Radiology Requisition form CPT Codesa 5 2 11 doc 2026

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  1. Click ‘Get Form’ to open the Radiology Requisition form in the editor.
  2. Begin by entering patient information in the designated fields, including name, date of birth, and contact details. Ensure accuracy for effective communication.
  3. Next, navigate to the section for CPT codes. Here, you can select the appropriate codes from the provided list based on the required radiology services.
  4. Fill out any additional fields related to clinical history or specific instructions for imaging. This information is crucial for radiologists to provide accurate assessments.
  5. Review all entered information for completeness and correctness before finalizing your submission. Utilize our platform's editing tools to make any necessary adjustments.

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CPT code 44238, which is categorized as an unlisted laparoscopic procedure for the intestine, does not have a specific reimbursement rate listed in the MPFS because it is an unlisted code.
C. Radiology Codes CodeDescription 76499 Unlisted diagnostic radiographic procedure 76999 Unlisted ultrasound procedure (e.g., diagnostic, interventional) 77299 Unlisted procedure, therapeutic radiology clinical treatment planning 77399 medical radiation physics, dosimetry and treatment devices, and special services15 more rows
Radiology Procedures CPT Code range 70010- 79999 The Current Procedural Terminology (CPT) code range for Radiology Procedures 70010-79999 is a medical code set maintained by the American Medical Association.
Clinical treatment planning (CPT codes 77261-77263) The decision to administer radiation therapy is made by the radiation oncologist following evaluation of the patient at the initial consultation.
The CPT code book lists a number of unlisted service or procedure codes, which can be found at the end of a section or subsection. Alternatively, a summary list of the unlisted CPT codes can be found in the Guidelines section for each chapter of the CPT code book.

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Use 77299 to report therapeutic radiology clinical treatment planning services that do not have a specific code.

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