2,839.6042200 Ultrasound study of the renal tract including bladder 644.90

42205Ultrasound doppler for resistive index in vessels of transplanted kidney 330.20Code 42205 is a stand alone study and may not be added to 42200

42210 Ultrasound study of the renal arteries including Doppler 921.4042300 CT of the renal tract for a stone 2,185.9042400 MR of the renal tract for obstruction 4,085.2042410 MR of the kidneys without contrast 5,613.1042420 MR of the kidneys pre and post contrast 8,886.60

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Reproductive system

Codes 43120 and 43130 (hystero-salpingography) include fluoroscopy (00140 may not be added). Codes 43230 (U/S ova aspiration) and 43240 (amniocentesis) are complete procedure codes.

Codes 43230 (U/S ova aspiration) and 43240 (amniocentesis) are complete procedures and may not be combined with 00230 (ultrasound guidance) or 80605 (fine needle aspiration). Code 43240 may be combined with 43260 (second trimester), 43270 (third trimester) and 43273 (third trimester follow up)

43100 X-ray pelvimetry single 347.6043110 X-ray pelvimetry multiple views 504.0043120 X-ray hystero-salpingography 871.8043130 X-ray hystero-salpingography with introduction of contrast 1,176.1043200 Ultrasound study of the pelvis transabdominal 495.4043205 Ultrasound study of the female pelvis transvaginal 626.7043210 Ultrasound study of the prostate transrectal 641.4043215 Ultrasound transrectal prostate volume for brachytherapy 904.1043220 Ultrasound study of the testes 641.40

43225Ultrasound study for male impotence including doppler and injection of vaso contrictor 1,304.00Code 43225 is a stand alone study and may not be added to 43200, 43210, 43220 or 44200

43230 Ultrasound guided transvaginal aspiration for ova 1,173.3043240 Ultrasound guided amniocenthesis 507.6043250 Ultrasound study of the pregnant uterus, first trimester 365.0043260 Ultrasound study of the pregnant uterus, second trimester 552.70

43270 Ultrasound study of the pregnant uterus, third trimester, first visit 552.70

43273Ultrasound study of the pregnant uterus, third trimester, follow-up visit 365.00

43277Ultrasound study of the pregnant uterus, multiple gestation, second or third trimester, first visit 710.20

43280 Ultrasound doppler of the umbilical cord for resistive index 330.20Code 43280 is a stand alone study and may not be added to the following codes: 43250, 43260, 43270, 43273 or 43277

43300 CT pelvimetry – Topogram 571.9043400 MR study of pelvic reproductive organs - limited study 4,137.4043405 MR study for pelvimetry 1,738.30

43410MR study of pelvic reproductive organs - complete – uncontrasted 5,613.10

43420MR study of pelvic reproductive organs - complete – pre and post contrast 8,886.60Aorta and vesselsCode 44400 (MR Angiography) may be combined with 40400 (MR abdomen).

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44200Ultrasound study of abdominal aorta and branches including doppler 1,592.30

44205 Ultrasound study of the IVC and pelvic veins including Doppler 1,216.70This is a stand alone code and may not be added to 44200.

44300 CT angiography of abdominal aorta and branches 6,668.50

44305CT angiography of the abdominal aorta and branches and pre and post contrast study of the upper abdomen 8,198.30

44310 CT angiography of the pelvis 6,835.5044320 CT angiography of the abdominal aorta and pelvis 7,782.80

44325CT angiography of the abdominal aorta and pelvis and pre and post contrast study of the upper abdomen and pelvis 10,356.30

44330 CT portogram 6,466.8044400 MR angiography of abdominal aorta and branches 6,661.5044500 Arteriography of abdominal aorta alone 2,444.1044503 Arteriography of aorta plus coeliac, mesenteric branches 6,573.6044505 Arteriography of aorta plus renal, adrenal branches 5,476.8044507 Arteriography of aorta plus non-visceral branches 5,283.8044510 Arteriography of coeliac, mesenteric vessels alone 5,593.2044515 Arteriography of renal, adrenal vessels alone 4,301.5044517 Arteriography of non-visceral abdominal vessels alone 4,772.6044520 Arteriography of internal and external iliac vessels alone 4,930.1044525 Venography of internal and external iliac veins alone 5,398.6044530 Corpora cavernosography 2,178.2044535 Vasography, vesciculography 2,537.0044540 Venography of inferior vena cava 2,270.3044543 Venography of hepatic veins alone 4,673.6044545 Venography of inferior vena cava and hepatic veins 5,989.7044550 Venography of lumbar azygos system alone 3,814.9044555 Venography of inferior vena cava and lumbar azygos veins 5,689.7044560 Venography of renal, adrenal veins alone 3,823.5044565 Venography of inferior vena cava and renal/adrenal veins 5,944.3044570 Venography of spermatic, ovarian veins alone 3,510.80

44573Venography of inferior vena cava, renal, spermatic, ovarian veins 6,431.20

44580 Venography indirect splenoportogram 4,230.4044583 Venography direct splenoportogram 2,745.7044587 Venography transhepatic portogram 5,801.80

Soft TissueSpine, Pelvis and HipsCode 51340 (CT myelography, cervical), 52330 (CT myelography thoracic) and 53340 (CT myelography lumbar) are stand alone studies and may not be combined with the conventianla myelography codes viz. 51160, 52150, 53160General

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Code 50130 (Lumbar puncture) and 50140 (cisternal puncture) include fluoroscopy and introduction of contrast (00140 may not be added).

