CPT & HCPCS Code Directory
The 579 CPT and HCPCS codes small practices bill most often, each with its 2026 Medicare payment rate and a free, detailed reference page. Rates are the national non-facility (office) allowable before geographic adjustment — open any code for facility rates, the full RVU breakdown, and locality-specific amounts.
Procedures & Services430 codes
Surgical, injection, therapy, vaccine-administration, and in-office procedure codes at the 2026 global Medicare rate.
Physical therapy evaluation, low complexity, typically 20 minutes
Destruction of benign skin lesions such as warts, up to 14 lesions
Electrocardiogram (ECG) with tracing, interpretation, and report
Colonoscopy with tissue biopsy of the colon lining
Diagnostic colonoscopy examining the entire colon
Injection under the skin or into muscle for therapy, prevention, or diagnosis
Electrocardiogram (ECG) interpretation and report only
Surgery to remove unhealthy tissue down to subcutaneous level, first 20 sq cm or less
Vaccine administration by injection, single or first dose
Drainage or injection of a large joint or bursa without ultrasound guidance
Injection into the lumbar or sacral epidural space with imaging
Transthoracic echocardiogram with Doppler and color flow, complete
Therapeutic activities to improve functional performance
Neuromuscular reeducation for movement, balance, or coordination
Manual therapy techniques to one or more body regions
Therapeutic exercises to build strength, flexibility, or endurance
Upper GI scope exam with brushing or washing for diagnosis
Destruction of benign skin lesions such as warts, 15 or more lesions
Upper GI scope exam with one or more tissue samples
Colonoscopy with removal of a polyp or lesion by snare
Standard cataract removal with intraocular lens placement
Comprehensive eye exam for an established patient, one or more visits
Computerized imaging of the retina at back of eye
Chiropractic spinal manipulation of 3-4 regions
Injection into lumbar or sacral epidural space, first level
Incision and drainage of a simple or single skin abscess
Vaccine administration with counseling, first or only component, by physician
Shoulder arthroscopy with subacromial decompression of impinged tissue
Drainage or injection of a large joint or bursa with ultrasound guidance
Surgery to remove unhealthy tissue down to muscle or fascia, first 20 sq cm or less
Surgery to remove unhealthy tissue down to bone, first 20 sq cm or less
IV push injection for therapy, prevention, or diagnosis
IV push injection of a new additional drug or substance (add-on)
Incision and drainage of a complicated or multiple skin abscesses
Trimming or paring of a single benign thickened skin lesion such as a callus or corn
Debridement of thickened or damaged nails, 6 or more nails
Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.5 cm or less
Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.6-7.5 cm
Injection into one or two trigger points in muscle
Injection into three or more trigger points in muscle
Surgery using arthroscope in knee to remove medial or lateral meniscus
Injection into the cervical or thoracic epidural space with imaging
Injection into lumbar or sacral epidural space, each additional
Injection of medication into the inner eye (intravitreal)
Vaccine administration by injection, each additional dose
Eye exam for an established patient, intermediate level
Chiropractic spinal manipulation of 1-2 regions
Chiropractic spinal manipulation of 5 regions
Physical therapy using mechanical traction
Individual speech, language, and communication therapy
Massage therapy for therapeutic purposes
Arterial blood flow study of arms or legs at 2 levels
Injection into a single tendon sheath or ligament
Surgery to remove deeply placed hardware (plates, screws, rods) from bone
Total hip replacement surgery with artificial socket and femoral components
Surgery to replace the entire knee joint with artificial components
Endoscopic examination of the bladder and urethra
Laparoscopic removal of the tube and ovary
Routine obstetric care including prenatal, vaginal delivery, and postpartum
Injection into lumbar or sacral facet joint nerve, first level
Comprehensive eye exam for a new patient, one or more visits
Eye test to determine eyeglass or contact lens prescription
Photography of the back of the eye with interpretation
Cardiovascular stress test with supervision, interpretation, and report
Left heart catheterization with coronary artery and left ventricular angiography
Duplex ultrasound of leg arteries, complete bilateral study
Duplex ultrasound of arm or leg veins, one side or limited study
