Diagnostic Imaging List
Need a MRI, CT Scan, X-Ray or Ultrasound?
Cirrus Medical Network physicians are able to generate a referral for diagnostic imaging for a nominal fee. Below is a list of radiology procedures that can be ordered by your CirrusMED physician.
Magnetic Resonance Imaging (MRI)
| MRI Spine Cervical W/O Contrast 72141 |
| MRI Spine Cervical W W/O Contrast 72156 |
| MRI Spine Thoracic W/O Contrast 72146 |
| MRI Spine Thoracic W W/O Contrast 72157 |
| MRI Spine Lumbar W W/O Contrast 72158 |
| MRI Spine Lumbar W/O Contrast 72148 |
| MRI Pelvis W W/O Contrast 72197 |
| MRI Pelvis W/O Contrast 72195 |
| MRI Extremity Lower Joint W/O Contrast - Knee, Ankle, Mid/Hindfoot, Hip 73721 |
| MRI Extremity Lower Joint W W/O Contrast - Knee, Ankle, Mid/Hindfoot, Hip 73723 |
| MRI Extremity Upper Joint W/O Contrast - Shoulder, Elbow, Wrist 73221 |
| MRI Extremity Upper Joint W W/O Contrast - Shoulder, Elbow, Wrist 73223 |
| MRI Extremity Lower W W/O Contrast Tib/Fib, Mid/Foreft, Femur, Foreft/Toes 73720 |
| MRI Extremity Lower W/O Contrast Tib/Fib, Mid/Foreft, Femur, Foreft/Toes 73718 |
| MRI Extremity Upper W W/O Contrast Brachial Plexus, Scapula, Humerus, Forearm, Hand 73220 |
| MRI Extremity Upper W/O Contrast Brachial Plexus, Scapula, Humerus, Forearm, Hand 73218 |
| MRI Abdomen W/O Contrast 74181 |
| MRI Abdomen W W/O Contrast 74183 |
| MRI Brain W/O Contrast 70551 |
| MRI Brain W W/O Contrast 70553 |
| MRI Orbit, Face, Neck W/O Contrast 70540 |
| MRI Orbit, Face, Neck W W/O Contrast 70543 |
| MRI TMJ W/O Contrast 70336 |
|
MRI Breast 77059 MRI Pelvis Attn: Prostate W W/O 72197, 76377 (Prostate W/ 3D Reconstruction) |
|
***NOTE***WE WILL NOT ORDER MRA's or Cardiac MRI's***Please DO NOT sign up for an MRI referral if you are evaluating chest pain or heart disease.
***NOTE** WE WILL NOT ORDER "WHOLE BODY MRI's" |
CT Scan (Cat Scan)
| CT Abd W/O Contrast 74150 |
| CT Abd W/ Contrast 74160 |
| CT Abd W W/O Contrast 74170 |
| CT Abd & Pelvis W/ Contrast 74177 |
| CT Abd & Pelvis W W/O Contrast 74178 |
| CT Abd & Pelvis W/O Contrast 74176 |
| CT Pelvis W/ Contrast 72193 |
| CT Pelvis W/O Contrast 72192 |
| CT Pelvis W W/O Contrast 72194 |
| CT Stone Protocol W/O Contrast 74176 |
| CT Chest W/O Contrast 71250 |
| CT Chest W/ Contrast 71260 |
|
CT Chest W W/O Contrast 71270 |
|
CT Coronary Artery Calcium (CAC) Score 75571 |
| CT Head W/O Contrast 70450 |
| CT Head W W/O Contrast 70470 |
| CT Head W/ Contrast 70460 |
| CT Neck W/ Contrast 70491 |
| CT Neck W/O Contrast 70490 |
| CT Sinus Limited W/O Contrast 76380 |
| CT Sinus Complete W/O Contrast 70486 |
| CT Max/Facial W/O Contrast 70486 |
| CT Max/Facial W/ Contrast 70487 |
| CT Orbit/ IAC W W/O Contrast 70482 |
| CT Orbit/ IAC W/O Contrast 70480 |
| CT Orbit/ IAC W/ Contrast 70481 |
| CT Extremity Upper W/O Contrast 73200 |
| CT Extremity Upper W/ Contrast 73201 |