50100 X-ray of the spine scoliosis view AP only 608.5050105 X-ray of the spine scoliosis view AP and lateral 1,043.00

50110X-ray of the spine scoliosis view AP and lateral including stress views 1,611.50

50120 X-ray bone densitometry 1,001.4050130 X-ray guided lumbar puncture 417.5050140 X-ray guided cisternal puncture cisternogram 1,997.4050300 CT quantitive bone mineral density 1,028.1050500 Arteriogram of the spinal column and cord, all vessels 11,058.6050510 Venography of the spinal, paraspinal veins 5,080.50

Cervical

Code 51100 (stress) is a stand alone study and may not be added to 51110, 51120 (cervical spine), 51160 (myelography) and 51170 (discography). Code 51140 (tomography) may be combined with 51110 or 51120 (spine). Code 51160s (myelography) and 51170 (discography) include fluoroscopy and introduction of contrast (00140 may not be added). Code 51300 (CT) limited - limited to a single cervical vertebral body. Code 51310 (CT) regional study - 2 vertebral bodies and intervertebral disc spaces. Code 51320 (CT) complete study - an extensive study of the cervical spine. Code 51340 (CT myelography) – post myelographic study and includes all disc levels, includes fluoroscopy and introduction of contrast (00140 may not be added).

51100 X-ray f the cervical spine, stress views only 359.9051110 X-ray of the cervical spine, one or two views 261.6051120 X-ray of the cervical spine, more than two views 371.80

51130X-ray of the cervical spine, more than two views including stress views 658.90

51140 X-ray Tomography cervical spine 373.9051160 X-ray myelography of the cervical spine 2,386.7051170 X-ray discography cervical spine per level 2,187.9051300 CT of the cervical spine limited study 825.6051310 CT of the cervical spine – regional study 1,209.1051320 CT of the cervical spine – complete study 3,227.4051330 CT of the cervical spine pre and post contrast 5,115.1051340 CT myelography of the cervical spine 4,101.8051350 CT myelography of the cervical spine following myelogram 1,885.3051400 MR of the cervical spine, limited study 3,859.3051410 MR of the cervical spine and cranio-cervical junction 5,634.10

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51420MR of the cervical spine and cranio-cervical junction pre and post contrast 8,877.80Thoracic

Code 52120 (tomography) may be combined with 52100 or 52110 (spine). Code 52150 (myelography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 52300 (CT) limited study – limited to a single thoracic vertebral body. Code 52305 (CT) regional study - 2 vertebral bodies and intervertebral disc paces. Code 52310 (CT) complete study - an extensive study of the thoracic spine. Code 52330 (CT myelography) - post myelographic study and includes all disc levels, fluoroscopy and introduction of contrast (00140 may not be added).

52100 X-ray of the thoracic spine, one or two views 278.8052110 X-ray of the thoracic spine, more than two views 347.6052120 X-ray tomography thoracic spine 373.90

52140X-ray of the thoracic spine, more that two views including stress views 577.10

52150 X-ray myelography of the thoracic spine 1,618.3052300 CT of the thoracic spine limited study 825.6052305 CT of the thoracic spine – regional study 1,209.1052310 CT of the thoracic spine complete study 3,109.9052320 CT of the thoracic spine pre and post contrast 5,115.1052330 CT myelography of the thoracic spine 4,179.8052340 CT myelography of the thoracic spine following myelogram 1,770.6052400 MR of the thoracic spine, limited study 4,050.4052410 MR of the thoracic spine 5,592.3052420 MR of the thoracic spine pre and post contrast 8,815.30

Lumbar

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Code 53100 (stress) is a stand alone study and may not be added to 53110, 53120 (lumbar spine), 53160 (myelography) and 53170 (discography). Code 53140 (tomography) may be combined with 53110 or 53120 (spine). Codes 53160 (myelography) and 53170 (discography) include fluoroscopy and introduction of contrast (00140 may not be added). Code 53300 (CT) limited study – limited to a single lumbar vertebral body. Code 53310 (CT) regional study - 2 vertebral bodies and intervertebral disc spaces. Code 53320 (CT) complete study - an extensive study of the lumbar spine. Code 53340 (CT myelography) - post myelographic study and includes all disc levels, fluoroscopy and introduction of contrast (00140 may not be added).

