MPPR Logic 2020

 

Multiple Procedure Payment Reduction (MPPR)

 

Standard payment adjustment rules for multiple procedures apply. If procedure is reported on the same day as another procedure, rank the procedures by fee schedule amount and apply the appropriate reduction to this code (100%, 50%, 50%, 50%, 50% and by report).

 

CPT

Description

 

33214

Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator)

 

33221

Insertion of pacemaker pulse generator only; with existing multiple leads

 

33224

Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)

 

33227

Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system

 

33228

Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system

 

33229

Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system

 

33230

Insertion of implantable defibrillator pulse generator only; with existing dual leads

 

33231

Insertion of implantable defibrillator pulse generator only; with existing multiple leads

 

33240

Insertion of implantable defibrillator pulse generator only; with existing single lead

 

33249

Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber

 

33262

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system

 

33263

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system

 

33264

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

 

33270

Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed

 

78306

Bone and/or joint imaging; whole body

 

78802

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging

 

78803

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis), single day imaging

 

93452

Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed

 

93453

Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed

 

93454

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;

 

93455

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography

 

93456

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization

 

93457

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization

 

93458

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

 

93459

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography

 

93460

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed

 

93461

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography

 

 

 

 

Special rules for the technical component (TC) of diagnostic imaging procedures apply if procedure is billed with another diagnostic imaging procedure in the same family. If procedure is reported in the same session on the same day as another procedure rank the procedures by fee schedule for the TC. Pay 100% for the highest, and 50% for each subsequent procedure.
Base the payment for subsequent procedures on the lower of the fee schedule reduced by the appropriate percentage. Subject to 50% reduction of the TC diagnostic imaging. Subject to 5% reduction of the PC of diagnostic imaging.

 

CPT

Description

 

70336

Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)

 

70450

Computed tomography, head or brain; without contrast material

 

70460

Computed tomography, head or brain; with contrast material(s)

 

70470

Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections

 

70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

 

70481

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)

 

70482

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections

 

70486

Computed tomography, maxillofacial area; without contrast material

 

70487

Computed tomography, maxillofacial area; with contrast material(s)

 

70488

Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections

 

70490

Computed tomography, soft tissue neck; without contrast material

 

70491

Computed tomography, soft tissue neck; with contrast material(s)

 

70492

Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections

 

70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

70498

Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

70540

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)

 

70542

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)

 

70543

Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences

 

70544

Magnetic resonance angiography, head; without contrast material(s)

 

70545

Magnetic resonance angiography, head; with contrast material(s)

 

70546

Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences

 

70547

Magnetic resonance angiography, neck; without contrast material(s)

 

70548

Magnetic resonance angiography, neck; with contrast material(s)

 

70549

Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences

 

70551

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material

 

70552

Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)

 

70553

Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences

 

70554

Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

 

71250

Computed tomography, thorax; without contrast material

 

71260

Computed tomography, thorax; with contrast material(s)

 

71270

Computed tomography, thorax; without contrast material, followed by contrast material(s) and further sections

 

71275

Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

71550

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)

 

71551

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)

 

71552

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences

 

71555

Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)

 

72125

Computed tomography, cervical spine; without contrast material

 

72126

Computed tomography, cervical spine; with contrast material

 

72127

Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections

 

72128

Computed tomography, thoracic spine; without contrast material

 

72129

Computed tomography, thoracic spine; with contrast material

 

72130

Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections

 

72131

Computed tomography, lumbar spine; without contrast material

 

72132

Computed tomography, lumbar spine; with contrast material

 

72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

 

72141

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material

 

72142

Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)

 

72146

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material

 

72147

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)

 

72148

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material

 

72149

Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)

 

72156

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical

 

72157

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic

 

72158

Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar

 

72159

Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)

 

72191

Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

72192

Computed tomography, pelvis; without contrast material

 

72193

Computed tomography, pelvis; with contrast material(s)

 

72194

Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections

 

72195

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

 

72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

 

72197

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences

 

72198

Magnetic resonance angiography, pelvis, with or without contrast material(s)

 

73200

Computed tomography, upper extremity; without contrast material

 

73201

Computed tomography, upper extremity; with contrast material(s)

 

73202

Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections

 

73206

Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

73218

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)

 

73219

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)

 

73220

Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences

 

73221

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)

 

73222

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)

 

73223

Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences

 

73225

Magnetic resonance angiography, upper extremity, with or without contrast material(s)

 

73700

Computed tomography, lower extremity; without contrast material

 

73701

Computed tomography, lower extremity; with contrast material(s)

 

73702

Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections

 

73706

Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

73718

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)

 

73719

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)

 

73720

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences

 

73721

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material

 

73722

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)

 

73723

Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences

 

73725

Magnetic resonance angiography, lower extremity, with or without contrast material(s)

 

74150

Computed tomography, abdomen; without contrast material

 

74160

Computed tomography, abdomen; with contrast material(s)

 

74170

Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections

 

74174

Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

74175

Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

74176

Computed tomography, abdomen and pelvis; without contrast material

 

74177

Computed tomography, abdomen and pelvis; with contrast material(s)

 

74178

Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions

 

74181

Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)

 

74182

Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)

 

74183

Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences

 

74185

Magnetic resonance angiography, abdomen, with or without contrast material(s)

 

74261

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material

 

74262

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed

 

