COMPUTED TOMOGRAPHY (CT) SCANS Exam Reference / …

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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: from lung base to illiac crestPainYESNOCT AbdomenPelvis without74176PELVIS:from iliac crest to pubisPain, fracture, arthritis, mets, bone lesionNONOCT Pelvis without72192Soft tiss

Enterography Crohn’s disease, small bowel obstruction YES Arrive 1 hour prior to appt. time, patient must drink oral contrast in the office YES 35 years of age or older: CT Abdomen with and without Pelvis with 74178 35 years of age or younger: CT Abdomen and Pelvis with only 74176 LIVER Increase LFTs, RUQ pain, jaundice, liver cancer,

  Small, Below, Small bowel, Enterography