53100 X-ray of the lumbar spine – stress study only 359.9053110 X-ray of the lumbar spine, one or two views 309.7053120 X-ray of the lumbar spine, more than two views 387.60

53130X-ray of the lumbar spine, more that two views including stress views 653.50

53140 X-ray tomography lumbar spine 373.9053160 X-ray myelography of the lumbar spine 2,080.8053170 X-ray discography lumbar spine per level 2,187.9053300 CT of the lumbar spine limited study 825.6053310 CT of the lumbar spine – regional study 1,209.1053320 Ct of the lumbar spine complete study 3,271.6053330 CT of the lumbar spine pre and post contrast 5,115.1053340 CT myelography of the lumbar spine 4,268.7053350 CT myelography of the lumbar spine following myelogram 2,039.3053400 MR of the lumbar spine, limited study 4,015.7053410 MR of the lumbar spine 5,590.4053420 MR of the lumbar spine pre and post contrast 8,977.90

Sacrum

Code 54120 (tomography) may be combined with 54100 (sacrum) or 54110 (SI joints). Code 54300 (CT) limited study - limited to single sacral vertebral body. Code 54310 (CT) complete study - an extensive study of the sacral spine.

54100 X-ray of the sacrum and coccyx 311.2054110 X-ray of the sacro-iliac joints 356.5054120 X-ray tomography – sacrum and/or coccyx 373.9054300 CT of the sacrum – limited study 660.6054310 CT of the sacrum – complete study – uncontrasted 2,225.9054320 CT of the sacrum with contrast 4,078.90

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54330 CT of the sacrum pre and post contrast 4,604.0054400 MR of the sacrum 5,649.7054410 MR of the sacrum pre and post contrast 8,782.20

Pelvis

Codes 55110 (tomography) and 55100 (pelvis) may be combined. Code 55300 (CT) limited study – limited to a small region of interest of the pelvis eg. ascetabular roof or pubic ramus.

55100 X-ray of the pelvis 318.1055110 X-ray tomography – pelvis 373.9055300 CT of the bony pelvis limited 825.6055310 CT of the bony pelvis complete uncontrasted 2,225.9055320 CT of the bony pelvis complete 3D recon 3,256.9055330 CT of the bony pelvis with contrast 4,078.9055340 CT of the bony pelvis – pre and post contrast 4,604.0055400 MR of the bony pelvis 5,649.7055410 MR of the bony pelvis pre and post contrast 8,886.60

Hips

Code 56130 (tomography) may be combined with 56100 or 56110 or 56120 (hip). Code 56140 (stress) may be combined with 56100 or 56110 or 56120 (hip). Code 56150 (arthrography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 56160 (introduction of contrast into hip joint) to be used with 56310 (CT hip) and 56410 (MR hip) and includes fluoroscopy. The combination of 56150 and 56310 and 56410 is not supported except in exceptional circumstances with motivation. Code 56300 (CT) study limited to small region of interest eg part of femur head.

56100 X-ray of the left hip 276.3056110 X-ray of the right hip 276.3056120 X-ray pelvis and hips 523.2056130 X-ray tomography – hip 373.9056140 X-ray of the hip/s – stress study 380.60

56150 X-ray arthrography of the hip joint including introduction contrast 1,369.1056160 X-ray guidance and introduction of contrast into hip joint only 644.1056200 Ultrasound of the hip joints 565.0056300 CT of hip – limited 825.6056310 CT of hip – complete 2,379.1056320 CT of hip – complete with 3D recon 3,457.7056330 CT of hip with contrast 3,760.0056340 CT of hip pre and post contrast 4,161.6056400 MR of the hip joint/s, limited study 3,902.6056410 MR of the hip joint/s 5,571.70

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56420 MR of the hip joint/s, pre and post contrast 8,834.30Upper limbsGeneral

Code 60100 (stress only) is a stand alone study and may not be combined with other codes. Code 60110 (tomography) may be combined with any one of the defined regional x-ray studies of the upper limb. Motivation may be required for more than one regional tomographic study per visit. Code 60200 (U/S) may only be used once per visit. Code 60300 (CT) limited study – limited to a small region of interest eg. part of humeral head. Code 60400 (MR limited) may only be used once per visit.

60100 X-ray upper limbs - any region - stress studies only 392.9060110 X-ray upper limbs - any region – tomography 373.9060200 Ultrasound upper limb – soft tissue - any region 641.40

60210Ultrasound of the peripheral arterial system of the left arm including B mode, pulse and colour doppler 1,185.30

60220Ultrasound of the peripheral arterial system of the right arm including B mode, pulse and colour doppler 1,185.30

60230Ultrasound peripheral venous system upper limbs including pulse and colour doppler for deep vein thrombosis 1,089.70

60240Ultrasound peripheral venous system upper limbs including pulse and colour doppler 1,500.20

