Transcription of CT ORDERING GUIDE
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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. resolution reconstructions abdomen / General Abdominal Pain pelvis Mass Yes Yes CT abdomen & pelvis W 74160. All Cancer Staging CONTRAST and (Except melanoma 72193.)
CT ABDOMEN & PELVIS W CONTRAST 74160 and 72193 Cancer Staging Melanoma and Carcinoid Yes Yes CT ABDOMEN AND PELVIS W & WO CONTRAST 74170 and 72193 Gastrointestinal Crohns Disease Ulcerative Colitis IBD Appendicitis Diverticulitis Abscess Hernia (ventral, umbilical, inguinal) Obstruction Yes Yes CT ABDOMEN & PELVIS W CONTRAST
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