85874813Computerized tomography (ct scan) of bilateral orbits
Exempt85874816Computerized tomography (ct scan) of bilateral orbits using high osmolar contrast
Exempt85874815Computerized tomography (ct scan) of bilateral orbits using low osmolar contrast
Exempt85874814Computerized tomography (ct scan) of bilateral orbits using other contrast
Exempt85874858Computerized tomography (ct scan) of ear
Exempt85874863Computerized tomography (ct scan) of ear using high osmolar contrast
Exempt85874864Computerized tomography (ct scan) of ear using high osmolar contrast, unenhanced and enhanced
Exempt85874861Computerized tomography (ct scan) of ear using low osmolar contrast
Exempt85874862Computerized tomography (ct scan) of ear using low osmolar contrast, unenhanced and enhanced
Exempt85874859Computerized tomography (ct scan) of ear using other contrast
Exempt85874860Computerized tomography (ct scan) of ear using other contrast, unenhanced and enhanced
Exempt85874809Computerized tomography (ct scan) of facial bones
Exempt85874812Computerized tomography (ct scan) of facial bones using high osmolar contrast
Exempt85874811Computerized tomography (ct scan) of facial bones using low osmolar contrast
Exempt85874810Computerized tomography (ct scan) of facial bones using other contrast
Exempt85874805Computerized tomography (ct scan) of mandible
Exempt85874808Computerized tomography (ct scan) of mandible using high osmolar contrast
Exempt85874807Computerized tomography (ct scan) of mandible using low osmolar contrast
Exempt85874806Computerized tomography (ct scan) of mandible using other contrast
Exempt85874844Computerized tomography (ct scan) of nasopharynx/oropharynx
Exempt85874849Computerized tomography (ct scan) of nasopharynx/oropharynx using high osmolar contrast
Exempt85874850Computerized tomography (ct scan) of nasopharynx/oropharynx using high osmolar contrast, unenhanced and enhanced
Exempt85874847Computerized tomography (ct scan) of nasopharynx/oropharynx using low osmolar contrast
Exempt85874848Computerized tomography (ct scan) of nasopharynx/oropharynx using low osmolar contrast, unenhanced and enhanced
Exempt85874845Computerized tomography (ct scan) of nasopharynx/oropharynx using other contrast
Exempt85874846Computerized tomography (ct scan) of nasopharynx/oropharynx using other contrast, unenhanced and enhanced
Exempt85874851Computerized tomography (ct scan) of paranasal sinuses
Exempt85874856Computerized tomography (ct scan) of paranasal sinuses using high osmolar contrast
Exempt85874857Computerized tomography (ct scan) of paranasal sinuses using high osmolar contrast, unenhanced and enhanced
Exempt85874854Computerized tomography (ct scan) of paranasal sinuses using low osmolar contrast
Exempt85874855Computerized tomography (ct scan) of paranasal sinuses using low osmolar contrast, unenhanced and enhanced
Exempt85874852Computerized tomography (ct scan) of paranasal sinuses using other contrast
Exempt85874853Computerized tomography (ct scan) of paranasal sinuses using other contrast, unenhanced and enhanced
Exempt85874801Fluoroscopy of head and neck
Exempt85874804Fluoroscopy of head and neck using high osmolar contrast
Exempt85874803Fluoroscopy of head and neck using low osmolar contrast
Exempt85874802Fluoroscopy of head and neck using other contrast
Exempt85874833Fluoroscopy of mouth/oropharynx
Exempt85874834Fluoroscopy of mouth/oropharynx using other contrast
Exempt85874865Fluoroscopy of pharynx and epiglottis
Exempt85874866Fluoroscopy of pharynx and epiglottis using other contrast
Exempt85874873Magnetic resonance imaging (mri) of bilateral eyes
Exempt85874874Magnetic resonance imaging (mri) of bilateral eyes using other contrast
Exempt85874875Magnetic resonance imaging (mri) of bilateral eyes using other contrast, unenhanced and enhanced
Exempt85874841Magnetic resonance imaging (mri) of ear
Exempt85874842Magnetic resonance imaging (mri) of ear using other contrast
Exempt85874843Magnetic resonance imaging (mri) of ear using other contrast, unenhanced and enhanced
Exempt85874830Magnetic resonance imaging (mri) of head/neck subcutaneous tissue
Exempt85874831Magnetic resonance imaging (mri) of head/neck subcutaneous tissue using other contrast
Exempt85874832Magnetic resonance imaging (mri) of head/neck subcutaneous tissue using other contrast, unenhanced and enhanced
Exempt85874876Magnetic resonance imaging (mri) of left eye
Exempt85874877Magnetic resonance imaging (mri) of left eye using other contrast
Exempt85874878Magnetic resonance imaging (mri) of left eye using other contrast, unenhanced and enhanced
Exempt85874835Magnetic resonance imaging (mri) of nasopharynx/oropharynx
Exempt85874836Magnetic resonance imaging (mri) of nasopharynx/oropharynx using other contrast
Exempt85874837Magnetic resonance imaging (mri) of nasopharynx/oropharynx using other contrast, unenhanced and enhanced
Exempt85874838Magnetic resonance imaging (mri) of paranasal sinuses
Exempt85874839Magnetic resonance imaging (mri) of paranasal sinuses using other contrast
Exempt85874840Magnetic resonance imaging (mri) of paranasal sinuses using other contrast, unenhanced and enhanced
Exempt85874879Magnetic resonance imaging (mri) of right eye
Exempt85874880Magnetic resonance imaging (mri) of right eye using other contrast
Exempt85874881Magnetic resonance imaging (mri) of right eye using other contrast, unenhanced and enhanced
Exempt85874817Plain radiography of all teeth
Exempt85874826Plain radiography of bilateral orbits
Exempt85874820Plain radiography of bilateral zygomatic arches
Exempt85874824Plain radiography of facial bones
Exempt85874827Plain radiography of left orbit
Exempt85874821Plain radiography of left zygomatic arch
Exempt85874823Plain radiography of mandible
Exempt85874867Plain radiography of mastoids
Exempt85874818Plain radiography of multiple teeth
Exempt85874825Plain radiography of nasal bones
Exempt85874868Plain radiography of nasopharynx/oropharynx
Exempt85874869Plain radiography of paranasal sinuses
Exempt85874828Plain radiography of right orbit
Exempt85874822Plain radiography of right zygomatic arch
Exempt85874819Plain radiography of single tooth
Exempt85874870Ultrasonography of bilateral eyes
Exempt85874829Ultrasonography of head and neck
Exempt85874871Ultrasonography of left eye
Exempt85874872Ultrasonography of right eye
Exempt