60300 CT of the upper limbs limited study 825.6060310 CT angiography of the upper limb 6,804.1060400 MR of the upper limbs limited study, any region 3,893.9060410 MR angiography of the upper limb 6,489.4060500 Arteriogram of subclavian, upper limb arteries alone, unilateral 3,969.4060510 Arteriogram of subclavian, upper limb arteries alone, bilateral 7,185.5060520 Arteriogram of aortic arch, subclavian, upper limb, unilateral 4,932.8060530 Arteriogram of aortic arch, subclavian, upper limb, bilateral 7,658.5060540 Venography, antegrade of upper limb veins, unilateral 2,270.3060550 Venography, antegrade of upper limb veins, bilateral 4,296.4060560 Venography, retrograde of upper limb veins, unilateral 2,695.3060570 Venography, retrograde of upper limb veins, bilateral 4,764.0060580 Venography, shuntogram, dialysis access shunt 2,067.80

Shoulder

Code 61160 (arthrography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 61170 (introduction of contrast into the shoulder joint) may be combined with 61300 and 61305 (CT), or 61400 and 61405 (MR). The combination of 61160 (arthrography) and 61300 and 61305 (CT) or 61400 and 61405 (MR) is not supported except in exceptional circumstances with motivation.

61100 X-ray of the left clavicle 264.00

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61105 X-ray of the right clavicle 264.0061110 X-ray of the left scapula 264.0061115 X-ray of the right scapula 264.0061120 X-ray of the left acromio-clavicular joint 272.7061125 X-ray of the right acromio-clavicular joint 272.7061128 X-ray of acromio-clavicular joints plus stress studies bilateral 667.5061130 X-ray of the left shoulder 302.5061135 X-ray of the right shoulder 302.5061140 X-ray of the left shoulder plus subacromial impingement views 514.60

61145 X-ray of the right shoulder plus subacromial impingement views 514.6061150 X-ray of the left subacromial impingement views only 281.7061155 X-ray of the right subacromial impingement views only 281.70

61160X-ray arthrography shoulder joint including introduction of contrast 1,375.90

61170X-ray guidance and introduction of contrast into shoulder joint only 644.10

61200 Ultrasound of the left shoulder joint 565.0061210 Ultrasound of the right shoulder joint 565.0061300 CT of the left shoulder joint – uncontrasted 2,117.1061305 CT of the right shoulder joint – uncontrasted 2,117.1061310 CT of the left shoulder – complete with 3D recon 3,273.5061315 CT of the right shoulder – complete with 3D recon 3,273.5061320 CT of the left shoulder joint - pre and post contrast 4,226.9061325 CT of the right shoulder joint - pre and post contrast 4,226.9061400 MR of the left shoulder 5,618.5061405 MR of the right shoulder 5,618.5061410 MR of the left shoulder pre and post contrast 8,782.2061415 MR of the right shoulder pre and post contrast 8,782.20

Humerus62100 X-ray of the left humerus 255.4062105 X-ray of the right humerus 255.4062300 CT of the left upper arm 2,117.1062305 CT of the right upper arm 2,117.1062310 CT of the left upper arm contrasted 3,474.1062315 CT of the right upper arm contrasted 3,474.1062320 CT of the left upper arm pre and post contrast 4,222.6062325 CT of the right upper arm pre and post contrast 4,222.6062400 MR of the left upper arm 5,580.1062405 MR of the right upper arm 5,580.1062410 MR of the left upper arm pre and post contrast 8,869.1062415 MR of the right upper arm pre and post contrast 8,869.10

Elbow

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Code 63120 (arthrography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 63130 (introduction of contrast) may be combined with 63300 and 63305 (CT) or 63400 and 63405 (MR). The combination of 63120 (arthrography) and 63300 and 63305 or 63400 and 63405 (MR) is not supported except in exceptional circumstances with motivation.

63100 X-ray of the left elbow 272.7063105 X-ray of the right elbow 272.7063110 X-ray of the left elbow with stress 377.3063115 X-ray of the right elbow with stress 377.30

63120 X-ray arthrography elbow joint including introduction of contrast 1,381.20

63130 X-ray guidance and introduction of contrast into elbow joint only 644.1063200 Ultrasound of the left elbow joint 565.0063205 Ultrasound of the right elbow joint 565.0063300 CT of the left elbow 2,117.1063305 CT of the right elbow 2,117.1063310 CT of the left elbow – complete with 3D recon 3,273.5063315 CT of the right elbow – complete with 3D recon 3,273.5063320 CT of the left elbow contrasted 3,474.1063325 CT of the right elbow contrasted 3,474.1063330 CT of the left elbow pre and post contrast 4,226.9063335 CT of the right elbow pre and post contrast 4,226.9063400 MR of the left elbow 5,618.5063405 MR of the right elbow 5,618.5063410 MR of the left elbow pre and post contrast 8,782.2063415 MR of the right elbow pre and post contrast 8,782.20

Forearm64100 X-ray of the left forearm 255.4064105 X-ray of the right forearm 255.4064110 X-ray peripheral bone densitometry 170.3064300 CT of the left forearm 2,117.1064305 CT of the right forearm 2,117.1064310 CT of the left forearm contrasted 3,474.1064315 CT of the right forearm contrasted 3,474.1064320 CT of the left forearm pre and post contrast 4,222.6064325 CT of the right forearm pre and post contrast 4,222.6064400 MR of the left forearm 5,580.1064405 MR of the right forearm 5,580.1064410 MR of the left forearm pre and post contrast 8,521.6064415 MR of the right forearm pre and post contrast 8,521.60

