List of radiology CPT codes and descriptions (ED ancillary services) for reimbursement
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This document lists CPT codes, code descriptions, and effective/term dates for radiologic and ultrasound examinations that Maryland Physicians Care considers automatically covered as ED ancillary services; it applies to claims/reimbursement processing for that payer.
No material clinical or coverage changes in this revision.
Automatically Covered ED Ancillary Services
Automatically covered CPT codes (partial list)
Codes listed as automatically covered with the shown effective and term dates.
ALL of the following
- Each CPT code line shown in this section is treated as an Automatically Covered ED Ancillary Service with the Effective Date = 5/1/2024 and Term Date = 12/31/9999 as printed in the document.
Examples of covered CPT codes (partial list)
- 73050 - RADIOLOGIC EXAMINATION; ACROMIOCLAVICULAR JOINTS, BILATERAL, WITH OR WITHOUT
- 73502 - RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS
- 73610 - RADIOLOGIC EXAMINATION, KNEE; 3 VIEWS
- 74018 - RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW
- 76801 - ULTRASOUND, PREGNANT UTERUS, FIRST TRIMESTER, TRANSABDOMINAL; SINGLE OR FIRST GESTATION
- 76802 - ULTRASOUND, PREGNANT UTERUS, FIRST TRIMESTER, TRANSVAGINAL; SINGLE OR FIRST GESTATION
ALL of the following
Full document contains many additional radiology and ultrasound CPT lines (see source chunks for complete lists).
Listed covered services
Codes and descriptions included in the policy excerpt
ALL of the following
Maternal/fetal ultrasound codes (grouped)
Common laboratory and diagnostic panels
ALL of the following
Each code entry in the excerpt includes an effective date (commonly 5/1/2024) and a term date (commonly 12/31/9999). Some panel codes include required component test lists as shown in the source.
CPT / HCPCS Codes and Descriptions
| 70030 | RADIOLOGIC EXAMINATION, EYE, FOR DETECTION OF FOREIGN BODY |
| 70100 | RADIOLOGIC EXAMINATION, MANDIBLE; PARTIAL, LESS THAN 4 VIEWS |
| 70110 | RADIOLOGIC EXAMINATION, MANDIBLE; COMPLETE, MINIMUM OF 4 VIEWS |
| 70200 | RADIOLOGIC EXAMINATION; ORBITS, COMPLETE, MINIMUM OF 4 VIEWS |
| 71045 | RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS |
| 73000 | RADIOLOGIC EXAMINATION; CLAVICLE, COMPLETE |
| 73502 | RADIOLOGIC EXAMINATION, HIP, UNILATERAL; 2-3 VIEWS |
| 73610 | RADIOLOGIC EXAMINATION, KNEE; 3 VIEWS |
| 74018 | RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW |
| 76801 | ULTRASOUND, PREGNANT UTERUS, FIRST TRIMESTER, TRANSABDOMINAL; SINGLE OR FIRST GESTATION |
Billing & Provider Guidance
Automatically covered ED ancillary CPTs — bill to listed codes and dates
The document lists a partial set of CPT radiology and ED ancillary service codes that Maryland Physicians Care treats as automatically covered for ED ancillary services. Each listed code line in this section is shown with an Effective Date = 5/1/2024 and Term Date = 12/31/9999; bill using the CPT code and description exactly as printed (examples include 73050, 73502, 73610, 74018, 76801, among many others).
- Verify the CPT code and description on the claim match the code lines shown in the policy (examples shown in chunks 16–17).
- Use Effective Date 5/1/2024 and Term Date 12/31/9999 for these automatically covered ED ancillary services as printed in the document.
Maternal/fetal ultrasound codes — use specific 7680x codes and effective/term dates
Maternal/fetal ultrasound CPTs in the 76801–76819 series are listed as covered with Effective Date = 5/1/2024 and Term Date = 12/31/9999; bill the specific code for the gestational age/approach billed (e.g., 76801 first trimester transabdominal, 76805 after first trimester transabdominal, 76810/76815 limited or follow‑up services).
- Select the exact CPT code that corresponds to the service (first trimester, after first trimester, limited, follow‑up, each additional gestation where applicable).
- Apply Effective Date 5/1/2024 and Term Date 12/31/9999 as shown for these codes.
Lab and routine diagnostic codes — bill listed panels and include required components
Common laboratory and routine diagnostic panel CPTs (for example 80047, 80048, 80053, 80076; urinalysis 81001–81003; CBCs such as 85007/85025; ECG codes 93005/93010) are listed with Effective Date = 5/1/2024 and Term Date = 12/31/9999; for panel codes, include the required component tests as specified in the code description when submitting claims.
- When billing panel codes (e.g., 80047, 80048), ensure the required component tests listed in the code description (calcium, creatinine, glucose, electrolytes, etc.) are present in the performed test set.
- Use the Effective Date = 5/1/2024 and Term Date = 12/31/9999 shown for these lab and diagnostic codes.
Definitions and Panel Rules
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