CT ORDERING GUIDE
CT ORDERING GUIDE . Body Part Reason for exam Oral IV contrast Procedure to pre-cert CPT code prep Chest/Thorax General Chest Chest Pain Shortness of Breath None Yes CTA CHEST W IV 71275. Pulmonary Emboli Pneumonia None Yes CT THORAX/CHEST W IV 71260. Cough Lung Nodule None None CT THORAX/CHEST W/O 71250. CONTRAST. Cancer restaging Cancer Restaging (any cancer) None Yes CT THORAX/CHEST W IV 71260. Chest mass Esophageal Cancer Oral Hi Resolution Interstitial Disease CT THORAX/CHEST W/O. Fibrosis None None CONTRAST - Please specify Hi 71250. Bronchiectasis resolution protocol only COPD/Emphysema Hemoptysis CT THORAX/CHEST W IV - Please Sarcoidosis None Yes specify additional series with Hi 71260.
CT ORDERING GUIDE Body Part Reason for exam Oral prep IV contrast Procedure to pre -cert CPT code Chest/Thorax General Chest Chest Pain Shortness of Breath ... Colon Protocol (Colon Cancer, poly, post surgical) Yes Rectal contrast Yes CT ABDOMEN & PELVIS W CONTRAST (Please order with Rectal Contrast) 74160 and
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