74712

Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation

 

75557

Cardiac magnetic resonance imaging for morphology and function without contrast material;

 

75559

Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging

 

75561

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences;

 

75563

Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging

 

75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

 

75572

Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)

 

75573

Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed)

 

75574

Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)

 

75635

Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing

 

76391

Magnetic resonance (eg, vibration) elastography

 

76604

Ultrasound, chest (includes mediastinum), real time with image documentation

 

76700

Ultrasound, abdominal, real time with image documentation; complete

 

76705

Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

 

76770

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete

 

76775

Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited

 

76776

Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation

 

76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

 

76856

Ultrasound, pelvic (nonobstetric), real time with image documentation; complete

 

76857

Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)

 

76870

Ultrasound, scrotum and contents

 

76978

Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion

 

77046

Magnetic resonance imaging, breast, without contrast material; unilateral

 

77047

Magnetic resonance imaging, breast, without contrast material; bilateral

 

77048

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral

 

77049

Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral

 

G0297

Low dose ct scan (ldct) for lung cancer screening

 

 

 

 

Subject to 25% reduction of the second highest and subsequent procedures to the TC of diagnostic cardiovascular services

 

CPT

Description

 

75600

Aortography, thoracic, without serialography, radiological supervision and interpretation

 

75605

Aortography, thoracic, by serialography, radiological supervision and interpretation

 

75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

 

75630

Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation

 

75705

Angiography, spinal, selective, radiological supervision and interpretation

 

75710

Angiography, extremity, unilateral, radiological supervision and interpretation

 

75716

Angiography, extremity, bilateral, radiological supervision and interpretation

 

75726

Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation

 

75731

Angiography, adrenal, unilateral, selective, radiological supervision and interpretation

 

75733

Angiography, adrenal, bilateral, selective, radiological supervision and interpretation

 

75736

Angiography, pelvic, selective or supraselective, radiological supervision and interpretation

 

75741

Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation

 

75743

Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation

 

75746

Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation

 

75756

Angiography, internal mammary, radiological supervision and interpretation

 

75809

Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation

 

75820

Venography, extremity, unilateral, radiological supervision and interpretation

 

75822

Venography, extremity, bilateral, radiological supervision and interpretation

 

75825

Venography, caval, inferior, with serialography, radiological supervision and interpretation

 

75827

Venography, caval, superior, with serialography, radiological supervision and interpretation

 

75831

Venography, renal, unilateral, selective, radiological supervision and interpretation

 

75833

Venography, renal, bilateral, selective, radiological supervision and interpretation

 

75840

Venography, adrenal, unilateral, selective, radiological supervision and interpretation

 

75842

Venography, adrenal, bilateral, selective, radiological supervision and interpretation

 

75860

Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation

 

75870

Venography, superior sagittal sinus, radiological supervision and interpretation

 

75872

Venography, epidural, radiological supervision and interpretation

 

75880

Venography, orbital, radiological supervision and interpretation

 

75885

Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation

 

75887

Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation

 

75889

Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation

 

75891

Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation

 

75893

Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation

 

78428

Cardiac shunt detection

 

78445

Non-cardiac vascular flow imaging (ie, angiography, venography)

 

78451

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

 

78452

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

 

78453

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

 

78454

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

 

78456

Acute venous thrombosis imaging, peptide

 

78457

Venous thrombosis imaging, venogram; unilateral

 

78458

Venous thrombosis imaging, venogram; bilateral

 

78466

Myocardial imaging, infarct avid, planar; qualitative or quantitative

 

78468

Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique

 

78469

Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification

 

78472

Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing

 

78473

Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification

 

78481

Cardiac blood pool imaging (planar), first pass technique; single study, at rest or with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification

 

78483

Cardiac blood pool imaging (planar), first pass technique; multiple studies, at rest and with stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without quantification

 

78494

Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing

 

93303

Transthoracic echocardiography for congenital cardiac anomalies; complete

 

93304

Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study

 

93306

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with SPECTral Doppler echocardiography, and with color flow Doppler echocardiography

 

93307

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without SPECTral or color Doppler echocardiography

 

93308

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study

 

93312

Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report

 

93314

Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only

 

93318

Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis

 

93350

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report;

 

93351

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional

 

93880

Duplex scan of extracranial arteries; complete bilateral study

 

93882

Duplex scan of extracranial arteries; unilateral or limited study

 

93886

Transcranial Doppler study of the intracranial arteries; complete study

 

93888

Transcranial Doppler study of the intracranial arteries; limited study

 

93890

Transcranial Doppler study of the intracranial arteries; vasoreactivity study

 

93892

Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection

 

93893

Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection

 

93922

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)

 

93923

Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)

 

93924

Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/brachial indices immediately after and at timed intervals following performance of a standardized protocol on a motorized treadmill plus recording of time of onset of claudication or other symptoms, maximal walking time, and time to recovery) complete bilateral study

 

93925

Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study

 

93926

Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study

 

93930

Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study

 

93931

Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study

 

93970

Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study

 

93971

Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study

 

93975

Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study

 

93976

Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study

 

93978

Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study

 

93979

Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study

 

93980

Duplex scan of arterial inflow and venous outflow of penile vessels; complete study

 

93981

Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study

 

93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)

 

Reference:

cms.gov/medicaremedicare-fee-service-paymentphysicianfeeschedpfs-relative-value-files/rvu20a