2010 Radiology Prior Authorization List for UnitedHealthcare s HealthChoice Members

Size: px
Start display at page:

Download "2010 Radiology Prior Authorization List for UnitedHealthcare s HealthChoice Members"

Transcription

1 70336 MR TEMPOROMANDIBULAR JOINT CT, HEAD OR BRAIN; WITHOUT MATERIAL CT HEAD/BRAIN W/ CT HEAD/BRAIN W/O & W/ CT, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MID CT ORBIT W/ CT ORBIT W/O & W/ CT, MAXILLOFACIAL AREA; WITHOUT MATERIAL CT MAXLLFCL W/ CT MAXLLFCL W/O & W/ CT, SOFT TISSUE NECK; WITHOUT MATERIAL CT SOFT TISSUE NECK W/ CT SOFT TISSUE NECK W/O & W/ CT ANGIOGRAPHY, HEAD, WITH MATERIAL(S), I CT ANGIOGRAPHY, NECK, WITH MATERIAL(S), I MRI FACE, ORBIT, NECK W/O MRI FACE, ORBIT, NECK WITH MRI FACE, ORBIT, NECK W/ & W/O MRA HEAD W/O MRA HEAD W/ MRA HEAD W/ & W/O MRA NECK W/O MRA NECK W/ MRA NECK W/ & W/O MRI HEAD W/O MRI HEAD W/ MRI HEAD W/ & W/O MAGNETIC RESONANCE, BRAIN, FUNCTIONAL MRI; MAGNETIC RESONANCE, BRAIN, FUNCTIONAL MRI; CT, THORAX; WITHOUT MATERIAL CT THORAX W/ CT THORAX W/O & W/ CT ANGIOGRAPHY, CHEST (NONCORONARY), FOLLOWED BY W MRI CHEST W/O MRI CHEST W MRI CHEST W & W/O CT, CERVICAL SPINE; WITHOUT MATERIAL CT C SPINE W/ CT C SPINE W/O & W/ CT, THORACIC SPINE; WITHOUT MATERIAL CT T SPINE W/ CT T SPINE W/O & W/ CT, LUMBAR SPINE; WITHOUT MATERIAL CT L SPINE W/ CT L SPINE W/O & W/ MRI CERVICAL SPINE W/O MRI CERVICAL SPINE W/ MRI THORACIC SPINE W/O MRI THORACIC SPINE W/ MRI LUMBAR SPINE W/O MRI LUMBAR SPINE W/ MRI C SPINE W/ & W/O MRI T SPINE W/ & W/O MRI L SPINE W/ & W/O MRA SPINAL CANAL W/OR W/O CT ANGIOGRAPHY, PELVIS, WITH MATERIAL(S), CT, PELVIS; WITHOUT MATERIAL CT PELVIS W/ CT PELVIS W/O & W/ MRI PELVIS W/O MRI PELVIS W/ MRI PELVIS W/ & W/O CT, UPPER EXTREMITY; WITHOUT MATERIAL CT UPPER EXTREMITY W/ CT UPPER EXTREMITY W/O & W/ CT ANGIOGRAPHY, UPPER EXTREMITY, WITH MAT MRI UPPER EXTREMITY OTHER THAN JOINT W/O MRI UPPER EXTREMITY OTHER THAN JOINT W MRI UPPER EXTREMITY OTHER THAN JOINT W/ & W/O CONT MRI UPPER EXTREMITY JOINT W/O MRI UPPER EXTREMITY JOINT W/ MRI UPPER EXTREMITY JOINT W/ & W/O MRI UPPER EXTREMITY, WITH OR W/O CT, LOWER EXTREMITY; WITHOUT MATERIAL CT LOWER EXTREMITY W/ CT LOWER EXTREMITY W/O & W/ CT ANGIOGRAPHY, LOWER EXTREMITY, WITH MAT MRI LOWER EXTREMITY OTHER THAN JOINT W/O MRI LOWER EXTREMITY JOINT W/ MRI LOWER EXTREMITY OTHER THAN JOINT W/ & W/O CONT MRI LOWER EXTREMITY JOINT W/O MRI LOWER EXTREMITY JOINT W/ MRI LOWER EXTREMITY JOINT W/ & W/O

2 74150 CT, ABDOMEN; WITHOUT MATERIAL CT ABDOMEN W/ CT ABDOMEN W/O & W/ CT ANGIOGRAPHY, ABDOMEN, WITH MATERIAL(S) MRI ABDOMEN W/O MRI ABDOMEN W/ MRI ABDOMEN W/ & W/O DIAGNOSTIC, INCLUDING IMAGE POSTPROCESSING; WITHOUT MATERIAL DIAGNOSTIC, INCLUDING IMAGE POSTPROCESSING; WITH MATERIAL(S) INCLUDING NON- IMAGES, IF PERFORMED SCREENING, INCLUDING IMAGE POSTPROCESSING CARDIAC MRI FOR VELOCITY FLOW MAPPING CT HEART NO QUANT EVAL CORONRY CALCIUM CT HEART EVAL CARDIAC STRUCTURE&MORPH CT HRT CONTRST CARDIAC STRUCT&MORPH CONG HRT DX CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST CT ANGIOGRAPHY, ABDOMINAL AORTA AND BILATERAL ILIO 3D RENDERING WITH INTERPRETATION AND REPORTING OF 3D RENDERING WITH INTERPRETATION AND REPORTING OF CT LIMITED OR LOCALIZED FOLLOW-UP STUDY MRI SPECTROSCOPY UNLISTED CT PROCEDURE UNLISTED MRI PROCEDURE MRI GUIDANCE FOR NEEDLE PLACEMENT; RAD SUPERVISION MRI BONE MARROW BLOOD SUPPLY THYROID RAI UPTAKE THYROID, MULTIPLE UPTAKES THYROID SUPPRESS OR STIMULATION THYROID UPTAKE AND SCAN THYROID, IMAGE, MULTIPLE UPTAKES THYROID SCAN ONLY THYROID WITH FLOW THYROID MET THYROID MET WITH ADDITIONAL STUDIES THYROID SCAN WHOLE BODY PARATHYROID NUCLEAR ADRENAL NUCLEAR UNLISTED ENDOCRINE PROCEDURE, DIAGNOSTIC NUCLEAR M BONE MARROW, LIMITED BONE MARROW, MULTIPLE BONE MARROW, WHOLE BODY SPLEEN W & W/O VASCULAR FLOW LYMPH SYSTEM UNLISTED HEMATOPOIETIC DIAGNOSTIC NUCLEAR MEDICINE LIVER LIVER WITH FLOW LIVER SPECT (3D) LIVER SPECT W/ VASCULAR FLOW LIVER & SPLEEN LIVER & SPLEEN WITH FLOW LIVER FUNCTION STUDY HIDA SCAN SALIVARY GLAND SERIAL SALIVARY GLAND SALIVARY GLAND FUNCTION EXAM ESOPHAGUS MOTILITY STUDY GASTRIC MUCOSA GASTROESOPHAGEAL REFLUX EXAM GASTRIC EMPTYING STUDY GI BLEEDER SCAN GI PROTEIN EXAM MECKEL'S DIVERTICULUM LEVEEN SHUNT PATENCY EXAM UNLISTED GASTROINTESTINAL PROCEDURE BONE OR JOINT LTD BONE OR JOINT MULTIPLE BONE SCAN WHOLE BODY BONE AND/OR JOINT ; 3 PHASE STUDY 2