Hand and Wrist

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Code 65120 (finger) may not be combined with 65100 or 65105 (hands). Codes 65130 and 65135 (wrists) may be combined with 65140 or 65145 (scaphoid) respectively if requested and additional views done. Code 65160 (arthrography) includes fluoroscopy and the introduction of contrast (00140 may not be added). Code 65170 (contrast) may be combined with 65300 and 65305 (CT) or 65400 and 65405 (MR). The combination of 65160 (arthrography) and 65300 and 65305 or 65400 and 65405 is not supported except in exceptional circumstances with motivation.

65100 X-ray of the left hand 267.6065105 X-ray of the right hand 267.6065110 X-ray of the left hand – bone age 267.6065120 X-ray of a finger 232.1065130 X-ray of the left wrist 276.3065135 X-ray of the right wrist 276.3065140 X-ray of the left scaphoid 286.8065145 X-ray of the right scaphoid 286.8065150 X-ray of the left wrist, scaphoid and stress views 657.1065155 X-ray of the right wrist, scaphoid and stress views 657.1065160 X-ray arthrography wrist joint including introduction of contrast 1,384.3065170 X-ray guidance and introduction of contrast into wrist joint only 644.1065200 Ultrasound of the left wrist 565.0065210 Ultrasound of the right wrist 565.0065300 CT of the left wrist and hand 2,117.1065305 CT of the right wrist and hand 2,117.1065310 CT of the left wrist and hand - complete with 3D recon 3,273.5065315 CT of the right wrist and hand - complete with 3D recon 3,273.5065320 CT of the left wrist and hand contrasted 3,474.1065325 CT of the right wrist and hand contrasted 3,474.1065330 CT of the left wrist and hand pre and post contrast 4,226.9065335 CT of the right wrist and hand pre and post contrast 4,226.9065400 MR of the left wrist and hand 5,618.5065405 MR of the right wrist and hand 5,618.5065410 MR of the left wrist and hand pre and post contrast 8,782.2065415 MR of the right wrist and hand pre and post contrast 8,782.20

Soft TissueLower LimbsGeneral

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Code 70100 (stress) is a stand alone study and may not be combined with other codes. Code 70110 (tomography) may be combined with any one of the defined regional x-ray studies of the lower limb. Motivation may be required for more than one regional tomographic study per visit. Code 70200 (U/S) may only be billed once per visit. Code 70300 ((CT) limited study – limited to a small region of interest eg part of condyle of the knee. Codes 70310 and 70320 (CT angiography) may not be combined. Code 70400 (MR limited) may only be used once per visit. Code 70410 and 70420 (MR angiography) may not be combined.

70100 X-ray lower limbs - any region- stress studies only 392.9070110 X-ray lower limbs - any region-tomography 373.9070120 X-ray of the lower limbs full length study 561.5070200 Ultrasound lower limb – soft tissue - any region 641.40

70210Ultrasound of the peripheral arterial system of the left leg including B mode, pulse and colour Doppler 1,185.30

70220Ultrasound of the peripheral arterial system of the right leg including B mode, pulse and colour Doppler 1,185.30

70230Ultrasound peripheral venous system lower limbs including pulse and colour doppler for deep vein thrombosis 1,185.30

70240

Ultrasound peripheral venous system lower limbs including pulse and colour doppler in erect and supine position including all compression and reflux manoeuvres, deep and superficial systems bilaterally 1,708.80

70300 CT of the lower limbs limited study 825.6070310 CT angiography of the lower limb 6,904.0070320 CT angiography abdominal aorta and outflow lower limbs 8,547.7070400 MR of the lower limbs limited study 4,033.1070410 MR angiography of the lower limb 6,663.2070420 MR angiography of the abdominal aorta and lower limbs 10,331.2070500 Angiography of pelvic and lower limb arteries unilateral 3,528.1070505 Angiography of pelvic and lower limb arteries bilateral 6,599.00

70510Angiography of abdominal aorta, pelvic and lower limb vessels unilateral 5,322.10

70515Angiography of abdominal aorta, pelvic and lower limb vessels bilateral 7,445.50

70520 Angiography translumbar aorta with full peripheral study 3,970.4070530 Venography, antegrade of lower limb veins, unilateral 2,213.1070535 Venography, antegrade of lower limb veins, bilateral 4,296.4070540 Venography, retrograde of lower limb veins, unilateral 2,709.2070545 Venography, retrograde of lower limb veins, bilateral 4,936.2070560 Lymphangiography, lower limb, unilateral 4,436.2070565 Lymphangiography, lower limb, bilateral 7,298.50