Unattended sleep study with automated analysis
IV infusion for therapy, prevention, or diagnosis, initial up to 1 hour
Chemotherapy IV infusion, initial up to 1 hour
Physical therapy using hot or cold packs
Self-care and home management training (e.g., bathing, dressing, cooking)
Removal of dead tissue from open wound, first 20 sq cm or less
Medical nutrition therapy, individual, initial assessment, each 15 minutes
Hysteroscopy with biopsy of the uterine lining
Total laparoscopic hysterectomy with tubes/ovaries, 250g or less
Injection of botulinum toxin for chronic migraine treatment
Radiofrequency ablation of lumbar or sacral facet joint nerve
Ultrasound study of neck arteries to the brain, both sides
Duplex ultrasound of arm or leg veins, complete bilateral study
Diagnostic nasal endoscopy using a rigid or flexible scope to examine nasal passages
Nerve block injection of the brachial plexus with imaging guidance
Removal of a lesion from the eyelid without reconstruction
Removal of impacted earwax from one ear with irrigation or suction
Contact lens fitting and prescription for both eyes
Inhalation treatment for airway obstruction or inflammation
Physical therapy using vasopneumatic compression device
Physical therapy using infrared heat
Orthotic device management and training, initial encounter
Injection of medication into skin lesions, up to 7 lesions
Application of multilayer compression bandage system to the leg
Insertion of non-tunneled central venous catheter in a patient 5 years or older
EEG brain wave recording during awake and drowsy states
Needle puncture to drain an abscess, blood collection, or blister
Punch biopsy of skin for a single lesion using a circular blade tool
Insertion of a non-biodegradable drug delivery implant beneath the skin
Surgery to apply skin substitute graft to trunk, arms, or legs, first 25 sq cm in adults
Surgery to implant acellular dermal matrix for wound or tissue repair
Surgery to remove excess hanging skin and fat from the abdomen
Dressing change or wound cleaning of partial-thickness burns, small area
Destruction of each additional precancerous skin lesion, 2nd through 14th
Chemical cauterization of overgrown wound healing tissue (granulation tissue)
Mohs surgery for skin cancer, first stage, head/neck/hands/feet/genitals
Surgery to remove a breast lesion without image-guided localization
Surgery to remove the entire breast (simple complete mastectomy)
Injection into a single tendon at its origin or insertion point
Dry needling insertion without injection into one or two muscles
Dry needling insertion without injection into three or more muscles
Drainage or injection of a small joint or bursa without ultrasound guidance
Drainage or injection of a medium joint or bursa without ultrasound guidance
Computer-assisted navigation for musculoskeletal surgical procedure
Surgery to fuse cervical spine vertebrae from the front between the vertebral bodies
Surgery to fuse a single lumbar spine level from the back with bone graft
Surgery to place anterior spinal fixation hardware, 2 to 3 segments
Surgery to insert an interbody biomechanical device during posterior spinal fusion
Surgery to cut open the tendon sheath of a finger to relieve constriction
Injection into the sacroiliac joint for diagnosis or pain treatment
Surgery to fuse sacroiliac joint using a device placed across the joint
Surgery to partially remove a bone in the midfoot region
Surgery to correct a bunion by cutting and realigning the far end of the metatarsal
Surgery using arthroscope to assist anterior cruciate ligament repair
Surgical repair of a deviated nasal septum (septoplasty)
Percutaneous catheter-based closure of the left atrial appendage
Placement of catheter into a third-order abdominal or leg artery
Transfusion of blood or blood components through an intravenous line
Injection of sclerosing solution into multiple incompetent varicose veins
Endovenous radiofrequency ablation of an incompetent vein, first vein treated
Insertion of tunneled central venous catheter with subcutaneous port, 5 yrs+
Drawing blood from a surgically implanted venous access device
Laparoscopic gastric bypass surgery (Roux-en-Y) for weight loss
Laparoscopic sleeve gastrectomy for weight loss
Laparoscopic surgery to remove part of the colon with reconnection
Procedure to tie off hemorrhoids with a rubber band or suture
Surgery to explore the abdominal cavity
Diagnostic laparoscopy as a separate procedure
Shock wave treatment to break up a kidney stone
Ultrasound measurement of urine remaining after bladder emptying
Laparoscopic radical prostatectomy with robotic assistance