3 78320 BONE JOINT TOMO TEST UNLISTED MUSCULOSKELETAL PROCEDURE CARDIAC SHUNT RADIONUCLIDE VENOGRAM NON-CARDIAC MYOCARDIAL SPECT MULTIPLE STUDIES MYOCARDIAL SPECT MULTIPLE STUDIES MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES ACUTE VENOUS THROMBOSIS, PEPTIDE VENOUS THROMBOSIS UNILATERAL VENOUS THROMBOSIS IMAGES, BILATERAL THALLIUM SCAN REST ONLY MYOCARDIAL PERF STRESS OR REST MULTIPLE STUDY MYOCARDIAL INFARCTION SCAN HEART INFARCT IMAGE EF HEART INFARCT IMAGE 3-D GATED HEART, RESTING CARDIAC BLOOD POOL MUGA SCAN CARDIAC BLOOD POOL, SPECT UNLISTED CARDIOVASCULAR NUCLEAR EXAM PULMONARY PERFUSION PULMONARY PERFUSION WITH VENT SINGLE BREATH PULMONARY PERFUSION W/ WASHOUT, W OR W/O SINGLE BR PULMONARY VENTILATION PULMONARY VENTILATION MULTI PULMONARY PERFUSION, PARTICULATE, WITH VEN VENT IMAGE 1 BREATH, 1 PROJECTION VENT IMAGE 1 PROJECTION, GAS VENT IMAGE MULTI PROJECTION, GAS LUNG DIFFERENTIAL FUNCTION UNLISTED RESPIRATORY NUCLEAR EXAM BRAIN, LESS THAN 4 STATIC VIEWS BRAIN, LESS THAN 4 STATIC VIEWS; WITH VASC BRAIN, MINIMUM 4 STATIC VIEWS BRAIN, MINIMUM 4 STATIC VIEWS; WITH VASCUL BRAIN, TOMOGRAPHIC (SPECT) BRAIN, POSITRON EMISSION PET) BRAIN, POSITRON EMISSION PET) BRAIN FLOW ONLY CISTERNOGRAM (CEREBROSPINAL FLUID FLOW) CEREBROSPINAL VENTRICULOGRAPHY CSF SHUNT EVALUATION CEREBROSPINAL FLUID SCAN CSF LEAKAGE DETECTION AND LOCALIZATION RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY UNLISTED DIAGNOSTIC NUCLEAR MED PROCEDURE KIDNEY (STATIC) KIDNEY W/ VASCULAR FLOW KIDNEY W/ VASCULAR FLOW & FUNCTION SINGLE KIDNEY SINGLE STUDY W/ PHARM. INTERVENTION KIDNEY - MULTIPLE STUDIES W & W/O PHARM. IN KIDNEY - TOMOGRAPHIC (SPECT) URETERAL REFLUX STUDY TESTICULAR W/ VASCULAR FLOW UNLISTED GENITOURINARY PROCEDURE RADIOPHARM LOCALIZATION OF TUMOR OR DISTRIBUTION O RADIOPHARM LOCALIZATION OF TUMOR, MULTIPLE AREAS RADIOPHARM LOCALIZATION OF TUMOR, WHOLE BODY, SING RADIOPHARM LOCALIZATION OF TUMOR TOMOGRAPHIC(SPECT RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR OR DISTR RADIOPHARM LOCALIZATION OF ABSCESS, LIMITED AREA RADIOPHARM LOCALIZATION OF ABSCESS, WHOLE BODY RADIOPHARM LOCALIZATION OF ABSCESS, TOMOGRAPHIC SP POSITRON EMISSION PET) ; LIMITE POSITRON EMISSION PET) ; SKULL POSITRON EMISSION PET) ; WHOLE UNLISTED MISC. PROCEDURE 0042T 0066T 0067T 0159T CEREBRAL PERFUSION ANALYSIS USING CT WITH COMPUTED TOMOGRAHIC COLONOGRAPHY (IE, VIRTUAL COLO CT COLONOGRAPHY (IE, VIRTUAL COLONOSCOPY): DIAGNOS COMPUTER-AIDED DETECTION, INCLUDING COMPUTER ALGORITHM ANALYSIS OF MRI IMAGE DATA FOR LESION DETECTION/CHARACTERIZATION, PHARMACOKINETIC ANALYSIS, WITH FURTHER PHYSICIAN REVIEW FOR INTERPRETATION, BREAST MRI (LIST SEPARATELY IN ADDITION TO FOR PRIMAR 3

