Transcription of Use this reference to quickly determine the correct exam ...
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Use this reference to quickly determine the correct exam ...
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)Hearing loss, IAC mass Elevated prolactinBell s Palsy (facial weakness)Yes Contrastneuromra Brain: Arterial CirculationCircle of Willis (COW)MRA Brain without contrast70544 Aneurysm, family historyTIA (transient ischemic attack)Stroke/CVA (cerebrovascular accident)No Contrastneuromra Brain: Venous CirculationMRA Brain without contrast70544 Venous thrombosisNo ContrastneuroMRA Brain with and without contrast70546 AVM Sinus thrombosisVenous circulatory symptomsAs determined by radiologistneuromra necKMRA
MRI EXAM CPT CODE REFERENCE Use this reference to quickly determine the correct exam for your patients based on the indications described herein and the CPT for the order. for their comfort, iv sedation is available for your patients upon request. Patients receiving sedation must be accompanied by a driver.
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