COMPUTED TOMOGRAPHY (CT) SCANS Exam Reference / …

AREA OF INTEREST HEADBODY PART EXAMREASON FOR EXAMORAL CONTRASTIV CONTRASTPROCEDURES TO PRE-CERTCODESBRAINB leed, trauma, headachesNONOCT Brain without70450 Mass, tumor, infection, melanoma, HIV, meningioma, mets stagingNOYESCT Brain with and without70470 CTA HEADA neurysmNOYESCTA Head70496 CTA NECKC arotid OcclusionNOYESCTA Neck70498 ORBITST rauma, fracture, foreign bodyNONOCT Orbits without70480 Mass, abcess, pain, swelling, Graves disease, cellulitisNOYESCT Orbits with70481 SINUSS inusitus, mass, pain, polyps, deviated septum, congestion, foreign bodyNONOCT Sinus without70486 FACET rauma, fractureNONOCT Maxillofacial70486 TEMPORAL BONESC holestatoma, tinnitis, congenital hearing lossNONOCT Temporal Bones without70480 SOFT TISSUE NECKP alpable neck mass, stone, neoplasmNOYESCT Neck with and without70492 Lymphoma, lymphadenopathyNOYESCT Neck with and without70492 Parotid 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 without74176 PELVIS:from iliac crest to pubisPain, fracture, arthritis, mets, bone lesionNONOCT Pelvis w

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,

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  Small, Below, Small bowel, Enterography

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