4 C8900 C8901 C8902 C8903 C8904 C8905 C8906 C8907 C8908 C8909 C8910 C8911 C8912 C8913 C8914 C8918 C8919 C8920 G0219 G0235 G0252 S8037 S8042 PET WHOLE BODY; MELANOMA FOR NON- COVERED INDICATIONS PET, ANY SITE, NOT OTHERWISE SPECIFIED PET, FULL AND PARTIAL RING PET SCANNERS ONLY FOR INITIAL DIAGNOSIS OF BREAST CANCER AND/OR SURGICAL PLANNING FOR BREAST CANCER MRI ABDOMEN W/ & W/O MAGNETIC RESONANCE (MRI), LOW-FIELD ELECTRON BEAM COMPUTED ALSO ELECTRON BEAM COMPUTED ALSO THALLIUM SCAN REST ONLY MYOCARDIAL PERF STRESS OR REST MULTIPLE STUDY HEART IMAGE (3-D) SINGLE MYOCARDIAL PERF W/ SPECT MULTIPLE MYOCARDIAL INFARCTION SCAN HEART INFARCT IMAGE EF HEART INFARCT IMAGE 3-D GATED HEART, RESTING CARDIAC BLOOD POOL MUGA SCAN CARDIAC BLOOD POOL, SPECT UNLISTED CARDIOVASCULAR NUCLEAR EXAM PULMONARY PERFUSION PULMONARY PERFUSION WITH VENT SINGLE BREATH PULMONARY PERFUSION W/ WASHOUT, W OR W/O SINGLE BR PULMONARY VENTILATION PULMONARY VENTILATION MULTI PULMONARY PERFUSION, PARTICULATE, WITH VEN VENT IMAGE 1 BREATH, 1 PROJECTION VENT IMAGE 1 PROJECTION, GAS VENT IMAGE MULTI PROJECTION, GAS LUNG DIFFERENTIAL FUNCTION UNLISTED RESPIRATORY NUCLEAR EXAM BRAIN, LESS THAN 4 STATIC VIEWS BRAIN, LESS THAN 4 STATIC VIEWS; WITH VASC BRAIN, MINIMUM 4 STATIC VIEWS BRAIN, MINIMUM 4 STATIC VIEWS; WITH VASCUL BRAIN, TOMOGRAPHIC (SPECT) BRAIN, POSITRON EMISSION PET) BRAIN, POSITRON EMISSION PET) BRAIN FLOW ONLY CISTERNOGRAM (CEREBROSPINAL FLUID FLOW) CEREBROSPINAL VENTRICULOGRAPHY CSF SHUNT EVALUATION CEREBROSPINAL FLUID SCAN CSF LEAKAGE DETECTION AND LOCALIZATION RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY UNLISTED DIAGNOSTIC NUCLEAR MED PROCEDURE KIDNEY (STATIC) KIDNEY W/ VASCULAR FLOW KIDNEY W/ VASCULAR FLOW & FUNCTION SINGLE KIDNEY SINGLE STUDY W/ PHARM. INTERVENTION KIDNEY - MULTIPLE STUDIES W & W/O PHARM. IN KIDNEY - TOMOGRAPHIC (SPECT) URETERAL REFLUX STUDY TESTICULAR W/ VASCULAR FLOW UNLISTED GENITOURINARY PROCEDURE RADIOPHARM LOCALIZATION OF TUMOR OR DISTRIBUTION O RADIOPHARM LOCALIZATION OF TUMOR, MULTIPLE AREAS RADIOPHARM LOCALIZATION OF TUMOR, WHOLE BODY, SING RADIOPHARM LOCALIZATION OF TUMOR TOMOGRAPHIC(SPECT RADIOPHARMACEUTICAL LOCALIZATION OF TUMOR OR DISTR RADIOPHARM LOCALIZATION OF ABSCESS, LIMITED AREA RADIOPHARM LOCALIZATION OF ABSCESS, WHOLE BODY 4

5 RADIOPHARM LOCALIZATION OF ABSCESS, TOMOGRAPHIC SP POSITRON EMISSION PET) ; LIMITE POSITRON EMISSION PET) ; SKULL POSITRON EMISSION PET) ; WHOLE UNLISTED MISC. PROCEDURE 0042T 0066T 0067T 0159T C8900 C8901 C8902 C8903 C8904 CEREBRAL PERFUSION ANALYSIS USING CT WITH COMPUTED TOMOGRAHIC COLONOGRAPHY (IE, VIRTUAL COLO CT COLONOGRAPHY (IE, VIRTUAL COLONOSCOPY): DIAGNOS COMPUTER-AIDED DETECTION, INCLUDING COMPUTER ALGORITHM ANALYSIS OF MRI IMAGE DATA FOR LESION DETECTION/CHARACTERIZATION, PHARMACOKINETIC ANALYSIS, WITH FURTHER PHYSICIAN REVIEW FOR INTERPRETATION, BREAST MRI (LIST SEPARATELY IN ADDITION TO FOR PRIMAR C8905 C8906 C8907 C8908 C8909 C8910 C8911 C8912 C8913 C8914 C8918 C8919 C8920 G0219 G0235 G0252 S8037 S8042 PET WHOLE BODY; MELANOMA FOR NON- COVERED INDICATIONS PET, ANY SITE, NOT OTHERWISE SPECIFIED PET, FULL AND PARTIAL RING PET SCANNERS ONLY FOR INITIAL DIAGNOSIS OF BREAST CANCER AND/OR SURGICAL PLANNING FOR BREAST CANCER MRI ABDOMEN W/ & W/O MAGNETIC RESONANCE (MRI), LOW-FIELD ELECTRON BEAM COMPUTED ALSO 5

HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST

HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST HEALTHFIRST 2011 RADIOLOGY PROGRAM CODE LIST Outpatient Radiology utilization call Carecore at 1-877-773-6964 Modality CPT CODE Description CT SCANS 70450 CT HEAD/BRAIN W/O CONTRAST CT SCANS 70460 CT HEAD/BRAIN

More information

HIP RADIOLOGY PROGRAM CODE LISTS

HIP RADIOLOGY PROGRAM CODE LISTS EFFECTIVE OCTOBER 1, 2012 70336 MAGNETIC RESONANCE IMAGING TMJ 70450 COMPUTED TOMOGRAPHY HEAD/BRAIN WITHOUT 70460 COMPUTED TOMOGRAPHY HEAD/BRAIN WITH 70470 COMPUTED TOMOGRAPHY HEAD/BRAIN WITHOUT AND WITH

More information

Description MRI, TMJ C T Head Without Contrast C T Head With Contrast C T Head Without & With Contrast

Description MRI, TMJ C T Head Without Contrast C T Head With Contrast C T Head Without & With Contrast s Requiring Prior Authorization for the Advanced Imaging 70336 MRI, TMJ 70450 C T Head Without Contrast 70460 C T Head With Contrast 70470 C T Head Without & With Contrast 70480 C T Orbit Without Contrast

More information

Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List

Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List Last Updated: 2/10/2017 Implementation date: 4/3/2017 Radiology & Cardiology Prior Authorization / Utilization Management Procedure List Deal Sheet Group Product Category CPT CPT Description 3D Imaging

More information

RADIOLOGY PROGRAM TABLE OF CONTENTS. OVERVIEW. . Assessment... and... Certification

RADIOLOGY PROGRAM TABLE OF CONTENTS. OVERVIEW. . Assessment... and... Certification TABLE OF CONTENTS. OVERVIEW............................................................................................. 553..... Assessment............ and..... Certification..........................................................................

