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Body PartProcedure for Pre-authorizationcPt codeindication for ct exam or StudycontraStSPecct headCT Head without contrast70450TraumaHeadachesCVAStroke/Bl eedAlzheimer sMemory Loss/ConfusionShunt CheckHydrocephalusTIAChange in Mental StatusDizziness/VertigoNo ContrastneuroCT Head with and without contrast(Note: MRI Brain may be preferred study if patient is able. Consult the radiologist.)70470Metastases/known cancer (MRI preferable)Yes Contrastneurocta head (Circle of Willis)CTA Brain with and without contrast70496Aneurysm 3rd nerve palsyFamily history of aneurysm Vascular malformationYes Contrastneuroct orBitSCT Orbits without contrast70480Trauma Foreign BodyFracture Bony AbnormalitiesNo ContrastneuroCT Orbits with and without contrast70481Infection PainAbscess/Cellulitis Mass/Tumor/CancerYes Contrastneuroct SinuSCT Sinus without contrast70486Sinusitis CongestionMass Nasal PolypsPain Deviated SeptumForeign Body Sinus HeadacheNo Contrastneuroct face (From orbits to mandible)
Body Part Procedure for Pre-authorization cPt code indication for ct exam or Study contra St Pec ct head CT Head without contrast 70450 Trauma Headaches CVA Stroke/Bleed Alzheimer’s Memory Loss/Confusion
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