Commonly Used CPT and J-Codes

 

 

 

Radiology

MRI​

• Brain (including pituitary)

  • 70551- w/o contrast​

  • 70552- w/ contrast

  • 70553- w/ & w/o contrast

• Chest​

  • 71550- w/o contrast​

  • 71551- w/ contrast

  • 71552- w/ & w/o contrast

• Abdomen (including adrenal)

  • 74181- w/o contrast​

  • 74182- w/o contrast

  • 74183- w/ & w/o contrast

• Pelvis

  • 72195- w/o contrast​

  • 72196- w/ contrast

  • 72197- w/ & w/o contrast​​

• ​Cervical Spine

  • 72141 - w/o contrast
  • 72142 - w/ contrast
  • 72156 - w/ & w/o contrast

CT​

• Brain (including pituitary)

  • 70450- w/o contrast​

  • 70460- w/ contrast

  • 70470- w/ & w/o contrast

• Soft-Tissue Neck (including thyroid)

  • 70490- w/o contrast​

  • 70491- w/ contrast

  • 70492- w/ & w/o contrast

• Chest (generally we do this for substernal thyroid nodules)​

  • 71250- w/o contrast​

  • 71260- w/ contrast

  • 71270- w/ & w/o contrast

• Abdomen (including adrenal)

  • 74150- w/o contrast​

  • 74160- w/ contrast

  • 74170- w/ & w/o contrast

• Abdomen & Pelvis (when doing both)​

  • 74176- w/o contrast​

  • 74177- w/ contrast

  • 74178- w/ & w/o contrast

• Pelvis

  • 72192- w/o contrast​

  • 72193- w/ contrast

  • 72194- w/ & w/o contrast

Bone Density Scan

• DEXA

  • 77080- x-ray (generally doesn't need PA)​

• There are other bone density scans, but essentially never used (i.e. CT version)

Adrenal Vein Sampling

• f36500

• 75893

Echocardiogram (transthoracic)

• 93306

CT Cardiac Calcium Score

• 75571 (this is not usually covered by insurance, although a PA should still be submitted just in case. Out-of-pocket cost at OHSU is $125 and Providence St. Vincent's is $250) .

Thyroid Ultrasound

• 76536 (usually PA is required if patient is getting  the ultrasound at an out-of-network facility).

Miscellaneous 

• 01922 - General Anesthesia for MRI anxiety

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Nuclear Medicine

PET/CT

• Skull base to mid-thigh (essentially whole body)​

  • 78815- this is PET/CT not just a PET (that is different technically)​​

  • A9587 - NETSPOT (Gallium-68 Dotatate) (PROVIDENCE ONLY) *IF INDICATED*

  • A9592 - DETECTNET (Copper CU 64-Dotatate) (LEGACY ONLY) *IF INDICATED*

Bone Scan

• Whole Body Bone Scan

  • 78306- nuclear medicine (not radiology)​​

Thyrogen-Stimulated WBS

• Full Thyrogen Stimulated Whole Body Scan w/ Treatment

  • J3240- Thyrogen injection (for Thyrogen stimulated, technically can do a withdrawal method too)

  • 78018- nuclear medicine scan (always used)​

  • 78020- nuclear medicine scan (always used)

  • 79005- RAI therapy (radioiodine treatment; generally check for PA just in case Tx is needed)

Sestimibi Parathyroid Planar Imaging

• Sestimibi Scan (Nuclear Medicine)

  • 78070- nuclear medicine scan

  • 78072- nuclear medicine scan (I have only used this code upon request from Providence once)

Thyroid Scan and Uptake

• 78014 - Thyroid Scan and Uptake

• 79005 - I-131 radioactive iodine treatment  *IF INDICATED*

I-123 MIBG Scan

• 78075 - I-123 MIBG Scan (used to confirm the presence of neuroendocrine tumors)

Stress Test

• 78451, 78452, 78453, 78454 - Also called "myocardial perfusion imaging"

Miscellaneous

• 92610 - Modified Barium Swallow

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Specialty Therapies

Osteoporosis

• J0897 - Prolia (denosumab)

• J3111 - Evenity (romosozumab-aqqg)

• J3489 - Relast (IV bisphosphonate)

• Q5136 - Jubbonti (denosumab-bbdz)

Growth Hormone/Acromegaly 

• J2502 - Signifor LAR (pasireotide) 

• J2353 - Sandostatin LAR Depot

• J1930 - Somatulin Depot (lanreotide)

Thyroid Cancer

• J3240 - Thyrogen

Cortisol/Adrenal

• J0834 - Cortrosyn 

• J0833 - Cosyntropin injection nos

Hyperlipidemia

• J1306 - ​Leqvio 

Diabetic Neuropathy

• J7336 - Qutenza  (CPT: 64999)

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Specialty Procedures

Genetic Testing

• See Genetic Testing

Thyroid FNA's

• 81546 - Afirma Genomic Sequencing Classifier

• 88173, 88305 - Cytopathology plus "cell block"

• 81479 - Medullary Thyroid Cancer (MTC)

Radiofrequency Ablation(RFA)

• 60699 - Other procedures of the Endocrine System

Ethanol Ablation

• 49185 - Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed

• 76942 - Ultrasonic guidance for needle placement

• 60300 - Aspiration and/or injection, thyroid cyst

Other

• 81210, 81406, 88381 - BRAF Genetic Testing

• 81479 - TERT Genetic Testing

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Lab Tests

• 82523 - Collagen Type I C-Telopeptide (CTx)

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