More information

2012 CPT Radiology Codes Requiring Review Blue Cross and Blue Shield of Louisiana

2012 CPT Radiology Codes Requiring Review Blue Cross and Blue Shield of Louisiana 2012 CPT Radiology Codes Requiring Review Blue Cross and Blue Shield of Louisiana CT Head 70480 CT orbit, sella or posterior fossa; w/o CT Head 70481 CT orbit, sella or posterior fossa; with CT Head 70482

More information

AIM 2014 CPT Radiology & Cardiac Codes Requiring Review

AIM 2014 CPT Radiology & Cardiac Codes Requiring Review AIM 2014 CPT Radiology & Cardiac Codes Requiring Review Modality Body Part CT Head 1 70480 CT orbit, sella or posterior fossa; w/o contrast 1 CT Head 1 70481 CT orbit, sella or posterior fossa; with CT

More information

MOLINA HEALTHCARE OF MICHIGAN PRIOR AUTHORIZATION / PRE-SERVICE REVIEW GUIDE IMAGING CODES REQUIRING PRIOR AUTHORIZATION EFFECTIVE 1/1/2014

MOLINA HEALTHCARE OF MICHIGAN PRIOR AUTHORIZATION / PRE-SERVICE REVIEW GUIDE IMAGING CODES REQUIRING PRIOR AUTHORIZATION EFFECTIVE 1/1/2014 70336 MRI MRI, temporomandibular joint(s) 70450 CT/CTA CT, head or brain; without contrast material 70460 CT/CTA CT, head or brain; with contrast material(s) 70470 CT/CTA CT, head or brain; without contrast

More information

Cigna - Prior Authorization Procedure List: Radiology & Cardiology

Cigna - Prior Authorization Procedure List: Radiology & Cardiology Cigna - Prior Authorization Procedure List: Radiology & Cardiology Product Category CPT Code CPT Code Description Radiology MR 70336 MRI Temporomandibular Joint(s), (TMJ) Radiology CT 70450 CT Head or

More information

AMERICAN IMAGING MANAGEMENT

AMERICAN IMAGING MANAGEMENT 2012 CPT Codes Computerized Tomography (CT) CPT Description Abdomen 74150 CT abdomen; w/o 74160 CT abdomen; with 74170 CT abdomen; w/o followed by Chest 71250 CT thorax; w/o 71260 CT thorax; with 71270

More information

AMERICAN IMAGING MANAGEMENT

AMERICAN IMAGING MANAGEMENT 2010 BCBS of Georgia CPT Codes With Grouper Numbers Computerized Tomography (CT) CPT Description Abdomen 74150 CT abdomen; w/o contrast 6 74160 CT abdomen; with contrast 74170 CT abdomen; w/o contrast

More information

Cigna - Prior Authorization Procedure List: Radiology & Cardiology

Cigna - Prior Authorization Procedure List: Radiology & Cardiology Cigna - Prior Authorization Procedure List: Radiology & Cardiology Category CPT Code CPT Code Description 93451 Right heart catheterization 93452 Left heart catheterization 93453 Combined right and left

More information

05/02/ CPT Preauthorization Groupings Effective May 2, Computerized Tomography (CT) Abdomen 6. CPT Description SEGR CT01

05/02/ CPT Preauthorization Groupings Effective May 2, Computerized Tomography (CT) Abdomen 6. CPT Description SEGR CT01 Computerized Tomography (CT) 6 & 101 5 Upper Extremity 11 Lower Extremity 12 Head 3 Orbit 1 Sinus 2 Neck 4 7 Cervical Spine 8 Thoracic Spine 9 Lumbar Spine 10 Colon 13 CPT Preauthorization Groupings CPT

More information

Radiology Codes Requiring Authorization*

Radiology Codes Requiring Authorization* 70336 Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 70450 Computed tomography, head or brain; without contrast material 70460 Computed tomography, head or brain; with contrast material(s)

More information

screening; including image post processing CT, heart; without contrast material; with Requires authorization

screening; including image post processing CT, heart; without contrast material; with Requires authorization 0042T Cerebral perfusion analysis using CT; with ; including of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time 74263 Computed tomographic (CT) colonography,

More information

Fidelis Care: Cardiology, Radiology, and Ultrasound CPT Code List

Fidelis Care: Cardiology, Radiology, and Ultrasound CPT Code List Fidelis Care: Cardiology, Radiology, and Ultrasound CPT Code List CPT Code CPT Code Description Requires PA 75557 Cardiac magnetic resonance imaging for morphology and function without contrast material

More information

High Tech Imaging Quick Reference Guide

High Tech Imaging Quick Reference Guide High Tech Imaging Quick Reference Guide 1 High Tech Imaging Authorizations may now be requested through our secure provider portal, BlueAccess. Getting Started Step 1: Log into BlueAccess from www.bcbst.com

More information

Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013

Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013 Anthem Blue Cross and Blue Shield Virginia Advanced Imaging Procedures Requiring Precertification Revised 02/13/2013 Modality and CT Head CTA Head: Cerebrovascular MRI Head MRA Head: Cerebrovascular Functional

More information

BlueAdvantage SM. & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS

BlueAdvantage SM. & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS BlueAdvantage SM & BlueChoice SM Radiology Prior Authorization Program Code List CPT /HCPS 70336 MRI TMJ 70450 CT Head Without Contrast 70460 CT Head With Contrast 70470 CT Head Without & With Contrast

