Radiology Changes in CPT® 2018
The most significant changes to the radiology portion of CPT® 2018 are related to chest and abdominal imaging services.
Codes for chest X-rays are simplified: Nine codes are deleted and replaced by four new codes, which are based solely on the number of views.
71010 Radiologic examination, chest; single view, frontal
71015 … stereo, frontal
71020 Radiologic examination, chest, 2 views, frontal and lateral;
71021 …with apical lordotic procedure
71022 … with oblique projections
71023 … with fluoroscopy
71030 Radiologic examination, chest, complete, minimum of 4 views;
71034 … with fluoroscopy
71035 Radiologic examination, chest, special views (eg, lateral decubitus, Bucky studies)
71045 Radiologic examination, chest; single view
71046 … 2 views
71047 … 3 views
71048 … 4 or more views
The deleted codes (71010-71035) previously were identified as potentially misvalued. The American College of Radiology (ACR) requested an update to increase the flexibility and accuracy when coding customized exams.
Codes describing radiologic examination of the stomach are similarly revised (for similar reasons), to be reported based on the number of views.
74000 Radiologic examination, abdomen; single anteroposterior view
74010 … anteroposterior and additional oblique and cone views
74020 … complete, including decubitus and/or erect views
74018 Radiologic examination, abdomen; 1 view
74019 … 2 views
74021 … 3 or more views