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2021 CPT Code Exam Ordering Guide

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Everyone s choice for CPT Code ExamOr dering GuideT 858 658 6500F 866 558 4329IH S Radiology Medical Group - Tax ID# 47-3394746EXAM TO ORDECRPT CODESYMPTOMS/CONCERNSMRI 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, 7 054 3MRI brain w/ & w/o contrast Brain tumor Dizziness Headaches (depends on Meningitisassociated clinical history) Metastatic brain disease Multiple sclerosis Seizures70553MRI brain w/o contrast Ataxia CVA Dementia Headaches (depends on Traumatic brain injury associated clinical history)

MRI arthrogram, Knee • Knee pain with concern for unstable osteochondral lesion • Knee pain with prior arthroscopy 73722 MRI joint LOWER extremity w/ contrast 27369 Arthro injection 77002 Fluoro guidance MRI arthrogram, Shoulder • Shoulder pain after dislocation or concern for labral tear • Shoulder pain after rotator cuff or labral repair

  Arthrogram

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2020 CPT Code Exam Ordering Guide - Imaging Healthcare

www.imaginghealthcare.com

- Rectal bleeding, tortuous colon, or inability to 7 tolerate sedation 4261 CT colonography screening • Colon cancer screening 74263 CT small bowel w/ contrast (w/ oral contrast) • Anemia • Bowel obstruction • Chronic GI bleed • Crohn’s disease • Small bowel mass 74177 CT urogram w/ & w/o contrast • Dysuria • Flank pain

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arthrogram, including injection . 70328, 70330, 76499 . D0322 Tomographic survey 70486 D0330 Panoramic film 70320, 70355 D0340 Cephalometric film 70350 D0360 . Cone beam CT - craniofacial data capture 70486, 70487, 70488 . C. D0362 . on ebea m-two d iensional ag reconstruction using existing data

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(Indirect MR Arthrogram) **Inject standard dose of IV contrast and wait 20 minutes before scanning** 3.0T: 180 - 8 16 1.5T: 150 0.7T 100 0.3T: 70 256 x 192 4/0.5 >1500 20-40 2 Cor 16-18 Oblique FSTIR 2000- 30-50 8 4000 256 x 192 4/1 2 Sagittal 14-16 PD FSE FatSat 256 x 192 3/0.5 400-800 minimum 16 2 Cor 14-16 Oblique T1 SE FatSat 2000- 30-50 8 ...

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☐ Requested as part of arthrogram ☐ Meniscal or labral tear ☐ Abnormal plain film, bone scan, or ultrasound ☐ Rotator cuff tear (shoulder) ☐ Known or suspected tumor, metastasis ☐ Fracture evaluation ☐ Suspected vascular abnormality (aneurysm dissection, thromboembolic disease, A-V malformation or fistula vasculitis,

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Pre MRI / CT Arthrogram 77002 --> CPT is NOT Body Part Specific--> Knee--> Ankle--> Hip--> Elbow--> Wrist--> Shoulder Fluoro Guided Joint Injection Diagnostic CPT Code Reference Guide Fluoroscopy Venous Duplex Upper and Lower Extremity (Bilateral) Venous Duplex Upper and Lower Extremity (Unilateral) Abdominal Vascular (Portal / Hepatic)

  Arthrogram

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