Insertion of an intrauterine device (IUD)
Removal of an intrauterine device (IUD)
Hysteroscopy with removal of a uterine fibroid
Hysteroscopy with ablation of the uterine lining
Laparoscopic removal of ovarian or tubal lesions
Vaginal delivery only, without prenatal or postpartum care
Vaginal delivery with postpartum care only
Cesarean delivery with prenatal and postpartum care
Treatment of missed miscarriage in the first trimester
Surgery to remove lumbar bone and widen the nerve opening
Surgery to widen a nerve opening, each additional spinal level
Surgery to widen lumbar nerve opening with spinal fusion, single
Surgery to implant spinal neurostimulator electrodes percutaneously
Surgery to insert or replace a spinal neurostimulator pulse generator
Nerve block injection of the trigeminal nerve (face sensation)
Nerve block injection of another peripheral nerve or branch
Injection into cervical or thoracic facet joint nerve, first level
Surgery to insert or replace a peripheral nerve pulse generator
Injection of botulinum toxin into facial muscles for spasm
Destruction of genicular nerve branches at the knee
Radiofrequency ablation of nerves supplying the sacroiliac joint
Injection to destroy another peripheral nerve or branch
Surgery to release the median nerve in the carpal tunnel (wrist)
Nerve repair using nerve allograft, first strand up to 5 cm
Removal of a foreign body from inside the front of the eye with magnet
Placement of amniotic membrane graft on the eye surface
Glaucoma surgery to open the drainage angle from inside the eye
Laser surgery to reshape the iris to improve drainage angle
Laser treatment to remove a secondary cataract membrane
Complex cataract removal requiring special techniques, no scope
Standard cataract removal with insertion of multiple lens devices
Microsurgery add-on using operating microscope (any qualifying surgery)
Vaccine administration with counseling, each additional component, by physician
Biofeedback training using any method
Hemodialysis procedure with single physician evaluation
End-stage renal disease monthly care, 4+ visits, patient age 20+
Imaging test measuring liver stiffness to assess fibrosis
Eye exam for a new patient, intermediate level
Eye exam evaluating eye movement and alignment
Contact lens fitting for treatment of eye disease
Extended visual field test to check peripheral vision
Computerized imaging of the optic nerve at back of eye
Measurement of eye dimensions for intraocular lens calculation
Photography of the external eye structures
Contact lens fitting for corneoscleral lens
Group speech, language, and communication therapy
Evaluation of speech sound production and language comprehension
Treatment of oral muscle function for swallowing or feeding
Eardrum mobility test and acoustic reflex threshold measurement
Hearing screening test using pure tones, air conduction only
Comprehensive hearing test including pure tone and speech
Eardrum mobility and middle ear pressure test
Evaluation of swallowing function without imaging
X-ray motion study of swallowing function
Cardiopulmonary resuscitation (CPR)
Remote 30-day ECG monitoring with physician review and report
Transthoracic echocardiogram for congenital heart disease, complete
Doppler color flow mapping of the heart
Right and left heart catheterization with coronary artery and ventricular angiography
Arterial blood flow study of arms or legs at 3 or more levels
Duplex ultrasound of leg arteries, one side or limited study
Ultrasound study of abdominal arteries and veins, both sides
Breathing capacity test measuring airflow and lung volume
Lung function test before and after bronchodilator medication
Setup and management of CPAP or BiPAP breathing device
Demonstration and evaluation of patient inhaler or nebulizer use
Noninvasive pulse oximetry to measure blood oxygen, single reading
Allergy skin prick tests with allergenic extracts
Allergy immunotherapy with one injection
Preparation of allergen extracts for immunotherapy, 11-50 antigens
Continuous glucose monitoring with physician-provided equipment
Continuous glucose monitoring data analysis and interpretation
Unattended sleep study measuring respiratory effort
Sleep study for age 6 or older with CPAP or BiPAP titration
Nerve conduction study, 13 or more nerve tests
Canalith repositioning procedure to treat vertigo (e.g., Epley maneuver)
Health behavior assessment or reassessment to identify factors affecting health
Health behavior intervention for individual patient, first 30 minutes
Patient-focused health risk assessment with scoring and documentation