More information

ADI Procedure Codes. August 2016 Revised April 2017 Page 1 of 7 ADI Procedure Codes

ADI Procedure Codes. August 2016 Revised April 2017 Page 1 of 7 ADI Procedure Codes Code Description 70450 CT Head without contrast 70460 CT Head with contrast 70470 CT Head with & without contrast 70480 CT Orbit, et al without contrast 70481 CT Orbit, et al with contrast 70482 CT Orbit,

More information

2014 CPT Radiology Codes Requiring Review

2014 CPT Radiology Codes Requiring Review CT Head 1 70480 CT orbit, sella or posterior fossa; w/o contrast 1 CT Head 1 70481 CT orbit, sella or posterior fossa; with CT orbit, sella or posterior fossa; w/o contrast CT Head 1 70482 followed by

More information

Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire

Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire The grid below contains the CPT * codes that are subject to

More information

Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire

Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire Diagnostic Imaging Utilization Management and Consultation Management Programs Imaging Code Listing for Connecticut, Maine and New Hampshire The grid below contains the CPT * codes that are subject to

More information

Diagnostic Imaging Prior Review Code List 2 nd Quarter 2018

Diagnostic Imaging Prior Review Code List 2 nd Quarter 2018 Computerized Tomography (CT) Abdomen 6 Abdomen/Pelvis Combination 101 Service 74150 CT abdomen; w/o 74160 CT abdomen; with 74170 CT abdomen; w/o followed by 74176 Computed tomography, abdomen and pelvis;

More information

Codes Requiring Authorization from MedSolutions (MSI): Updated 3/2014

Codes Requiring Authorization from MedSolutions (MSI): Updated 3/2014 s Requiring Authorization from MedSolutions (): Updated 3/2014 0042T Cerebral Perfusion Analysis using CT with contrast 0159T CAD, including computer algorithm analysis, BREAST MRI 0195T prepare interspace,

More information

CT HEAD OR BRAIN WITHOUT AND WITH CONTRAST Computerized Tomography Advanced

CT HEAD OR BRAIN WITHOUT AND WITH CONTRAST Computerized Tomography Advanced Procedure Code Description Exam Category Copay 321 ANGIOCARDIOGRAPHY Angiography/Interventional Advanced 323 ARTERIOGRAPHY Angiography/Interventional Advanced 0144T CT heart wo dye; qual calc Computerized

More information

RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGING For the Time Period : 10/01/16 and 09/30/2017

RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGING For the Time Period : 10/01/16 and 09/30/2017 RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGING For the Time Period : 10/01/16 and 09/30/2017 IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT

More information

MAGNETIC RESONANCE IMAGING (MRI) AND COMPUTED TOMOGRAPHY (CT) SCAN SITE OF CARE

MAGNETIC RESONANCE IMAGING (MRI) AND COMPUTED TOMOGRAPHY (CT) SCAN SITE OF CARE UnitedHealthcare Commercial Utilization Review Guideline MAGNETIC RESONANCE IMAGING (MRI) AND COMPUTED TOMOGRAPHY (CT) SCAN SITE OF CARE Guideline Number: URG-13.01 Effective Date: February 1, 2019 Table

More information

RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGIN For the Time Period : 10/01/16 and 09/30/2017

RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGIN For the Time Period : 10/01/16 and 09/30/2017 RADIOLOGY - X-RAY - COMPUTERIZED AXIAL TOMMOGRAPHY - MAGNETIC RESONENCE IMAGIN For the Time Period : 10/01/16 and 09/30/2017 IF YOU ARE COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONSULT

More information

Specialty UM Pre-Authorization Program Program Code Listing Texas Medicare Last Updated: February 21, 2017

Specialty UM Pre-Authorization Program Program Code Listing Texas Medicare Last Updated: February 21, 2017 A-1 Radiology Code Code Description 70336 Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 70450 Computed tomography, head or brain; without contrast material 70460 Computed tomography,

More information

HealthFirst - Prior Authorization Procedure List: Radiology and Radiation Therapy

HealthFirst - Prior Authorization Procedure List: Radiology and Radiation Therapy Platform: ImageOne HealthFirst - Prior Procedure List: Radiology and Radiation Therapy Solution Category CPT Code CPT Code Description Radiology MRI 70336 MRI TMJ Radiology CT 70450 CT Head Without Contrast

More information

NUCLEAR MEDICINE IN VIVO

NUCLEAR MEDICINE IN VIVO PREAMBLE SPECIIC ELEMENTS or acility ee Component ( fee) A. Preparing the patient for the procedure. B. Performing the diagnostic procedure(s). C. Making arrangements for any appropriate follow-up care.

More information

We Accept Care Credit

We Accept Care Credit We Accept Care Credit Standard Fee Schedule Valid 1-Jan-18 to 1-July-18 **Prices Subject to Change, Call 702-222-3544 For Verification** Exam CPT PAYMENT IN FULL AT TIME OF SERVICE EKG 93000 35 TREADMILL

More information

2017 St. Luke's-Roosevelt Nuclear Medicine Department Procedure Catalog. meds

2017 St. Luke's-Roosevelt Nuclear Medicine Department Procedure Catalog. meds 2017 St. Luke's-Roosevelt Nuclear Medicine Department Procedure Catalog Procedure Name Patient Preparation Cardiac Studies Stress Myocardial Perfusion Study Gated pool study (MUGA) Myocardial Cell Damage

More information

73725x2 MRA Pelvis Runoff (to ankle) CTA Abdomen with & without CTA Cardiac Brain without 70551

73725x2 MRA Pelvis Runoff (to ankle) CTA Abdomen with & without CTA Cardiac Brain without 70551 CT CT Myelogram MRI Abdomen without 74150 Cervical 62302 Abdomen / MRCP 74181 Abdomen with 74160 Thoracic 62303 Abdomen / MRCP with & without 74183 Abdomen with & without 74170 Lumbar 62304 Abdomen / Pelvis

More information

Contrast Agents and Radiopharmaceuticals 2017

Contrast Agents and Radiopharmaceuticals 2017 Contrast Agents and Radiopharmaceuticals 207 Covered: Code Code Description Allow with Code(s) Code Description Max Units A464 Radiopharmaceutical, diagnostic, not otherwise classified n/a Invoice Req'd

