J004

PDF page 388 / E4

CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC
              RADIOLOGICAL EXAMINATIONS
MISCELLANEOUS PROCEDURES
                                                                                                                   Spec          Anae
# J001 Arthrogram, tenogram or bursogram ......................................       52.10        7
      Note:
      Biliary duct calculus manipulation etc. (see Z562 listed in Digestive System - Biliary Tract.)
    Bronchial brushing
# J024 - unilateral.............................................................................                    89.90          6
# J044 - bilateral...............................................................................                  135.00          6
    Bronchogram
# J002 - unilateral.............................................................................                     27.00         6
# J043 - bilateral...............................................................................                    40.65         6
    Bronchogram with intra-tracheal catheter
# J003 - unilateral.............................................................................                     68.00         6
# J042 - bilateral...............................................................................                    82.20         6
    Carotid or vertebral artery occlusion by detachable balloon
# J050 - percutaneous......................................................................                        297.30
# J053 Cavernosography ...................................................................                           45.35
# J005 Dacrocystogram......................................................................                          45.40         6
    Discogram
# J006 - one disc ..............................................................................                   105.30          7
# J030   - each additional disc ................................................... add                             54.05
    Embolization of spinal arteriovenous malformation
# J049 - percutaneous......................................................................                        670.10          6
# J036 Fistula or sinus injection .........................................................                          29.40
# J068 Hydrostatic/pneumatic reduction of intussusception...............                                             48.30         7
# J008 Hysterosalpingogram..............................................................                             56.70         6
# J004 Intramammary needling for localization under mammographic
          control.................................................................................                   76.75
# J009 Laryngogram...........................................................................                        33.50

Master, record 2485. Record Layout PDF, page 1.

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