| CT Extremity Lower W/ Contrast 73701 |
| CT Extremity Lower W/O Contrast 73700 |
| CT Spine Cervical W/O Contrast 72125 |
| CT Spine Cervical W/ Contrast 72126 |
| CT Spine Thoracic W/O Contrast 72128 |
| CT Spine Thoracic W/ Contrast 72129 |
| CT Spine Lumbar W/O Contrast 72131 |
| CT Spine Lumbar W/ Contrast 72132 |
X-Ray
| Acetabulum (AP, Judet = 45 degree obliques) |
| Acromioclavicular joint |
| Ankle (AP, LAT, Mortise) |
| Cervical Spine (AP,Lateral-Flexion & Extension, Open Mouth, Obliques) |
| Cervical Spine 2-3 views |
| Cervical Spine w /flex/ext |
| Clavicle (AP, 20 degree Cephalic Axial View ) |
| Elbow (AP, LAT, OBL; children |
| Elbow 2 views |
| Elbow: Supracondylar fx (AP, LAT 1/3 Distal Humerus) |
| Finger/Phalanx (AP, LAT) |
| Foot (AP, LAT, OBL) |
| Hand (AP, LAT, OBL) |
| Heel/Calcaneus (AP, LAT) |
| Hip follow-up THA or fx (AP, Cross-table LAT of hip) |
| Hip OA/pre-op THA/new fx (AP Pelvis & AP, Cross-table LAT of hip) |
| Humerus (AP, LAT) |
| Knee (AP, LAT, Sunrise) |
| Knee OA (Standing B/L AP, LAT |
| Knee OA (Standing B/L PA with 20 degrees of flexion, LAT, Sunrise) |
| Lumbar Spine (AP, LAT, Obliques, Spot Lateral L5-S1) |
| Lumbar Spine 2-3 views |
| Lumbar Spine flex/ext |
| Mandible |
| Nasal bones |
| Pelvis (AP) |
| Pelvis adolescent/infant (AP, Frog Leg) |
| Rib Unilateral |
| Rib Unilateral w /PA chest |
| Ribs Bilateral w /PA chest |
| S.C. Joints (sternoclavicular) |
| Sacroiliac joints |
| Sacrum & Coccyx |
| Scaphoid (ulnar deviated AP = "scaphoid view" |
| Scapula |
| Scoliosis (Standing AP, LAT, Bending) |
| Shoulder (AP, Scapular "Y", Axillary) |
| Sternum (AP, LAT) |
| Thoracic Spine (AP, LAT) |
| Tibia & Fibula (AP, LAT) |
| Tibia Plateau (AP, LAT, 2 Oblique views) |
| Toes (AP, LAT, OBL) |
| Wrist (Anatomical AP & LAT tilt views) |
| Wrist ORIF (Anatomical A P & LA T tilt views , oblique) |
Ultrasound
|
76536 |
US Thyroid/Soft Tissue Neck |
|
76645 |
US Breast, Unilateral or Bilateral |
|
76700 |
US Abdomen, Complete |
|
76705 |
US Abdomen, Single Organ/Quadrant (gallbladder) |
|
76775 |
US Retroperitoneum, Complete (Renal/Aorta) |
|
76830 |
US Transvaginal Only |
|
76831 |
US Hysterosonography c/s color flow doppler |
|
76856 |
US Pelvis Only, Complete/Non-OB |
|
76857 |
US Pelvis, Limited |
|
76870 |
US Scrotum |
|
76880 |
US Extremity, Non-Vascular |
|
93880 |
US Carotid, Bilateral |
|
93882 |
US Carotid, Unilateral/Limited |
|
93970 |
US Duplex Venous, Extremity (upper or lower), Bilateral |
|
93971 |
US Duplex Venous, Extremity (upper or lower), Unilateral |
|
93975 |
US Duplex, Testis & Epididymis Complete Abd & Pelvic Organs |
|
93976 |
US Duplex, Testis & Epididymis Limited Abd & Pelvic Organs |
|
76770 |
US Retroperitoneal Compl. (Renal & Bladder) |
|
76775 |
US Retroperitoneal Ltd. (Aorta or Renal) |
|
76857 |
US Bladder |