More information

ABDOMEN ABDOMEN - 1 VIEW ABDOMEN - 2 VIEWS ABDOMEN - 3 VIEWS OR MORE ABDOMEN - OBSTRUCTION SERIES INCLUDING CHEST

ABDOMEN ABDOMEN - 1 VIEW ABDOMEN - 2 VIEWS ABDOMEN - 3 VIEWS OR MORE ABDOMEN - OBSTRUCTION SERIES INCLUDING CHEST cpt listing Group NPI #1477551653 January 2019 GENERAL X-RAY HEAD & NECK 70030 EYE LOCAL FOREIGN BODY 70110 MANDIBLE - MIN 4 VIEWS 70130 MASTOIDS - 3 VIEWS 70150 FACIAL BONES - MIN 3 VIEWS 70160 NASAL

More information

Oregon CPT Preapproval Grid

Oregon CPT Preapproval Grid Not Applicable Home Health Stays - For all Initial Certification and Recertification periods Notes: Initial Certification review required effective 1/1/12. Not Applicable Skilled Nursing Facility Stays

More information

Chapter 16 Worksheet Code It

Chapter 16 Worksheet Code It Name: Class: Date: ID: A Chapter 16 Worksheet 3 2 1 Code It True/False Indicate whether the statement is true or false. 1. CT scans generate three-dimensional images. 2. An ultrasound produces images of

More information

Icd 10 code for ct pelvis with contrast

Icd 10 code for ct pelvis with contrast Icd 10 code for ct pelvis with contrast November 16, 2009. How to Code for CT Angiography. By Anthony McCallum, CPC, CCS, CIRCC, CPC-I Radiology Today Vol. 10 No. 18 P. 12. CT. procedure code and description

More information

Department of Nuclear Medicine with Positron Emission Tomography

Department of Nuclear Medicine with Positron Emission Tomography (PET) Unit [1] Contact information: Registration: +48 41 367 4850 Main office: +48 41 367 4860 Fax: +48 41 367 4887 e-mail: zmnsco@onkol.kielce.pl [2] Head of the Department: Professor Janusz Braziewicz

More information

HONG KONG COLLEGE OF RADIOLOGISTS. Higher Training (Radiology) Subspecialty Training in Computed Tomography

HONG KONG COLLEGE OF RADIOLOGISTS. Higher Training (Radiology) Subspecialty Training in Computed Tomography HONG KONG COLLEGE OF RADIOLOGISTS Higher Training (Radiology) Subspecialty Training in Computed Tomography [The following guidelines should be read in conjunction with the General Guidelines on Higher

More information

Prominence Health Plan: Cardiology CPT Code List

Prominence Health Plan: Cardiology CPT Code List Prominence Health Plan: Cardiology CPT Code List Category CPT Code CPT Code Description 3DI 76376 3D Rendering W/O Postprocessing 3DI 76377 3D Rendering W Postprocessing BMRI 77046 Magnetic resonance imaging,

More information

CPT CODES. Ph: (307) Fax: (307) CATSCAN IV Contrast: 87.00

CPT CODES. Ph: (307) Fax: (307) CATSCAN IV Contrast: 87.00 Ph: (307) 382-4282 Fax: (307) 382-4291 CPT CODES CATSCAN IV Contrast: 87.00 74150 Abdomen w/o contrast $ 809.00 74160 Abdomen w/ contrast $1175.00 w/ contrast: $1262.00 74170 Abdomen w_w/o contrast $1324.00

More information

Clinical Applications

Clinical Applications C H A P T E R 16 Clinical Applications In selecting pulse sequences and measurement parameters for a specific application, MRI allows the user tremendous flexibility to produce variations in contrast between

More information

Cigna - Prior Authorization Procedure List Cardiology

Cigna - Prior Authorization Procedure List Cardiology Cigna - Prior Authorization Procedure List Cardiology Category CPT Code CPT Code Description 33206 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial 33207 Insertion

More information

PET IMAGING (POSITRON EMISSION TOMOGRAPY) FACT SHEET

PET IMAGING (POSITRON EMISSION TOMOGRAPY) FACT SHEET Positron Emission Tomography (PET) When calling Anthem (1-800-533-1120) or using the Point of Care authorization system for a Health Service Review, the following clinical information may be needed to

More information

Click here for Link to References: CMS Website HOPPS CY 2018 Final Rule. CMS Website HOPPS CY2018 Final Rule Updated November 2017.

Click here for Link to References: CMS Website HOPPS CY 2018 Final Rule. CMS Website HOPPS CY2018 Final Rule Updated November 2017. Final Compared to 3Q 2017 Rates Medicare Hospital Outpatient Prospective Payment System HOPPS () Nuclear Cardiology Procedures, Radiopharmaceuticals, and Drugs Click here for Link to References: CMS Website

More information

Radiological / Imaging Services Fee Schedule Provider Specialty 093

Radiological / Imaging Services Fee Schedule Provider Specialty 093 CODE MOD Description 70250 TC RADIOLOGIC EXAM SKULL $18.30 $18.30 7/1/2012 71010 TC RADIOLOGIC EXAM, CHEST $11.41 $11.41 7/1/2012 71020 TC RADILOGICAL EXAM CHEST TWO VIEWS FRONTAL/LATERAL $15.76 $15.76

More information

General Nuclear Medicine

General Nuclear Medicine General Nuclear Medicine What is General Nuclear Medicine? What are some common uses of the procedure? How should I prepare? What does the equipment look like? How does the procedure work? How is the procedure

More information

Oregon CPT Preapproval Grid

Oregon CPT Preapproval Grid * The following grid only identifies items that require preapproval from. 11400-11471 Excision benign lesion 15820-15823 Blepharoplasty Notes: If Opthamologist requesting, pre-auth is not required 19316-19318

More information

EXAMS_ Page 1/5 SORTED - NUMERIC

EXAMS_ Page 1/5 SORTED - NUMERIC BIOPSY 19103L-MR MV MR Guided Breast Biopsy, Vac Assist - LT 19103, 77021, 10022, 19295, 90772, A4550, 99000 19103L-ST MV Stereotactic Breast Biopsy, Vac Assist - LT 19103, 77031, 10022, 19295, 90772,