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Femur71100 X-ray of the left femur 255.4071105 X-ray of the right femur 255.4071300 CT of the left femur 2,131.2071305 CT of the right femur 2,131.2071310 CT of the left upper leg contrasted 3,635.7071315 CT of the right upper leg contrasted 3,635.7071320 CT of the left upper leg pre and post contrast 4,321.0071325 CT of the right upper leg pre and post contrast 4,321.0071400 MR of the left upper leg 5,632.3071405 MR of the right upper leg 5,632.3071410 MR of the left upper leg pre and post contrast 8,869.1071415 MR of the right upper leg pre and post contrast 8,869.10

Knee

Codes 72140 and 72145 (patella) may not be added to 72100, 72105, 72110, 72115, 72130, 72135 (knee views) Code 72160 (arthrography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 72170 (introduction of contrast) may be combined with 72300 and 72305 (CT) or 72400 and 72405 (MR). The combination of 72160 (arthrography) and 72300 and 72305 (CT) or 72400 and 72405 (MR) is not supported except in exceptional circumstances with motivation.

72100 X-ray of the left knee one or two views 240.7072105 X-ray of the right knee one or two views 240.7072110 X-ray of the left knee, more than two views 288.6072115 X-ray of the right knee, more than two views 288.6072120 X-ray of the left knee including patella 401.5072125 X-ray of the right knee including patella 401.5072130 X-ray of the left knee with stress views 505.9072135 X-ray of the right knee with stress views 505.9072140 X-ray of left patella 240.7072145 X-ray of right patella 240.7072150 X-ray both knees standing – single view 243.50

72160 X-ray arthrography knee joint including introduction of contrast 1,374.10

72170 X-ray guidance and introduction of contrast into knee joint only 644.1072200 Ultrasound of the left knee joint 565.0072205 Ultrasound of the right knee joint 565.0072300 CT of the left knee 2,131.2072305 CT of the right knee 2,131.2072310 CT of the left knee complete study with 3D reconstructions 3,123.0072315 CT of the right knee complete study with 3D reconstructions 3,123.0072320 CT of the left knee contrasted 3,635.7072325 CT of the right knee contrasted 3,635.7072330 CT of the left knee pre and post contrast 4,325.20

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72335 CT of the right knee pre and post contrast 4,325.2072400 MR of the left knee 5,571.7072405 MR of the right knee 5,571.7072410 MR of the left knee pre and post contrast 8,765.0072415 MR of the right knee pre and post contrast 8,765.00

Lower Leg73100 X-ray of the left lower leg 255.4073105 X-ray of the right lower leg 255.4073300 CT of the left lower leg 2,131.2073305 CT of the right lower leg 2,131.2073310 CT of the left lower leg contrasted 3,635.7073315 CT of the right lower leg contrasted 3,635.7073320 CT of the left lower leg pre and post contrast 4,321.0073325 CT of the right lower leg pre and post contrast 4,321.0073400 MR of the left lower leg 5,580.1073405 MR of the right lower leg 5,580.1073410 MR of the left lower leg pre and post contrast 8,869.1073415 MR of the right lower leg pre and post contrast 8,869.10

Ankle and Foot

Code 74145 (toe) may not be combined with 74120 or 74125 (foot). Code 71450 (sesamoid bones) may be combined with 74120 or 74125 (foot) if requested. Codes 74120 and 74125 (foot) may only be combined with 74130 and 74135 (calcaneus) if specifically requested. Code 74160 (arthrography) includes fluoroscopy and introduction of contrast (00140 may not be added). Code 74170 (introduction of contrast) may be combined with 74300 and 74305 (CT) or 74400 and 74405 (MR). The combination of 74160 (arthrography) and 74300 and 74305 (CT) or 74400 and 74405 (MR) are not supported except in exceptional circumstances with motivation.

74100 X-ray of the left ankle 288.6074105 X-ray of the right ankle 288.6074110 X-ray of the left ankle with stress views 392.9074115 X-ray of the right ankle with stress views 392.9074120 X-ray of the left foot 243.5074125 X-ray of the right foot 243.5074130 X-ray of the left calcaneus 238.0074135 X-ray of the right calcaneus 238.0074140 X-ray of both feet – standing – single view 243.5074145 X-ray of a toe 232.1074150 X-ray of the sesamoid bones one or both sides 243.50

74160 X-ray arthrography ankle joint including introduction of contrast 1,383.2074170 X-ray guidance and introduction of contrast into ankle joint 644.1074210 Ultrasound of the left ankle 565.00

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74215 Ultrasound of the right ankle 565.0074220 Ultrasound of the left foot 565.0074225 Ultrasound of the right foot 565.0074290 Ultrasound bone densitometry 177.4074300 CT of the left ankle/foot 2,131.2074305 CT of the right ankle/foot 2,131.2074310 CT of the left ankle/foot – complete with 3D recon 3,286.3074315 CT of the right ankle/foot – complete with 3D recon 3,286.3074320 CT of the left ankle/foot contrasted 3,635.7074325 CT of the right ankle/foot contrasted 3,635.7074330 CT of the left ankle/foot pre and post contrast 4,321.0074335 CT of the right ankle/foot pre and post contrast 4,321.0074400 MR of the left ankle 5,571.7074405 MR of the right ankle 5,571.7074410 MR of the left ankle pre and post contrast 8,747.6074415 MR of the right ankle pre and post contrast 8,747.6074420 MR of the left foot 5,580.1074425 MR of the right foot 5,580.1074430 MR of the left foot pre and post contrast 8,869.1074435 MR of the right foot pre and post contrast 8,869.10

