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RADIOLOGY ORDERING GUIDE - Abington | Radiology

RADIOLOGY ORDERING GUIDE B R E A S T I M A G I N G|C T|M R I|N U C L E A R M E D I C I N E|U L T R A S O U N DTo Schedule an Exam:215-481-EXAM (3926)This comprehensive GUIDE to imaging services was developed to help in prescribing and ORDERING the correcttesting for your patients. It includes indications and recommendations to consider as well as CPT codes to usewhen ORDERING the appropriate want to provide our patients with the highest level, safest imaging . Our physicians are board certified in diagnostic RADIOLOGY , and some have additional certifications in specialties such as neuro- RADIOLOGY and interventional RADIOLOGY .

Breast Imaging SIGNS & SYMPTOMS PARAMETERS ORDER SUGGESTED TEXT FOR REQUISITION To schedule an appointment: call 215-481-EXAM (3926) Direct line for questions: call 215-481-MAMM (6266) or 215-481-3686 5

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Transcription of RADIOLOGY ORDERING GUIDE - Abington | Radiology

1 RADIOLOGY ORDERING GUIDE B R E A S T I M A G I N G|C T|M R I|N U C L E A R M E D I C I N E|U L T R A S O U N DTo Schedule an Exam:215-481-EXAM (3926)This comprehensive GUIDE to imaging services was developed to help in prescribing and ORDERING the correcttesting for your patients. It includes indications and recommendations to consider as well as CPT codes to usewhen ORDERING the appropriate want to provide our patients with the highest level, safest imaging . Our physicians are board certified in diagnostic RADIOLOGY , and some have additional certifications in specialties such as neuro- RADIOLOGY and interventional RADIOLOGY .

2 And we use state-of-the-art imaging technology at all of our locations, at Abington Memorial Hospital and at Lansdale goal is to provide proper and complete imaging . In addition to assuring orders are placed correctly, we tailor examinations to each patient s specific condition. It is very important for the radiologist to have information about the specific clinical condition so that appropriate imaging is you order a study, please include pertinent history as well as signs or symptoms. Please do not use R/O exams such as rule out tumor or rule out anomaly unless the patient s history and signs/symptomsare included on the order.

3 We appreciate it if you would specify a particular entity or condition upon which you would like us to comment in the appreciate your trusting your patients care to us, Abington HealthDepartment of RadiologyCentral Scheduling: 215-481-EXAM (3926)T O O U R P H Y S I C I A N P A R T N E R S2 Table of ContentsRADIOLOGY GENERALCT General Head & General Spine ..8CT General Chest ..8CT General Abdomen & Pelvis ..9CT General Extremities ..10CT Specialty ANGIOGRAPHYCT Angiography (CTA) ..11 MRIMRI General Head & General General General Chest.

4 16 MRI General Abdomen & General Extremities ..18 MRI General ANGIOGRAPHYMRI Angiography (MRA/MRV) Head & Neck ..20 MRI Angiography (MRA/MRV) Chest ..20 MRI Angiography (MRA/MRV) Abdomen & MEDICINEN uclear Medicine Bone Scan ..23 Nuclear Medicine Medicine Cardiovascular ..24 Nuclear Medicine Hepatobiliary (Gallbladder)..24 Nuclear Medicine Abscess imaging ..25 Nuclear Medicine Gastrointestinal Scans ..25 Nuclear Medicine Lung Scan ..26 Nuclear Medicine Renal / Bladder / Testicular Scan ..26 Nuclear Medicine Thyroid Uptake & Medicine Parathyroid Scan.

5 27 Nuclear Medicine I-131 Whole Body Medicine Sentinel Node ..27 Nuclear Medicine Salivary Medicine Red Cell Mass ..28 Nuclear Medicine Tumor imaging ..28 Nuclear Medicine Neck ..31 Ultrasound Chest (including Breast) ..31 Ultrasound Abdomen ..32 Ultrasound Pelvis ..33 Ultrasound Urinary Extremity ..35 Ultrasound Pregnancy ..36 Ultrasound Pediatric ..37 Ultrasound H A H A H O U T PAT I E N T T E ST I N GA M HL HS C H I L L I N GWA R M I N ST E R P H YS I C I A N S L E VYX-Ray Mammography Bone Densitometry (DEXA) Ultrasound Nuclear Medicine CardiologyCardiologyComputed Tomography (CT) Magnetic Resonance imaging (MRI) Interventional RADIOLOGY (IR) Positron Emission Tomography (PET)