More information

RADPrimer Curriculum Breast Topics Covered Basic Intermediate 225

RADPrimer Curriculum Breast Topics Covered Basic Intermediate 225 Breast Anatomy & Normal Variants 11 Breast Imaging Modalities 13 BI RADS Lexicon 3 Mammography: Masses 9 Mammography: Calcifications 17 Mammography: Additional Findings 8 Ultrasound Features 10 Ultrasound

More information

Prior Authorization for Non-emergency Cardiac Imaging Procedures

Prior Authorization for Non-emergency Cardiac Imaging Procedures Attention: All Providers Prior Authorization for Non-emergency Cardiac Imaging Procedures The N.C. Medicaid Program is considering implementation of a prior authorization (PA) program for non-emergency

More information

PROVIDER PROCEDURE CODES - EVICORE

PROVIDER PROCEDURE CODES - EVICORE RADIOLOGY CPT CPT Description 70336 M R I T M J 70450 C T Head Without Contrast 70460 C T Head With Contrast 70470 C T Head Without & With Contrast 70480 C T Orbit Without Contrast 7048 C T Orbit With

More information

2013 Coding Changes. Diagnostic Radiology. Nuclear Medicine

2013 Coding Changes. Diagnostic Radiology. Nuclear Medicine 2013 Coding Changes The principal coding changes affecting Radiologists in 2013 occur in the Interventional Radiology Section of the AMA/CPT Manual. As in the past, we continue to see the Relative Update

More information

UNMH Radiology Clinical Privileges. Name: Effective Dates: From To

UNMH Radiology Clinical Privileges. Name: Effective Dates: From To All new applicants must meet the following requirements as approved by the UNMH Board of Trustees, effective April 28, 2017: Initial Privileges (initial appointment) Renewal of Privileges (reappointment)

More information

CLINICAL RADIATION SCIENCES (CLRS)

CLINICAL RADIATION SCIENCES (CLRS) Clinical Radiation Sciences (CLRS) 1 CLINICAL RADIATION SCIENCES (CLRS) CLRS 101. Introduction to Clinical Radiologic Sciences. 1 Hour. Semester course; 1 lecture hour. 1 credit. Presentation and discussion

More information

Horizon NJ Health Pre-Authorization Codes Managed by NIA

Horizon NJ Health Pre-Authorization Codes Managed by NIA Horizon NJ Health Pre-Authorization Codes Managed by NIA 19296 Applicator Insertion Breast (breast surgeon) 19297 Applicator Insertion Breast (breast surgeon) 19298 Applicator Insertion Breast (breast

More information

Certification Review. Module 28. Medical Coding. Radiology

Certification Review. Module 28. Medical Coding. Radiology Module 28 is the study of x-rays, using radiant energy and other imaging techniques, such as resonance imaging or ultrasound, to diagnose illnesses and diseases. Vocabulary Barium enema (BE): lower gastrointestinal

More information

SCINTIGRAPHY OF THE CENTRAL NERVOUS SYSTEM Part 1: Introduction and BBB studies

SCINTIGRAPHY OF THE CENTRAL NERVOUS SYSTEM Part 1: Introduction and BBB studies SCINTIGRAPHY OF THE CENTRAL NERVOUS SYSTEM Part 1: Introduction and BBB studies George N. Sfakianakis MD Professor of Radiology and Pediatrics Director, Division of Nuclear Medicine October 2009 FIRST

More information

RADIOLOGY (Management)

RADIOLOGY (Management) ULTRASOUND BETA SCAN/ U/S ORBITAL 1600 Daily U/S WHOLE ABDOMEN (Abd + Pelvis) 1200 Daily U/S PELVIS 1200 Daily U/S ABDOMEN 1200 Daily U/S BREAST 1800 Daily U/S FOLLICULAR STUDY 3000 Daily U/S FOLLICULAR

More information

Ct triple phase cpt code 2017

Ct triple phase cpt code 2017 Toggle navigation Ct triple phase cpt code 2017 What Are the Treatments for Hemangioma on the Liver? Sciatic Nerve Surgery Recovery Time. How to Determine the Best Brand of Compression Stockings Table:

More information

CT/MR Coder. Including CT, CTA, MRI and MRA Services. Prepared and Published By:

CT/MR Coder. Including CT, CTA, MRI and MRA Services. Prepared and Published By: CT/MR Coder 2018 Including CT, CTA, MRI and MRA Services Prepared and Published By: MedLearn Publishing, A Division of MedLearn Media, Inc. 445 Minnesota Street, Suite 514 St. Paul, MN 55101 1-800-252-1578

More information

CARECORE NATIONAL OUTPATIENT IMAGING SELF-REFERRAL PAYMENT POLICIES PUBLISHED APRIL 2013

CARECORE NATIONAL OUTPATIENT IMAGING SELF-REFERRAL PAYMENT POLICIES PUBLISHED APRIL 2013 CARECORE NATIONAL OUTPATIENT IMAGING SELF-REFERRAL PAYMENT POLICIES PUBLISHED APRIL 2013 The outpatient imaging self-referral payment policies are designed to promote appropriate use of diagnostic imaging

More information

Hodgkin's Lymphoma. Symptoms. Types

Hodgkin's Lymphoma. Symptoms. Types Hodgkin's lymphoma (Hodgkin's disease) usually develops in the lymphatic system, a part of the body's immune system. This system carries disease-fighting white blood cells throughout the body. Lymph tissue

More information

Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes

Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes Medical imaging X-ray, CT, MRI, scintigraphy, SPECT, PET Györgyi Műzes Semmelweis University, 2nd Dept. of Medicine Medical imaging: definition technical process of creating visual representations about

More information

Radiation Dosimetry for CT Protocols

Radiation Dosimetry for CT Protocols Radiation Dosimetry for CT Protocols This document contains radiation dosimetry information from CT scans and can be used by investigators to estimate the dosimetry information required by the JRSC or

More information

Arteriogram An X-ray of an artery after the injection of dye.

