MSP Billing Codes

Specialty: Diagnostic Radiology

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Code	Description	Fee
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Abdomen
08570	Abdomen x-ray	$35.32
08571	Abdominal multiple x-ray	$53.41
Angiography
08626	Angiogram, thoracic or abdominal, mult non-select	$137.74
08627	Angiogram, thoracic or abdominal, mult selective	$135.56
08616	Angiography cerebral x-ray - bilateral	$232.60
08615	Angiography cerebral x-ray - unilateral	$135.56
08618	Angiography peripheral - bilateral	$104.61
08617	Angiography peripheral - unilateral	$70.17
Arthrogram
08637	Arthogram - elbow (excluding injection of contrast	$34.95
08631	Arthogram - wrist (excluding injection of contrast	$34.95
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08609	Arthrogram x-ray - ankle	$34.95
08607	Arthrogram x-ray - hip	$34.95
08608	Arthrogram x-ray - knee	$74.99
08606	Arthrogram x-ray - shoulder	$38.00
Bone Mineral Densitometry Using DEXA Technology
08689	Bone density - second area	$47.37
08688	Bone density - single area	$69.25
08696	Bone density - whole body	$124.68
Bone Survey
08604	Bone survey - 1st anatomical area	$35.32
08605	Bone survey - additional anatomical area	$17.80
08603	Bone survey - age	$37.01
Breast
86048	Breast sonogram - additional side	$35.62
86047	Breast sonogram - unilateral	$70.63
83045	Interventional radiology consultation	$150.00
Chest
08553	Chest fluoroscopy	$17.93
08555	Chest x-rays - ribs both sides	$53.41
08554	Chest x-rays - ribs one side	$35.32
08557	Chest x-rays - sternum and sterno	$53.41
08556	Chest x-rays - sternum or sterno	$35.32
08551	Chest x-rays - thoracic inlet	$35.04
08552	Chest x-rays - thoracic inlet -additional views	$17.80
08550	Chest x-rays - thoracic viscera	$35.04
Computerized Tomography
83090	Cardiac ct/ct coronary angiography, prof. fee	$170.21
83096	Ct colonography, professional fee (extra)	$62.20
08695	Tomography - body scan double scan or two regions	$138.54
08691	Tomography - head scan with contrast	$64.08
08694	Tomography-body scan one region with contrast	$101.35
08693	Tomography-body scan one region without contrast	$91.69
08692	Tomography-head scan double scan or 2 planes	$82.76
08690	Tomography-head scan without contrast	$45.95
Fluroscopy
08629	Fluoroscopy with clinical procedures	$40.86
08575	Video fluroscopy - 50% added to 08572 & 08573	$43.03
Gall Bladder
08584	Biliary calculi, removal, radiological	$64.67
08581	Cholangiogram intravenous x-ray	$76.37
08582	Cholangiogram operative x-ray	$57.41
08583	Cholangiogram, direct post-operative	$61.91
Gastrointestinal Tracts
08576	Colon or double contrast air studies	$96.96
08579	Glucagon assisted contrast study	$37.85
08577	Hypotonic duodenography	$86.03
08572	Oesophagus only -x-ray	$60.23
08573	Oesophagus, stomach and duodenum -x-ray	$86.03
08578	Pancreatography	$52.63
08574	Small bowel	$86.03
Genito-Urinary System
08595	Cystogram or retrogradeurethrogram	$52.88
08596	Hystero-salpingogram x-ray	$86.03
08594	Intravenous pyelogram / voiding cystourethrogram	$104.61
08590	Kub x-ray	$35.32
08597	Pelvimetry x-ray	$72.97
08591	Pyelogram x-ray intravenous	$79.56
08593	Pyelogram x-ray retrograde or antegrade	$52.88
08599	Voiding cystourethrogram x-ray	$87.41
Head and Neck
08513	Dacryocystogram x-ray	$34.94
08511	Eye x-ray for foreign body	$35.32
08512	Eye x-ray localization procedure	$52.88
08504	Facial bones x-ray	$35.32
08515	Laryngogram (excluding procedural fee)	$52.89
08508	Mandible temporo mandibular joint x-ray	$35.32
08507	Mandible x-ray	$35.32
08506	Mastoids x-ray	$53.41
08505	Nasal bones - x-ray	$35.32
08514	Nasopharynx and/or neck, soft tissue	$22.93
08518	Pre-mri view(s) of orbits to rule out metallic fb	$24.29
08509	Salivary gland area x-ray	$35.32
08510	Sialography	$55.11
08503	Sinuses para-nasal x-ray diagnostic	$35.32
08500	Skull x-ray routine	$53.41
08501	Skull x-ray special studies	$35.32
Interventional Radiology
83000	Interventional radiology consultation	$103.35
08630	Percutaneous transluminal angioplasty	$318.46
83070	Telehealth interventional radiology consultation	$103.35
Lower Extremity
08534	Ankle x-ray	$35.32
08531	Femur x-ray	$35.32
08533	Fibula and tibia x-ray	$35.32
08535	Foot x-ray	$35.32
08530	Hip x-ray	$35.32
08532	Knee x-ray	$35.32
08536	Leg length x-ray	$41.59
08537	Lower extremity, requested add. x-ray	$17.80
Mammography
08611	Mammography - bilateral	$145.91
08610	Mammography - unilateral	$104.11
Miscellaneous
08620	Aortography (aortography plus peripheral angiograp	$180.25
08602	Body section radiography	$50.37
08628	Interpretation of a submitted film	$51.57
08633	Radiology assistant fee - each 15 min after 1 hour	$28.26
08632	Radiology assistant fee - first hour or fraction	$112.91
08601	X-ray sinus/fistula with contrast media/injection	$66.48
Obstetrics and Gynecology
86056	Obs b scan < 14 wks/nuchal translucency-add fetus	$95.22
86055	Obs.b-scan <14 wks/nuchal translucency-singles	$126.97
Spine and Pelvis
08548	Myelogram and/or posterior fossa positive contrast	$104.61
08544	Pelvis x-ray	$35.32
08547	Pelvis x-ray and additional views	$42.28
08545	Sacro-iliac joint x-ray	$35.32
08546	Scoliosis film	$46.22
08540	Spine and pelvis x-ray - cervical	$42.28
08542	Spine and pelvis x-ray - lumbar	$53.41
08543	Spine and pelvis x-ray - sacrum and coccyx	$35.32
08541	Spine and pelvis x-ray - thoracic	$35.32
08549	Spine, x-ray requested additional	$33.26
Upper Extremity
08522	Elbow x-ray	$35.32
08523	Forearm x-ray	$35.32
08525	Hand any part x-ray	$35.32
08521	Humerus x-ray	$35.32
08520	Shoulder girdle	$35.32
08526	Upper extremity, requested add. x-ray	$17.80
08524	Wrist x-ray	$35.32

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