ADRAD Clinical Decision Guide

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AREA OF INTEREST HEADBODY PART EXAMREASON FOR EXAMORAL CONTRASTIV CONTRASTPROCEDURES TO PRE-CERTCODESBRAINBleed, trauma, headachesNONOCT Brain without70450Mass, tumor, infection, melanoma, HIV, meningioma, mets stagingNOYESCT Brain with and without70470CTA HEADAneurysmNOYESCTA Head70496CTA NECKCarotid OcclusionNOYESCTA Neck70498ORBITSTrauma, fracture, foreign bodyNONOCT Orbits without70480Mass, abcess, pain, swelling, Graves disease, cellulitisNOYESCT Orbits with70481SINUSSinusitus, mass, pain, polyps, deviated septum, congestion, foreign bodyNONOCT Sinus without70486FACETrauma, fractureNONOCT Maxillofacial70486TEMPORAL BONESCholestatoma, tinnitis, congenital hearing lossNONOCT Temporal Bones without70480SOFT TISSUE NECKPalpable neck mass, stone, neoplasmNOYESCT Neck with and without70492Lymphoma, lymphadenopathyNOYESCT Neck with and without70492Parotid swelling, vocal chord paralysisNONOCT Neck (9729) 2016 Advanced Radiology ConsultantsCOMPUTED TOMOGRAPHY (CT) SCANSExam Reference / Protocol GuidelinesFor additional information on CT and other radiologic exams, please consult the American College of Radiology s ACR Appropriateness Criteria document found at PART EXAMREASON FOR EXAMORAL CONTRASTIV CONTRASTPROCEDURES TO PRE-CERTCODESABDOMEN

dissection, hypertension NO YES CTA Abdomen 74175 CTA ABDOMEN AND PELVIS AAA, renal artery stenosis, dissection, hypertension NO YES CTA Abdomen and Pelvis 74174 CTA RUNOFF (PAD) Peripheral Artery Disease NO YES CTA Abdomen Aorta Runoff 75635 CHEST Nodule, opacities seen NO NO CT Chest without 71250 Hilar adenopathy, lung cancer NO …

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