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2021 Magellan Advanced Imaging Guidelines - RADMD

Copyright 2019-2020 National Imaging Associates, Inc., All Rights Reserved National Imaging Associates, Inc.* 2021 Magellan Clinical Guidelines For Medical Necessity Review Advanced Imaging Guidelines Effective January 1, 2021 December 31, 2021 *National Imaging Associates, Inc. (NIA) is a subsidiary of Magellan Healthcare, Inc. 2021 Magellan Clinical Guidelines - Advanced Imaging 2 Guidelines for Clinical Review Determination Preamble Magellan is committed to the philosophy of supporting safe and effective treatment for patients. The medical necessity criteria that follow are Guidelines for the provision of diagnostic Imaging . These criteria are designed to guide both providers and reviewers to the most appropriate diagnostic tests based on a patient s unique circumstances. In all cases, clinical judgment consistent with the standards of good medical practice will be used when applying the Guidelines .

2021 Magellan Clinical Guidelines-Advanced Imaging. 10 . 70450 – CT Head/Brain . CPT Codes: 70450 70460 70470 . REDUCING RADIATION EXPOSURE: Important Note: Brain MRI is preferred to Brain CT in most circumstances where the patient can tolerate MRI and sufficient time is available to schedule the MRI examination. Assessment of

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