Caregiver-focused health risk assessment with scoring and documentation
IV hydration infusion, initial 31 minutes to 1 hour
IV infusion for therapy, prevention, or diagnosis, each additional hour (add-on)
Chemotherapy injection under the skin or into muscle, non-hormonal
Electrical stimulation therapy (attended), each 15 minutes
Ultrasound therapy, each 15 minutes
Aquatic therapy with therapeutic exercises in a pool
Gait training therapy to improve walking ability
Therapeutic intervention using cognitive skills, first 15 minutes
Group therapeutic procedures (2 or more patients)
Occupational therapy evaluation, moderate complexity, typically 45 minutes
Occupational therapy evaluation, high complexity, typically 60 minutes
Sensory integration therapy techniques
Negative pressure wound therapy using durable (non-disposable) device, 50 sq cm or less
Physical performance testing with written report, each 15 minutes
Orthotic or prosthetic management and training, follow-up encounter
Medical nutrition therapy, individual, follow-up visit, each 15 minutes
Acupuncture without electrical stimulation, initial 15 minutes
Acupuncture without electrical stimulation, each additional 15 minutes
Acupuncture with electrical stimulation, initial 15 minutes
Chiropractic manipulation of extraspinal region, 1 or more areas
Self-management education and training by non-physician, 1 patient
Fine needle aspiration biopsy using ultrasound guidance, first lesion
Surgical opening and drainage of acne cysts or similar skin lesions
Surgery to cut open skin and remove a foreign body, simple
Incision and drainage of a blood collection, seroma, or fluid buildup
Incision and drainage of a complex infected wound after surgery
Trimming or paring of 2 to 4 benign thickened skin lesions such as calluses or corns
Tangential skin biopsy by shaving a single lesion for lab analysis
Remove benign skin lesion of scalp, neck, hands, feet, or genitalia, 1.1-2.0 cm
Remove benign lesion of face, ears, eyelids, nose, lips, or mucous membranes, 1.1-2.0 cm
Implantation of hormone pellet(s) beneath the skin
Simple wound repair of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
Intermediate wound repair of scalp, axillae, trunk, or extremities, 2.6-7.5 cm
Layered wound repair of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less
Surgery to close a surgical wound that has reopened, extensive procedure
Surgery using adjacent tissue transfer or flap on any area, 30.1-60 sq cm
Surgical wound preparation for skin graft on face/neck/hands/feet/genitalia, first 100 sq cm
Surgery to create a muscle and skin flap graft on the trunk
Surgery to graft autologous soft tissue obtained by direct surgical excision
Surgery to graft autologous fat harvested by liposuction, first 50 cc or less
Surgery to remove excessive skin weighing down the upper eyelid
Surgery to remove excess skin from a body area not listed elsewhere
Destruction of first precancerous skin lesion by any method
Needle biopsy of first breast lesion using stereotactic imaging guidance
Needle biopsy of first breast lesion using ultrasound imaging guidance
Surgery to remove a breast lesion identified by preoperative localization
Placement of localization device in breast, first lesion, with imaging
Surgery to reduce breast size by removing excess tissue and skin
Insertion of breast implant at the same time as mastectomy
Placement of a tissue expander beneath breast skin for reconstruction
Surgery to completely remove the scar capsule surrounding a breast implant
Surgery to revise a previously reconstructed breast
Therapeutic injection into the carpal tunnel
Surgery to fuse each additional cervical vertebral level from the front, add-on
Surgery to fuse lumbar spine from the front with removal of disc material
Surgery to fuse each additional spinal level from the back, add-on
Surgery to fuse a single lumbar spine level from the back between the vertebral bodies
Surgery to fuse a single lumbar level using combined front and back approach
Surgery to replace a cervical disc with an artificial disc at a single level
Surgery to repair the biceps tendon at the shoulder
Surgery to replace the shoulder joint with a total prosthesis (total arthroplasty)
Surgery to release a wrist tendon sheath to relieve compression or inflammation
Surgery for intercarpal or carpometacarpal joint arthroplasty with implant
Surgery to remove a ganglion cyst or lesion from a finger tendon sheath
Conversion of previous hip surgery to total hip replacement
Surgery to reconstruct knee ligaments, extra-articular procedure
Surgery to revise or replace a total knee joint prosthesis, one component
