New Diagnostic Radiology Codes for 2018 (April 2018)

April 2018 pages 7-8 New Diagnostic Radiology Codes for 2018 A number of code revisions were made to the Diagnostic Radiology section of the Current Procedural Terminology (CPT®) 2018 code set. Nine codes, which were used to report view-specific chest X rays, were deleted and replaced by four new codes (71045, 71046, 71047, 71048) that describe the total number of views obtained. In addition, codes that were used to report view-specific abdominal X rays (74000, 74010, 74020) were also deleted and replaced by three new codes (74018, 74019, 74021) that describe the total number of views obtained. These...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a set of 2018 updates to CPT diagnostic radiology coding for chest and abdomen X-ray services. It is intended for coders, radiology billing staff, and clinicians who document imaging studies, and it summarizes the shift to view-count-based reporting along with related cross-references and instructional notes in the code set.

Why This Topic Matters

Radiology coding changes can affect documentation, claim accuracy, and code selection workflows. Understanding the updated CPT structure helps users interpret how the revised chest and abdomen sections are organized and where related guidance appears.

Article Sections

  1. April 2018 pages 7-8

    Publication context for the update and the affected time period.

  2. New Diagnostic Radiology Codes for 2018

    High-level summary of the CPT radiology revisions and the scope of the chest and abdomen changes.

  3. Diagnostic Radiology (Diagnostic Imaging)

    Overview of the revised radiology subsection structure, including chest and abdomen reporting topics and related parenthetical guidance.

  4. Determining Correct Number of Views

    General discussion of the move to view-count-based reporting and the documentation context for interpreting studies.

  5. Coding Examples

    Illustrative radiology scenarios showing the types of situations addressed by the update.

  6. Coding Example 1

    Example focused on chest imaging documentation and the relevant reporting context.

  7. Coding Example 2

    Example focused on abdominal imaging documentation and the relevant reporting context.

  8. Coding Tip

    General guidance on radiography terminology and image formats relevant to radiology coding.

What You Will Learn

  • How the 2018 CPT radiology update reorganized chest and abdomen X-ray reporting
  • What kinds of guidance accompany the revised diagnostic radiology section
  • How the article frames documentation considerations for imaging studies
  • Where related CAD references and parenthetical notes appear in the radiology section

Who Should Read This

  • Radiology coders
  • Medical billing and compliance staff
  • Physician documentation staff
  • Imaging department administrators

Codes Discussed


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