InterventionGeneral

Codes 80600, 80605, 80610, 80620, 80630, 81660, 81680, 82600, 84660, 85640, 85645, 86610, 86615, 86620, 86630, (aspiration / biopsy / ablations etc) may be combined with the relevant guidance codes (fluoroscopy, ultrasound, CT, MR) as previously described. The machine codes 00510, 00520, 00530, 00540, 00550, 00560 may not be combined with these codes. If ultrasound guidance (00230) is used for a procedure which also attracts one of the machine codes (00510, 00520, 00530, 00540, 00550, 00560), it may not be billed for separately. Codes 80640, 80645, 87682, 87683 include fluoroscopy. Machine fees may not be added. All other interventional procedures are complete unique procedures describing a whole comprehensive procedure and combinations of different codes will only be supported when motivated.

80600 Percutaneous abscess, cyst drainage, any region 814.3080605 Fine needle aspiration biopsy, any region 366.8080610 Cutting needle, trochar biopsy, any region 552.7080620 Tumour/cyst ablation chemical 2,205.2080630 Tumour ablation radio frequency, per lesion 1,843.5080640 Insertion of CVP line in radiology suite 781.5080645 Peripheral central venous line insertion 1,053.5080650 Infiltration of a peripheral joint, any region 556.20

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May be combined with relevant guidance (fluoroscopy, ultrasound, CT and MR). May not be combined with machine codes 00510, 00520, 00530, 00540, 00550, 00560 or 86610 (facet joint or SI joint) or arthrogram codes.Neuro intervention

81600 Intracranial aneurysm occlusion, direct 18,645.9081605 Intracranial arteriovenous shunt occlusion 22,148.7081610 Dural sinus arteriovenous shunt occlusion 22,975.2081615 Extracranial arteriovenous shunt occlusion 13,670.6081620 Extracranial arterial embolisation (head and neck) 14,178.2081625 Caroticocavernous fistula occlusion 16,713.5081630 Intracranial angioplasty for stenosis, vasospasm 11,031.8081632 Intracranial stent placement (including PTA) 11,622.8081635 Temporary balloon occlusion test 7,250.90

Code 81635 does not include the relevant preceding diagnostic study and may be combined with codes 10500, 10510, 10530, 10540, 10550.

81640Permanent carotid or vertebral artery occlusion (including occlusion test) 15,487.10

81645 Intracranial aneurysm occlusion with balloon remodelling 18,804.9081650 Intracranial aneurysm occlusion with stent assistance 20,030.4081655 Intracranial thrombolysis, catheter directed 5,123.20

Code 81655 may be combined with any of the other neuro interventional codes 81600 to 81650

81660 Nerve block, head and neck, per level 665.8081665 Neurolysis, head and neck, per level 1,750.6081670 Nerve block, head and neck, radio frequency, per level 1,654.9081680 Nerve block, coeliac plexus or other regions, per level 806.60

Thorax82600 Chest drain insertion 766.5082605 Trachial, bronchial stent insertion 2,639.00

Gastrointestinal83600 Oesophageal stent insertion 2,713.4083605 GIT balloon dilation 2,117.1083610 GIT stent insertion (non-oesophageal) 2,783.2083615 Percutaneous gastrostomy, jejunostomy 2,204.20

Hepatobiliary84600 Percutaneous biliary drainage, external 2,953.5084605 Percutaneous external/internal biliary drainage 3,234.3084610 Permanent biliary stent insertion 4,452.0084615 Drainage tube replacement 1,757.6084620 Percutaneous bile duct stone or foreign object removal 4,344.0084625 Percutaneous gall bladder drainage 2,571.1084630 Percutaneous gallstone removal, including drainage 6,019.2084635 Transjugular liver biopsy 2,167.1084640 Transjugular intrahepatic Portosystemic shunt 10,384.20

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84645Transhepatic Portogram including venous sampling, pressure studies 7,117.80

84650 Transhepatic Portogram with embolisation of varices 8,762.4084655 Percutaneous hepatic tumour ablation 1,362.8084660 Percutaneous hepatic abscess, cyst drainage 1,147.2084665 Hepatic chemoembolisation 5,166.5084670 Hepatic arterial infusion catheter placement 5,241.20

Urogenital85600 Percutaneous nephrostomy, external drainage 2,605.0085605 Percutaneous double J stent insertion including access 3,547.90

