Multiple Procedure Families by Imaging Modality – subject to Multiple Procedure Discount
Multiple Imaging Procedures Families by Imaging Modality and Contiguous Body Area
| Family | Imaging Modality/Contiguous Body Area |
| Family 1 Ultrasound (Chest/Abdomen/Pelvis - Non-Obstetrical ) | |
| 76604 | US exam, chest, b-scan |
| 76645 | US exam, breast(s) |
| 76700 | US exam, abdom, complete |
| 76705 | Echo exam of abdomen |
| 76770 | US exam abdo back wall, comp |
| 76775 | US exam abdo back wall, lim |
| 76778 | US exam kidney transplant |
| 76830 | Transvaginal us, non-ob |
| 76831 | Echo exam, uterus |
| 76856 | US exam, pelvic, complete |
| 76857 | US exam, pelvic, limited |
| Family 2 CT and CTA (Chest/Thorax/Abd/Pelvis) | |
| 71250 | CT thorax w/o dye |
| 71260 | CT thorax w/ dye |
| 71270 | CT thorax w/o & w/ dye |
| 72192 | CT pelvis w/o dye |
| 72193 | CT pelvis w/ dye |
| 72194 | CT pelvis w/o & w/ dye |
| 74150 | CT abdomen w/o dye |
| 74160 | CT abdomen w/ dye |
| 74170 | CT abdomen w/o & w/ dye |
| 71275 | CT angiography, chest |
| 72191 | CT angiography, pelv w/o & w/ dye |
| 74175 | CT angiography, abdom w/o & w/ dye |
| 75635 | CT angio abdominal arteries |
| 0067T | CT colonography; dx |
| Family 3 CT and CTA (Head/Brain/Orbit/Maxillofacial/Neck) | |
| 70450 | CT head/brain w/o dye |
| 70460 | CT head/brain w/ dye |
| 70470 | CT head/brain w/o & w/ dye |
| 70480 | CT orbit/ear/fossa w/o dye |
| 70481 | CT orbit/ear/fossa w/ dye |
| 70482 | CT orbit/ear/fossa w/o & w/ dye |
| 70486 | CT maxillofacial w/o dye |
| 70487 | CT maxillofacial w/ dye |
| 70488 | CT maxillofacial w/o & w/ dye |
| 70490 | CT soft tissue neck w/o dye |
| 70491 | CT soft tissue neck w/ dye |
| 70492 | CT soft tissue neck w/o & w/ dye |
| 70496 | CT angiography, head |
| 70498 | CT angiography, neck |
| Family 4 MRI and MRA (Chest/Abd/Pelvis) | |
| 71550 | MRI chest w/o dye |
| 71551 | MRI chest w/ dye |
| 71552 | MRI chest w/o & w/ dye |
| 72195 | MRI pelvis w/o dye |
| 72196 | MRI pelvis w/dye |
| 72197 | MRI pelvis w/o &w/ dye |
| 74181 | MRI abdomen w/o dye |
| 74182 | MRI abdomen w/ dye |
| 74183 | MRI abdomen w/o and w/ dye |
| C8900 | MRA w/contrast, abdomen |
| C8901 | MRA w/o contrast, abdomen |
| C8902 | MRA w/o fol w/contrast, abd |
| C8903 | MRI w/contrast, breast, unilateral |
| C8904 | MRI w/o contrast, breast, unilateral |
| C8905 | MRI w/o fol w/contrast, breast, uni |
| C8906 | MRI w/contrast, breast, bilateral |
| C8907 | MRI w/o contrast, breast, bilateral |
| C8908 | MRI w/o fol w/contrast, breast, bilat |
| C8909 | MRA w/contrast, chest |
| C8910 | MRA w/o contrast, chest |
| C8911 | MRA w/o fol w/contrast, chest |
| C8918 | MRA w/contrast, pelvis |
| C8919 | MRA w/o contrast, pelvis |
| C8920 | MRA w/o fol w/contrast, pelvis |
| Family 5 MRI and MRA (Head/Brain/Neck) | |
| 70540 | MRI orbit/face/neck w/o dye |
| 70542 | MRI orbit/face/neck w/ dye |
| 70543 | MRI orbit/face/neck w/o & w/dye |
| 70551 | MRI brain w/o dye |
| 70552 | MRI brain w/dye |
| 70553 | MRI brain w/o & w/dye |
| 70544 | MR angiography head w/o dye |
| 70545 | MR angiography head w/dye |
| 70546 | MR angiography head w/o & w/dye |
| 70547 | MR angiography neck w/o dye |
| 70548 | MR angiography neck w/dye |
| 70549 | MR angiography neck w/o & w/dye |
| Family 6 MRI and MRA (Spine) | |
| 72141 | MRI neck spine w/o dye |
| 72142 | MRI neck spine w/dye |
| 72146 | MRI chest spine w/o dye |
| 72147 | MRI chest spine w/dye |
| 72148 | MRI lumbar spine w/o dye |
| 72149 | MRI lumbar spine w/dye |
| 72156 | MRI neck spine w/o & w/dye |
| 72157 | MRI chest spine w/o & w/dye |
| 72158 | MRI lumbar spine w/o & w/dye |
| Family 7 (CT Spine) | |
| 72125 | CT neck spine w/o dye |
| 72126 | CT neck spine w/dye |
| 72127 | CT neck spine w/o & w/dye |
| 72128 | CT chest spine w/o dye |
| 72129 | CT chest spine w/dye |
| 72130 | CT chest spine w/o & w/dye |
| 72131 | CT lumbar spine w/o dye |
| 72132 | CT lumbar spine w/dye |
| 72133 | CT lumbar spine w/o & w/dye |
| Family 8 MRI and MRA (Lower Extremities) | |
| 73718 | MRI lower extremity w/o dye |
| 73719 | MRI lower extremity w/dye |
| 73720 | MRI lower ext w/ & w/o dye |
| 73721 | MRI joint of lwr extre w/o dye |
| 73722 | MRI joint of lwr extr w/dye |
| 73723 | MRI joint of lwr extr w/o & w/dye |
| C8912 | MRA w/contrast, lwr extremity |
| C8913 | MRA w/o contrast, lwr extremity |
| C8914 | MRA w/o fol w/contrast, lwr extremity |
| Family 9 CT and CTA (Lower Extremities) | |
| 73700 | CT lower extremity w/o dye |
| 73701 | CT lower extremity w/dye |
| 73702 | CT lower extremity w/o & w/dye |
| 73706 | CT angio lower ext w/o & w/dye |
| Family 10 MR and MRI (Upper Extremities & Joints) | |
| 73218 | MRI upper extr w/o dye |
| 73219 | MRI upper extr w/dye |
| 73220 | MRI upper extremity w/o & w/dye |
| 73221 | MRI joint upper extr w/o dye |
| 73222 | MRI joint upper extr w/dye |
| 73223 | MRI joint upper extr w/o & w/dye |
| Family 11 CT and CTA (Upper Extremities) | |
| 73200 | CT upper extremity w/o dye |
| 73201 | CT upper extremity w/dye |
| 73202 | CT upper extremity w/o & w/dye |
| 73206 | CT angio upper extr w/o & w/dye |
