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eviCore Head Imaging Guidelines

Head Imaging Guidelines Version Effective September 1 , 2021eviCore healthcare Clinical Decision Support Tool Diagnostic Strategies: This tool addresses common symptoms and symptom complexes. Imaging requests for individuals with atypical symptoms or clinical presentations that are not specifically addressed will require physician review. Consultation with the referring physician, specialist and/or individual s Primary Care Physician (PCP) may provide additional insight. CPT (Current Procedural Terminology) is a registered trademark of the American Medical Association (AMA).

HD-37: Sleep-Related Requests 145 ... only supported if there is suspicion of simultaneous involvement of more posterior lesions, especially of the region involving the middle or inner ear. ... Surgical and radiation therapy localization, planning and neuronavigation

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