Surgery to revise or replace a total knee joint prosthesis, all components
Manipulation of the knee joint under general anesthesia with application of fixation device
Open treatment of distal fibula fracture with internal fixation
Open treatment of bimalleolar ankle fracture with internal fixation
Surgery to correct a hammertoe by removing bone from the toe joint
Surgery to correct a bunion by fusing the big toe metatarsal joint
Surgery to cut a metatarsal bone for lesser toe deformity correction
Surgery to amputate a toe at the metatarsophalangeal joint
Application of a static short arm splint from forearm to hand
Application of a short leg splint from below the knee to the foot
Application of an Unna boot paste bandage for lower leg wound care
Shoulder arthroscopy with surgical repair of the joint capsule
Shoulder arthroscopy with extensive debridement of damaged tissue
Shoulder arthroscopy with surgical repair of a rotator cuff tear
Diagnostic arthroscopy of knee with or without synovial membrane biopsy
Surgery using arthroscope in knee to remove loose or foreign bodies
Surgery using arthroscope in knee for limited synovectomy of joint lining
Surgery using arthroscope in knee to debride and shave cartilage or tissue
Surgery using arthroscope in knee to perform abrasion arthroplasty
Removal of an intranasal lesion using an internal nasal approach
Reconstructive rhinoplasty for a primary deformity, major revision with grafts
Treatment to stop a nosebleed using simple packing or cauterization
Nasal/sinus endoscopy with biopsy or removal of polyp or tissue sample
Insertion of an emergency breathing tube through the windpipe (intubation)
Diagnostic exam of the larynx using a flexible fiberoptic scope through the nose
Diagnostic bronchoscopy with washing to collect airway samples
Percutaneous core needle biopsy of lung or mediastinal tissue
Surgery to insert a permanent pacemaker with leads in both upper and lower chambers
Surgery to insert or replace a defibrillator generator with one or more leads
Insertion of a small implantable heart rhythm monitor under the skin
Catheter-based replacement of the aortic valve via femoral artery
Insertion of a needle or catheter into a peripheral vein
Blood draw from a vein in a patient age 3 years or older for diagnosis or treatment
Injection of non-compounded sclerosing agent into a single incompetent vein
Endovenous laser ablation of an incompetent vein, first vein treated
Endovenous ablation using chemical adhesive for first incompetent vein
Insertion of tunneled central venous catheter without port, 5 years or older
Insertion of a catheter into an artery for ongoing pressure monitoring or sampling
Catheter-based blocking of blood flow in an artery
Catheter-based blocking of blood flow to an organ or tissue
Bone marrow biopsy and aspiration combined for diagnosis
Needle biopsy of a lymph node using imaging guidance
Biopsy or removal of a deep groin (inguinal) lymph node
Intraoperative mapping to identify sentinel lymph node(s)
Evaluation of sleep-disordered breathing with flexible endoscopy
Colonoscopy with removal of a tumor or large lesion
Surgical diagnostic examination of the anus and rectum under anesthesia
Diagnostic visual examination of the anal canal using an anoscope
Needle biopsy of the liver through the skin (percutaneous)
Laparoscopic gallbladder removal with bile duct imaging
Initial inguinal hernia repair, patient age 5 or older, reducible
Laparoscopic initial inguinal hernia repair
Endoscopic laser fragmentation of ureter or kidney stone
Circumcision using a clamp or device with regional nerve block
Injection of medication into penile chambers for erectile treatment
Vasectomy, surgical removal of a segment of the vas deferens
Transperineal placement of biodegradable spacer near the prostate
Placement of a tracking device or marker into the prostate
Sling procedure to repair stress urinary incontinence
Pelvic exam under anesthesia
Biopsy and scraping of the cervix using a magnifying scope
Cone-shaped removal of cervical tissue using electrical loop
Dilation and curettage of the uterus (D&C)
Laparoscopic-assisted vaginal hysterectomy with tubes/ovaries
Fetal non-stress test to monitor baby's heart rate and movement
Prenatal care only, 4 to 6 visits
Postpartum care only after delivery
Treatment of incomplete miscarriage with uterine evacuation
Computer-assisted navigation during brain surgery, outside brain
Computer-assisted navigation during spinal surgery
Injection into the lumbar or sacral epidural space, no imaging
Surgery to relieve a pinched lumbar nerve root, single level
