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2015 CPT Code Reference GuideT 866 558 4320 F 866 558 4329 TO ORDERCPT CODEMRI brain - post fossa w/ & w/o contrast (IAC w/ & w/o) Bell s Palsy Hearing loss Vertigo70553MRI brain (pituitary protocol) w/ & w/o contrast Hormone abnormalities Pituitary70553MRI brain (seizure protocol) w/ & w/o contrast Seizures - multiple early onset70553MRI brain and orbits w/ & w/o contrast Loss of vision Ocular mass or tumor Optic neuritis Visual disturbance70553, 70543MRI brain w/ & w/o contrast Bell s Palsy Brain tumor Dizziness Headaches (depends on Meningitis associated clinical history) Metastatic brain disease Multiple sclerosis Seizures Vertigo 70553MRI brain w/o contrast Ataxia CVA Dementia Headaches (depends on Traumatic brain injury associated clinical history) (chronic)70551MRI brain w/o contrast and consider MRA head Personal or family history of aneurysm Severe headache Subarachnoid hemorrhage70551, 70544MRI face, orbit, neck w/ & w/o contrast Tumor, mass, swelling, or infection of the soft tissue neck70543HEAD/NECK & NEUROMagnetic Resonance Imaging (MRI)SYMPTOMS/CONCERNSEXAM TO ORDERCPT CODEABDOMEN & PELVISMRI abdomen w/ & w/o contrast MRA abdomen w/ or w/o contrast*If exam includes history of gall stones, gall bladder disease, bile duct dilation, cholangitis, biliary tumor or pancreatitis include MRCP.

EXAM TO ORDER SYMPTOMS/CONCERNS CPT CODE ABDOMEN & PELVIS MRI abdomen w/ & w/o contrast MRA abdomen w/ or w/o contrast *If exam includes history of gall stones, gall bladder disease, bile duct dilation,

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