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Body PartProcedure for Pre-authorizationcPt codeindications for exam or studycontrast*sPecBrain mriMRI Brain without contrast70551 Alzheimer s Stroke/CVAM ental status change TIA (transient ischemic attack)Confusion TraumaDementia Dizziness/VertigoMemory Loss HeadachesSuspected MSNo ContrastneuroMRI Brain with and without contrast70553 Tumor/Mass/Cancer Pituitary lesionCranial nerve lesions Acoustic neuromaHIV/AIDS Syringomyelia (Syrinx)Infection Visual changeMS (Multiple Sclerosis) MetastasesNeurofibromatosis Vascular lesions (AVM)

Body Part Procedure for Pre-authorization cPt code indications for exam or study contrast* Pec Brain mri MRI Brain without contrast 70551 Alzheimer’s Stroke/CVA Mental status change TIA (transient ischemic attack) Confusion Trauma

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