Surgery to reopen a previous lumbar spine operation site
Nerve block injection of the greater occipital nerve (back of head)
Nerve block injection of the genicular nerve branches (knee)
Injection into cervical or thoracic epidural space, first level
Injection into lumbar or sacral facet joint nerve, second level
Injection into lumbar or sacral facet joint nerve, third level
Nerve block injection of lumbar or thoracic sympathetic nerves
Percutaneous implant of neurostimulator electrode for peripheral nerve
Percutaneous implant of neurostimulator electrode for sacral nerve
Open implant of a hypoglossal nerve stimulator electrode and generator
Injection of botulinum toxin into neck muscles for dystonia
Thermal destruction of intraosseous nerve in first two lumbar/sacral levels
Radiofrequency ablation of additional lumbar/sacral facet nerve (add-on)
Surgery to repair a damaged nerve in the arm or leg
Surgery to cut a spinal accessory nerve outside the skull
Catheter-based dilation of the eye drainage canal without stent
Repair of upper eyelid droop using a sling or graft
Cleaning and removal of debris from the ear canal
Non-hemodialysis dialysis procedure with single physician evaluation
Gastroesophageal reflux test using a mucosal electrode probe
Computerized mapping of the cornea surface shape
Ear examination using a binocular microscope
External electrical cardioversion to restore heart rhythm
Electrocardiogram (ECG) tracing only, without interpretation
Cardiovascular stress test with physician supervision only
Cardiovascular stress test with tracing only, no interpretation
External ECG monitoring up to 48 hours with recording, analysis, and report
External ECG monitoring up to 48 hours, recording only
Remote 30-day ECG monitoring with technical support and recording
External ECG monitoring 48 hours to 7 days, recording only
External ECG monitoring 7 to 15 days, recording only
External ECG monitoring 7 to 15 days, review and interpretation only
External ECG event recording, review and interpretation only
Programming evaluation of dual-lead pacemaker
Remote interrogation evaluation of single-lead or leadless pacemaker
Remote interrogation evaluation of pacemaker or defibrillator system
Remote interrogation evaluation of subcutaneous cardiac rhythm monitor
Transthoracic echocardiogram without Doppler, complete
Stress echocardiogram, imaging only
Stress echocardiogram, complete with interpretation and report
Myocardial strain imaging using speckle tracking echocardiography
Right heart catheterization with pressure and output measurements
Coronary artery angiography without left heart catheterization
Comprehensive electrophysiology evaluation and ablation of atrial fibrillation
Anticoagulation management for patient on warfarin blood thinner
Outpatient cardiac rehabilitation session with ECG monitoring
Ultrasound study of abdominal arteries and veins, one side
Ultrasound study of aorta, vena cava, or iliac blood vessels
Pulmonary stress test with exercise to evaluate lung function
Lung volume measurement using body plethysmography
Lung diffusing capacity test measuring gas exchange ability
Allergy immunotherapy with two or more injections
Continuous glucose monitoring with patient-provided equipment
Physician review of video EEG, each 12-26 hour increment
Sleep study for age 6 or older with 4 or more measurements
Programming of complex spinal cord or pain neurostimulator
IV hydration infusion, each additional hour (add-on)
IV infusion of additional new drug or substance (add-on)
Chemotherapy hormonal injection under the skin or into muscle
Irrigation of an implanted drug delivery device
Intermediate wound repair of scalp, axillae, trunk, or extremities, 2.5 cm or less
Tissue transfer flap of forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet
Surgery to apply skin substitute graft to face, neck, hands, feet, or genitalia, first 25 sq cm
Surgery to place posterior non-segmental spinal fixation hardware, add-on
Surgery to place posterior segmental spinal fixation hardware, 3 to 6 segments
Shoulder arthroscopy with limited debridement of damaged tissue
Endoscopic surgery to release the carpal tunnel in the wrist
Surgery to remove the tonsils and adenoids, under age 12
Laparoscopic surgery to remove the appendix
Laparoscopic removal of the gallbladder
Laparoscopic fallopian tube sterilization by cautery
Doppler echocardiography, complete study
Comprehensive electrophysiology evaluation with treatment of supraventricular tachycardia
Radiology & Imaging112 codes
CT, MRI, X-ray, and ultrasound codes. Rates shown are the global amount (professional and technical components combined).
