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Contrast vs. No Contrast Reference Sheet Head/Neck

Scheduling: or Fax: Web Site: Contrast vs. No Contrast Reference Sheet Head/Neck Body Part Reason for Exam Procedure to Pre-Cert CPT. Code Brain Alzheimer's/Confusion/Dementia MRI Brain without Contrast 70551. Headache/Migraine Memory Loss Mental Status Changes Seizures Stroke, CVA, TIA. Trauma Brain Cranial Nerve Lesions MRI Brain without and with 70553. F/U Lesion/Mass Contrast IAC/Hearing Loss/Tinnitus/Vertigo Infection Metastatic Disease Multiple Sclerosis Neurofibromatosis Pituitary Brain Fiducials MRI Brain with Contrast 70552. Gamma Knife Planning Circle of Willis Stroke/CVA/TIA MRA Head without Contrast 70544. (COW) Aneurysm Carotid Stroke/CVA/TIA MRA neck without Contrast 70547. Carotid Stenosis > 60% on Doppler MRA neck without and with 70549. Ultrasound Contrast Intracranial Venous Thrombosis MRV Head without and with 70546.

MRI Cervical Spine without Contrast 72141 Spine: Cervical Discitis Mass/Lesion Osteomylitis MRI Cervical Spine without and with Contrast 72156 Spine: Thoracic Back Pain Compression Fx Disc Herniation Radiculopathy Trauma MRI Thoracic Spine without Contrast 72146

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EPIC Ordering Reference Sheet – Body Body Part RAD Code Procedure to Pre-Cert CPT Code Abdomen - Adrenals RAD07005 MRI Abdomen without Contrast 74181 Abdomen - MRCP RAD07249 MRI Abdomen without Contrast 74181 Abdomen – Liver Kidneys Mass RAD07003 *Note in comment section area you are looking at (Liver, Kidneys, etc.)

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Contrast vs. No Contrast Reference Sheet Head/Neck

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Scheduling: 717.291.1016 or 888.MRI.1377 Fax: 717.509.8642 Web Site: www.MRIGroup.com Contrast vs. No Contrast Reference Sheet – Head/Neck Body Part Reason for Exam Procedure to Pre-Cert CPT

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