Nurse Practitioners
Items |
Descriptions |
Limitations |
57509 |
x-ray - hand, wrist, forearm, elbow or humerus |
|
57515 |
x-ray - hand and wrist, hand wrist and forearm, forearm and elbow and elbow and humerus |
|
57521 |
x-ray - foot, ankle, leg, knee or femur - cannot refer for combination lower extremity |
|
58503 |
x-ray - chest |
|
58506 |
x-ray - chest with fluoroscopic screening |
|
58509 |
x-ray - thoracic inlet or trachea |
|
58521 |
x-ray - left ribs, right ribs or sternum |
|
58524 |
x-ray - left and right ribs, left ribs and sternum, or right ribs and sternum |
|
58527 |
x-ray - left ribs, right ribs and sternum |
|
55036 |
ultrasound - abdomen and urinary tract |
|
55070 |
ultrasound - breast 1 side only |
|
55076 |
ultrasound - breast both sides |
|
55768 |
ultrasound – pregnancy over 22 weeks multiple pregnancy |
only 1 per pregnancy |