CT scan of the head or brain without contrast dye
MRI of the lumbar spine (lower back) without contrast
MRI of a joint in the lower extremity without contrast
CT scan of the abdomen and pelvis with contrast
MRI of a joint in the upper extremity without contrast
CT scan of the midface and jaw area without contrast
Chest X-ray, 2 views (front and side)
X-ray of the lower back and sacrum, 2 or 3 views
CT scan of the abdomen and pelvis without contrast
Ultrasound exam of the abdomen, complete study of all organs
Ultrasound exam of one breast, complete evaluation
Ultrasound guidance for needle biopsy procedure
MRI of the brain without contrast dye
MRI of the brain without and then with contrast dye
CT scan of the chest without contrast dye
CT scan of the chest with contrast dye
CT angiography of the chest blood vessels with contrast
MRI of the cervical spine (neck) without contrast
MRI of the pelvis without and then with contrast dye
CT scan of the abdomen and pelvis without then with contrast
MRI of the abdomen without contrast followed by contrast
CT of the heart without contrast for calcium scoring
CT angiography of the heart with contrast and 3D imaging
Ultrasound exam of the head and neck soft tissues
Ultrasound exam of the abdomen, limited or focused study
Ultrasound exam of the retroperitoneum, complete study
Transvaginal ultrasound of the pelvis, non-obstetric
Ultrasound exam of a joint or soft tissue, limited evaluation
Fluoroscopic guidance for needle localization procedure
3D breast tomosynthesis screening, both breasts
Diagnostic mammogram of one breast with computer-aided detection
Diagnostic mammogram of both breasts with computer-aided detection
Screening mammogram of both breasts with computer-aided detection
DXA bone density scan of the spine and/or hip
Heart muscle SPECT imaging, multiple studies such as rest and stress
Low-dose CT scan of the chest for lung cancer screening
Ultrasound exam of the pelvis, complete study
X-ray of the cervical spine (neck), 2 or 3 views
X-ray of the knee, three views
Fluoroscopy (live x-ray) guidance, up to one hour
CT scan of the eye socket, ear, or skull base without contrast
MR angiography of the head blood vessels without contrast
CT scan of the chest without and then with contrast dye
CT scan of the lumbar spine (lower back) without contrast
MRI of the cervical spine (neck) without and with contrast
MRI of the pelvis without contrast dye
MRI of the upper arm, forearm, or hand without contrast
MRI of the lower leg, ankle, or foot without contrast
MRI of the lower leg, ankle, or foot without then with contrast
CT angiography of the abdomen and pelvis with contrast
MRI of the abdomen without contrast
X-ray swallowing function study with contrast
3D image reconstruction from CT or MRI, not requiring workstation
3D image reconstruction from CT or MRI on a dedicated workstation
Ultrasound exam of one breast, limited or focused evaluation
Ultrasound exam of the retroperitoneum, limited study
Obstetric ultrasound before 14 weeks, single fetus
Detailed obstetric ultrasound of single fetus with anatomy survey
Limited obstetric ultrasound for quick fetal evaluation
Transvaginal obstetric ultrasound exam
Ultrasound exam of a joint, complete evaluation with imaging
Ultrasound guidance for placing a needle into a blood vessel
CT scan guidance for needle biopsy procedure
Intensity-modulated radiation therapy (IMRT) dose planning
Radiation treatment management for 5 treatment sessions
Special radiation treatment procedure requiring extra planning
Nuclear medicine bone scan of the whole body
Nuclear medicine tumor SPECT imaging of a single area
CT scan of the soft tissues of the neck with contrast
CT angiography of the blood vessels in the head
CT angiography of the blood vessels in the neck
MRI of the eye socket, face, or neck without and with contrast
Chest X-ray, single view
X-ray of the lower back and sacrum, 4 or more views
MRI of the thoracic spine (upper back) without contrast
MRI of the lumbar spine (lower back) without and with contrast
X-ray of the elbow, three or more views
X-ray of the hand, three or more views
X-ray of the finger or fingers, minimum two views
CT scan of the upper arm, forearm, or hand without contrast
MRI of a joint in the upper extremity with contrast
X-ray of the ankle, three or more views
CT scan of the lower leg, knee, ankle, or foot without contrast
CT scan of the abdomen without contrast
CT scan of the abdomen with contrast
CT scan of the abdomen without contrast followed by contrast
Imaging of the urinary tract using retrograde contrast injection
Cardiac MRI to evaluate heart structure with contrast