85610Percutaneous renal stone, foreign body removal including access 5,805.40

85615 Percutaneous nephrostomy tract establishment 2,544.0085620 Change of nephrostomy tube 1,381.8085625 Percutaneous cystostomy 1,435.8085630 Urethral balloon dilatation 1,237.9085635 Urethral stent insertion 2,713.4085640 Renal cyst ablation 1,036.1085645 Renal abscess, cyst drainage 1,317.7085655 Fallopian tube recanalisation 3,916.30

Spinal86600 Spinal vascular malformation embolisation 23,916.5086605 Vertebroplasty per level 1,938.3086610 Facet joint block per level, uni- or bilateral 829.20

Code 86610 may only be billed once per level, and not per left and right side per level

86615 Spinal nerve block per level, uni- or bilateral 709.3086620 Epidural block 819.0086625 Chemonucleolysis, including discogram 1,592.3086630 Spinal nerve ablation per level 1,008.40

Vascular

Code 87654 (Thrombolysis follow up) may only be used on the days following the initial procedure, 87650 (thrombolysis). If a balloon angioplasty and / or stent placement is performed at more that one defined anatomical site at the same sitting the relevant codes may be combined. However multiple balloon dilatations or stent placements at one defined site will only attract one procedure code.

87600 Percutaneous transluminal angioplasty: aorta, IVC 4,916.2087601 Percutaneous transluminal angioplasty: iliac 4,846.8087602 Percutaneous transluminal angioplasty: femoropopliteal 5,229.0087603 Percutaneous transluminal angioplasty: subpopliteal 6,374.6087604 Percutaneous transluminal angioplasty: brachiocephalic 5,834.0087605 Percutaneous transluminal angioplasty: subclavian, axillary 5,229.0087606 Percutaneous transluminal angioplasty: extracranial carotid 6,225.1087607 Percutaneous transluminal angioplasty: extracranial vertebral 6,371.20

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87608 Percutaneous transluminal angioplasty: renal 7,622.0087609 Percutaneous transluminal angioplasty: coeliac, mesenteric 7,622.0087620 Aorta stent-graft placement 10,495.7087621 Stent insertion (including PTA): aorta, IVC 6,420.7087622 Stent insertion (including PTA): iliac 6,638.0087623 Stent insertion (including PTA): femoropopliteal 6,777.0087624 Stent insertion (including PTA): subpopliteal 7,349.1087625 Stent insertion (including PTA): brachiocephalic 8,558.8087626 Stent insertion (including PTA): subclavian, axillary 7,535.0087627 Stent insertion (including PTA): extracranial carotid 9,299.5087628 Stent insertion (including PTA): extracranial vertebral 8,739.6087629 Stent insertion (including PTA): renal 8,569.3087630 Stent insertion (including PTA): coeliac, mesenteric 8,569.3087631 Stent-graft placement: iliac 6,638.0087632 Stent-graft placement: femoropopliteal 6,777.0087633 Stent-graft placement: brachiocephalic 8,558.8087634 Stent-graft placement: subclavian, axillary 7,194.2087635 Stent-graft placement: extracranial carotid 10,467.6087636 Stent-graft placement: extracranial vertebral 9,972.3087637 Stent-graft placement: renal 8,569.3087638 Stent-graft placement: coeliac, mesenteric 8,569.3087650 Thrombolysis in angiography suite, per 24 hours 3,982.60

Code 87650 may be combined with any of the relevant non neuro interventional angiography and interventional codes 10520, 20500, 20510, 20520, 20530, 20540,32500,32530,44500, 44503, 44505, 44507, 44510, 44515, 44517, 44520, 60500, 60510, 60520, 60530, 70500, 70505, 70510, 70515, 87600 to 87638.

87651 Aspiration, rheolytic thrombectomy 6,750.8087652 Atherectomy, per vessel 7,987.00

87653Percutaneous tunnelled / subcutaneous arterial or venous central or other line insertion 2,446.80

87654 Thrombolysis follow-up 2,048.6087655 Percutaneous sclerotherapy, vascular malformation 1,834.1087660 Embolisation, mesenteric 8,729.1087661 Embolisation, renal 8,636.1087662 Embolisation, bronchial, intercostal 9,416.7087663 Embolisation, pulmonary arteriovenous shunt 8,971.7087664 Embolisation, abdominal, other vessels 8,817.1087665 Embolisation, thoracic, other vessels 8,483.3087666 Embolisation, upper limb 7,902.7087667 Embolisation, lower limb 8,008.8087668 Embolisation, pelvis, non-uterine 10,179.9087669 Embolisation, uterus 9,898.1087670 Embolisation, spermatic, ovaria veins 7,459.4087680 Inferior vena cava filter placement 5,375.3087681 Intravascular foreign body removal 7,390.80

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87682 Revision of access port (tunnelled or implantable) 1,227.2087683 Removal of access port (tunnelled or implantable) 966.3087690 Superior petrosal venous sampling 6,346.1087691 Pancreatic stimulation test 7,804.4087692 Transportal venous sampling 6,688.3087693 Adrenal venous sampling 4,781.5087694 Parathyroid venous sampling 7,532.4087695 Renal venous sampling 4,781.50