Cigna Medical Coverage Policies – Radiology Cardiac Imaging

IMAGING STUDY Estimate of Effective Radiation Dose . Sestamibi myocardial perfusion study (MPI) 9-12 mSv PET myocardial perfusion study: Rubidium-82

  Imaging, Perfusion

CT Abdomen and Pelvis - General Imaging Request

1.Date of most recent office visit or other contact with physician: Don't Know Phone call with office staff Phone call with physician Don't know

  Pelvis

CT Chest, Abdomen and Pelvis Imaging Request

Don't Know. Phone call with office staff Phone call with physician Don't Know 3.Is abodminal or pelvic pain present? Yes. No Don't Know: 4.Where is the location of pain?

  Chest, Request, Imaging, Abdomen, Pelvis, Abdomen and pelvis imaging request

Musculoskeletal and Pain Management Program …

•190+ board-certified medical directors • Diverse representation of medical specialties • 450 nurses with diverse specialties and experience • Dedicated nursing and physician

  Programs, Management, Board, Pain, Musculoskeletal, Musculoskeletal and pain management program

Cigna Musculoskeletal Program Interventional Pain ...

1 July 2016 Cigna Musculoskeletal Program Interventional Pain Management . Frequently Asked Questions . Note: Prior authorization requests should only include those codes for the current Interventional

  Programs, Management, Frequently, Pain, Interventional, Musculoskeletal, Musculoskeletal program interventional pain management

er emb mm/dd/yyyy - eviCore

Member requires treatment for a different condition Additional care for same condition treated in the last 60 days 2. What is the primary diagnosis?

  Yyyy, Er emb mm dd yyyy

eviCore healthcare and Cigna Integrated Oncology ...

1 eviCore healthcare and Cigna Integrated Oncology Management Program Frequently Asked Questions Who is eviCore healthcare? eviCore healthcare (eviCore) is an independent specialty medical benefits management company that provides

  Programs, Management, Frequently, Healthcare, Integrated, Oncology, Cigna, Healthcare and cigna integrated oncology, Healthcare and cigna integrated oncology management program frequently

er emb mm/dd/yyyy - eviCore

Reduced strength full range Can't move against gravity Hand function. Reduced strength full range Fingertips don't reach palm Normal strength Normal strength Raises with bent knee Unable

  Yyyy, Mm dd yyyy

eviCore Radiation Therapy 2019 Guidelines

for Radiation Oncology (ASTRO) Evidence-Based Guidelines, or supported by other acceptable peer-reviewed publications. As such, eviCore will not automatically certify a case based solely on the fact that it

Bone Metastases Radiation Therapy Physician Worksheet (As ...

Bone Metastases Radiation Therapy Physician Worksheet (As of 23 July 2018) 6. What is the reason for treatment? Select all that apply. Extension into viscera or a soft tissue component

SUMMARY STAGE 2018 GENERAL CODING INSTRUCTIONS …

MAJOR SALIVARY GLANDS 75 NASOPHARYNX 79 OROPHARYNX 83 HYPOPHARYNX 89 PHARYNX OTHER 92 ... however, with the increasing sophistication of imaging, it may be possible to determine whether a cancer is localized or regional without surgery. ... as well as physical exam and diagnostic imaging reports for mention of regional or distant disease.

  Gland, Imaging, Diagnostics, Diagnostic imaging, Salivary, Salivary gland

Unlisted/Non-specific HCPCS/CPT Codes

Dec 01, 2007 · PG0035 Outpatient Advanced Imaging Authorization ... 42699 Unlisted procedure, salivary glands or ducts 42999 Unlisted procedure, pharynx, adenoids, or tonsils ... 78099 Unlisted endocrine procedure, diagnostic nuclear medicine 78199 Unlisted hematopoietic, ...

  Code, Gland, Specific, Imaging, Diagnostics, Hcpcs, Unlisted, Salivary, Salivary gland, Unlisted non specific hcpcs cpt codes

Division of Nuclear Medicine Procedure / Protocol

• Determine function of thyroid nodules shown on other diagnostic imaging and/or clinical examination ... Image from patient’s salivary glands to mid chest. Place Co-57 point source on the patient’s suprasternal notch (SSN) to identify this location on processed image.

  Gland, Imaging, Diagnostics, Diagnostic imaging, Salivary, Salivary gland

Diagnostic Imaging of the Salivary Glands- A Review

a minimally invasive diagnostic imaging technique used to assess the salivary gland function and to determine abnormalities in glandular uptake and excretion.9,14 Scintigraphy is possibly the only salivary imaging technique providing information on the functional capabilities of the glands. Following intravenous injection

  Gland, Imaging, Diagnostics, Diagnostic imaging, Salivary, Diagnostic imaging of the salivary glands, Salivary imaging

Abdomen Sonography Examination Content Outline

obtaining and documenting diagnostic images 1.A.2. Breast 1.A.3. Chest 1.A.4. Liver 1.A.5. Neck (including: thyroid, parathyroid, salivary glands, lymph nodes) 1.A.6. Pancreas # Domain Subdomain Percentage 1 Anatomy, Perfusion, and Function Assess physical characteristics of anatomic structures Assess perfusion and function of anatomic ...

  Gland, Diagnostics, Salivary, Salivary gland