6 RADIOLOGY LocationsABINGTON MEMORIAL HOSPITAL1200 Old York RoadAbington, PA LANSDALE HOSPITAL100 Medical Campus DriveLansdale, PAABINGTON HEALTH CENTER SCHILLING CAMPUSB lairwood Building2701 Blair Mill RoadWillow Grove, PAABINGTON HEALTH CENTER WARMINSTER CAMPUS225 Newtown RoadWarminster, PAABINGTON PHYSICIANS AT MONTGOMERYVILLE1010 Horsham Road, Suite 110 North Wales, PA 4 Annual screening asymptomaticAnnual starting at age 40 Digital Screening Screening No upper age limitMammo , , ScreeningScreening implants Mammo w/CADWhen scheduling identify that patient , and is asymptomatic but needs , exam history of breast cancerMastectomy Digital ScreeningPersonal history of breast cancer; mastectomyOpposite BreastMammo , >5years since surgeryDigital Screening Screening:Mammo w/CADP ersonal history of breast cancer; , <5years since surgeryDigital Bilat/UnilatDiagnostic: Personal history of breast cancer.

7 (Lt/Rt) Mammo findingsLumpDigital Bilat/UnilatDiagnostic mammogram, Diagnostic ultrasound, (Symptoms)(Lt/Rt) Mammo w/CAD(identify area of lump) DischargeDigital Bilat/UnilatDiagnostic mammogram, (Lt/Rt) Mammo w/CADD iagnostic ultrasound nipple (identify breast)Pain focal and persistentDigital Bilat/UnilatDiagnostic mammogram,Mammo w/CAD Diagnostic ultrasound Pain (identify area of pain)Under 30 years Symptomatic breast onlyUltrasound BreastDiagnostic breast ultrasound; Pain, lump, dischargeDigital Bilat/UnilatMammogram, if necessary(Lt/Rt) Mammo , , term follow up examRecommendation of previous Digital Bilat/Unilat Diagnostic Mammogram or Ultrasound exam 6 month follow up (Lt/Rt) Mammo w/CADas recommended by radiologist(Birads 3)and/or US term follow up exam Post benign biopsy examDigital Bilat/Unilat6 month follow up(Lt/Rt) Mammo w/CADand/or US of additional Mammography additional exam Digital Bilat/UnilatCall back for diagnostic mammogramimaging call back examUltrasound (Lt/Rt) Mammo w/CAD(Birad 0)

8 And/or US diagnostic ultrasound MRIHigh risk screening MRI Breast Bilat/UnilatHigh risk screening Life time risk>25%.Life time risk>25%.(Lt/Rt) Mammo problemDiagnostic problemBreast cancer extent of diseaseBreast cancer extent of diseaseBreast implant evaluationBreast implant evaluationBreast ImagingS I G N S & SY M P TO M S PA RA M E T E R S O R D E R S U G G E ST E D T E X T FO R R EQ U I S I T I O NTo schedule an appointment: call 215-481-EXAM (3926) Direct line for questions: call 215-481-MAMM (6266) or 215-481-36865CT Table of ContentsCT GENERALCT General Head & Neck.

9 7CT General General General Abdomen & General Extremities ..10CT Specialty Exams ..10CT ANGIOGRAPHYCT Angiography (CTA) ..11 HeadAltered consciousnessAltered speechCerebrovascular diseaseCVAD ementiaHeadacheNoNoCT Head w/o contrast70450 Injury/traumaICHS eizureShunt positionSyncopeTIAV ertigoMetastasisNeoplasmYesNoCT Head w/contrast70470 MeningitisFeverMaxillofacialInjury/traum aNoNoCT maxillofacial w/o contrast70486 SinusitisFeverInfection/abscessYesNoCT maxillofacial w/contrast70487 CellulitisMassOrbitsCellulitisFeverInfec tion/abscessYesNoCT orbits w/contrast70481 Orbital edemaTumor/neoplasmVision lossDiploliaGraves diseaseNoNoCT orbits w/o contrast70480 Injury/traumaTemporal BonesHearing

10 LossCholesteatomaNoNo CT orbits w/o contrast70480 MastoiditisIAC sYesNoCT orbits w/contrast70481 Soft Tissue NeckAdenopathyFeverInfection/abscessYesN oCT soft tissue neck w/contrast70491 Injury/traumaMass/neoplasmVocal cord paralysisWhen contrast is contraindicatedSalivary gland calculiNoNoCT soft tissue neck w/o contrast70490 Salivary gland calculiYesNoCT soft tissue neck w/o & w/contrast 70492CT General Head & NeckB O DY PA RTR E AS O N FO R E X A MI V CO N T RAST O RA L CO N T RASTP RO C E D U R E TO P R E C E RTC P T CO D ETo schedule an appointment: call 215-481-EXAM (3926) Direct line for questions.


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