85876301Fluoroscopy of upper extremity
Exempt85876304Fluoroscopy of upper extremity using high osmolar contrast
Exempt85876303Fluoroscopy of upper extremity using low osmolar contrast
Exempt85876302Fluoroscopy of upper extremity using other contrast
Exempt85876320Magnetic resonance imaging (mri) of left elbow
Exempt85876321Magnetic resonance imaging (mri) of left elbow using other contrast
Exempt85876322Magnetic resonance imaging (mri) of left elbow using other contrast, unenhanced and enhanced
Exempt85876314Magnetic resonance imaging (mri) of left forearm
Exempt85876315Magnetic resonance imaging (mri) of left forearm using other contrast
Exempt85876316Magnetic resonance imaging (mri) of left forearm using other contrast, unenhanced and enhanced
Exempt85876332Magnetic resonance imaging (mri) of left shoulder
Exempt85876333Magnetic resonance imaging (mri) of left shoulder using other contrast
Exempt85876334Magnetic resonance imaging (mri) of left shoulder using other contrast, unenhanced and enhanced
Exempt85876326Magnetic resonance imaging (mri) of left upper arm
Exempt85876327Magnetic resonance imaging (mri) of left upper arm using other contrast
Exempt85876328Magnetic resonance imaging (mri) of left upper arm using other contrast, unenhanced and enhanced
Exempt85876323Magnetic resonance imaging (mri) of right elbow
Exempt85876324Magnetic resonance imaging (mri) of right elbow using other contrast
Exempt85876325Magnetic resonance imaging (mri) of right elbow using other contrast, unenhanced and enhanced
Exempt85876317Magnetic resonance imaging (mri) of right forearm
Exempt85876318Magnetic resonance imaging (mri) of right forearm using other contrast
Exempt85876319Magnetic resonance imaging (mri) of right forearm using other contrast, unenhanced and enhanced
Exempt85876335Magnetic resonance imaging (mri) of right shoulder
Exempt85876336Magnetic resonance imaging (mri) of right shoulder using other contrast
Exempt85876337Magnetic resonance imaging (mri) of right shoulder using other contrast, unenhanced and enhanced
Exempt85876329Magnetic resonance imaging (mri) of right upper arm
Exempt85876330Magnetic resonance imaging (mri) of right upper arm using other contrast
Exempt85876331Magnetic resonance imaging (mri) of right upper arm using other contrast, unenhanced and enhanced
Exempt85876305Plain radiography of upper extremity
Exempt85876306Ultrasonography of left elbow
Exempt85876307Ultrasonography of left elbow, densitometry
Exempt85876310Ultrasonography of left shoulder
Exempt85876311Ultrasonography of left shoulder, densitometry
Exempt85876308Ultrasonography of right elbow
Exempt85876309Ultrasonography of right elbow, densitometry
Exempt85876312Ultrasonography of right shoulder
Exempt85876313Ultrasonography of right shoulder, densitometry
Exempt