CT of the heart with contrast and 3D image reconstruction
CT angiography of the abdominal aorta and leg arteries
X-ray of arteries in one arm or leg with contrast
X-ray of arteries in both arms or both legs with contrast
Obstetric ultrasound at 14 weeks or later, single fetus
Obstetric ultrasound follow-up evaluation per fetus
Ultrasound exam of the pelvis, limited or follow-up
Ultrasound exam of the scrotum and testicles
Transrectal ultrasound of the prostate or surrounding area
Fluoroscopic guidance for placing a central venous catheter
Fluoroscopic guidance for spinal injection or pain procedure
MRI of both breasts with and without contrast, with computer-aided
Radiation therapy treatment planning, complex case
Radiation therapy simulation of treatment field, complex
3D conformal radiation therapy treatment planning
Radiation therapy basic dose calculation
Radiation treatment device design and construction, complex
Radiation physics consultation for treatment continuation
Design of multi-leaf collimator device for IMRT delivery
Image guidance verification during radiation treatment delivery
Radiation treatment delivery, complex, multiple areas
Nuclear medicine imaging of the lymphatic system
Nuclear medicine imaging study to measure how fast the stomach empties
Nuclear medicine tumor SPECT imaging with CT of a single area
Lab & Pathology10 codes
Laboratory and pathology codes priced on the Clinical Lab Fee Schedule.
Surgical pathology gross and microscopic exam, standard specimen
TB skin test using intradermal injection (PPD/Mantoux test)
Surgical pathology gross and microscopic exam, moderate specimen
Surgical pathology gross and microscopic exam, complex specimen
Pathology special stain including interpretation, group 1
Immunohistochemistry or immunocytochemistry, each additional antibody
Physician interpretation of a blood smear under microscope
Pathology consultation and report on slides prepared elsewhere
Immunohistochemistry or immunocytochemistry stain, first antibody
Tumor immunohistochemistry quantitative analysis, manual method
Behavioral Health27 codes
Psychotherapy, psychiatric evaluation, and psychological / neuropsychological testing codes.
Individual psychotherapy, 38-52 minutes face-to-face with patient
Individual psychotherapy, 53+ minutes face-to-face with patient
Psychiatric diagnostic evaluation with medical services
Family therapy session with the patient present, 50 minutes
Psychiatric diagnostic evaluation without medical services
Individual psychotherapy, 16-37 minutes face-to-face with patient
Family therapy session without the patient present, 50 minutes
Brief emotional or behavioral assessment with scoring
Psychological or neuropsychological testing by physician or qualified professional, first 30 min
Group psychotherapy session
Psychological test evaluation by physician or qualified professional, first hour
Psychotherapy add-on with E/M, 16-37 minutes face-to-face with patient
Psychotherapy add-on for complex interactive communication needs
Psychotherapy add-on with E/M, 38-52 minutes face-to-face with patient
Psychotherapy add-on with E/M, 53+ minutes face-to-face with patient
Crisis psychotherapy session, initial 60 minutes
Crisis psychotherapy session, each additional 30 minutes
Biofeedback-assisted psychophysiological therapy, 20-50 minutes face-to-face with patient
Interpretation and explanation of psychiatric exam results to family
Developmental testing by physician or qualified professional, first hour
Neurobehavioral status exam by physician or qualified professional, first hour
Standardized cognitive performance testing by healthcare professional
Psychological test evaluation by physician or qualified professional, each additional hour
Neuropsychological test evaluation by physician or qualified professional, first hour
Psychological or neuropsychological testing by physician or qualified professional, each addition...
Psychological or neuropsychological testing administered by technician, first 30 minutes
Neuropsychological test evaluation by physician or qualified professional, each additional hour
Coding or denial question on one of these codes?
Ask D3 is a free assistant backed by CMS rates, NCCI edits, and payer rules — get a cited answer in seconds, no signup.
Medicare Rate Disclaimer
Rates reflect the 2026 Medicare Physician Fee Schedule national non-facility (or global) allowable and are shown for reference. Actual payment varies by locality (GPCI), place of service, modifiers, and payer. Always confirm against your contract and the current CMS fee schedule before billing.