Arteriogram An X-ray of an artery after the injection of dye. A Abscess A localized collection of pus in any part of the body, usually surrounded by inflamed tissue. Anesthetic An agent that causes loss of sensation with or without the loss of consciousness. Angiography,

More information

Ct And Mri Of The Abdomen And Pelvis A Teaching File Radiology Teaching File Series

Ct And Mri Of The Abdomen And Pelvis A Teaching File Radiology Teaching File Series Ct And Mri Of The Abdomen And Pelvis A Teaching File Radiology Teaching File Series We have made it easy for you to find a PDF Ebooks without any digging. And by having access to our ebooks online or by

More information

Institution INSTRUCTIONS (I6) 1. This form is to be completed by a DESIGNATED STUDY NUCLEAR MEDICINE SPECIALIST

Institution INSTRUCTIONS (I6) 1. This form is to be completed by a DESIGNATED STUDY NUCLEAR MEDICINE SPECIALIST I6 ACRIN 6660 Whole Body MRI in the Evaluation of Pediatric Malignancies Conventional Scintigraphy Imaging Form If this is a revised or corrected form, indicate by checking box and fax to 215-717 - 0936.

More information

2009 NATIONAL REFERENCE PRICE LIST FOR RADIOLOGISTS, EFFECTIVE FROM 1 JANUARY

2009 NATIONAL REFERENCE PRICE LIST FOR RADIOLOGISTS, EFFECTIVE FROM 1 JANUARY Radiology 2009 NATIONAL REFERENCE PRICE LIST FOR RADIOLOGISTS, EFFECTIVE FROM 1 JANUARY 2009 The following reference price list is not a set of tariffs that must be applied by medical schemes and/or providers.

More information

Dr Alfred O Ankrah FCNP

Dr Alfred O Ankrah FCNP Dr Alfred O Ankrah FCNP Outline Introduction Brief history of Nuclear Medicine in Ghana Current situation of Nuclear Medicine in Ghana Use of Nuclear medicine in various disciplines Future of Nuclear Medicine

More information

Ionizing Radiation Exposure of the Population of the United States. David A. Schauer Executive Director

Ionizing Radiation Exposure of the Population of the United States. David A. Schauer Executive Director Ionizing Radiation Exposure of the Population of the United States David A. Schauer Executive Director Key Dates in NCRP s s History 1929: U.S. Advisory Committee on X-ray and Radium Protection 1946: U.S.

More information

Sample page. Radiology. Cross Coder. Essential links from CPT codes to ICD-10-CM and HCPCS

Sample page. Radiology. Cross Coder. Essential links from CPT codes to ICD-10-CM and HCPCS Cross Coder 2018 Radiology Essential links from CPT codes to ICD-10-CM and HCPCS POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com. Contents Introduction...

More information

2012 CPT Changes Affecting Radiology REVISIONS

2012 CPT Changes Affecting Radiology REVISIONS 2012 CPT Changes Affecting Radiology REVISIONS 22520 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection; thoracic 22521 lumbar 22522

More information

Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C.

Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Role of Whole-body Diffusion MR in Detection of Metastatic lesions Prof. Dr. NAGUI M. ABDELWAHAB,M.D.; MARYSE Y. AWADALLAH, M.D. AYA M. BASSAM, Ms.C. Cancer is a potentially life-threatening disease,

More information

Recent initiatives of the FANC. Michel Biernaux Health Protection Service Health and Environment Department

Recent initiatives of the FANC. Michel Biernaux Health Protection Service Health and Environment Department Recent initiatives of the FANC Michel Biernaux Michel.biernaux@fanc.fgov.be Health Protection Service Health and Environment Department Reminder objectives of the national survey : 1.Review the average

More information

Section 6 Ancillary Services

Section 6 Ancillary Services 6Ancillary Services Laboratory..........................87 Radiology...........................91 Physical and Occupational Therapy......110 Acupuncture and Chiropractic Guidelines..113 Pharmacy..........................114

More information

Course specification

Course specification Al-Azhar University Faculty of Medicine for Men Course specification For Master of Radiodiagnosis ( 2014 2015 ) University : Al-Azhar Faculty : Medicine for men Course specification - Programmers on which

More information

Page 1 HORIZON NJ HEALTH PRE-AUTHORIZATION CODES MANAGED BY NIA HORIZON NJ HEALTH 7/22/14 CODE CODE PROCEDURE PROCEDURE

Page 1 HORIZON NJ HEALTH PRE-AUTHORIZATION CODES MANAGED BY NIA HORIZON NJ HEALTH 7/22/14 CODE CODE PROCEDURE PROCEDURE Page 1 PRE-ORIZATION S MANAGED BY 77080 DA Bone Density, Axial 77082 DA Bone Density, Vert F 70370 Throat -Ray and Fluoroscopy 70373 Contrast -Ray of Larynx 72291 Perq Verte/Sacroplsty, Fluor 72292 Perq

More information

2019 Medicare Physician Fee Schedule -Final Relative Value Units and Payment Rates for Nuclear Cardiology Procedures

2019 Medicare Physician Fee Schedule -Final Relative Value Units and Payment Rates for Nuclear Cardiology Procedures Myocardial Perfusion Imaging 0482T Absolute quant. Myocardial blood flow, PET PE Malpractice Total Conversion Factors $35.9996 $36.0391 78451-G SPECT MPI, single 1.38 8.5 0.10 9.98 $359.28 1.38 8.29 0.10

More information

Radiology Coding. Copyright. Today s Goal 8/17/2010. Answer your questions! Melody W. Mulaik CODING

Radiology Coding. Copyright. Today s Goal 8/17/2010. Answer your questions! Melody W. Mulaik CODING Radiology Coding Tips & Traps Melody W. Mulaik 1 877 6 CODING melody.mulaik@codingstrategies.com The material contained in this presentation and handout are distributed under copyright by Coding Strategies,

More information

CARDIOLOGY IMAGING PROGRAM

CARDIOLOGY IMAGING PROGRAM CARDIOLOGY IMAGING PROGRAM TABLE OF CONTENTS. OVERVIEW............................................................................................. 618..... MEMBERS........... EXEMPT.......... FROM.......

More information

Cardiac Imaging Tests

Cardiac Imaging Tests Cardiac Imaging Tests http://www.medpagetoday.com/upload/2010/11/15/23347.jpg Standard imaging tests include echocardiography, chest x-ray, CT, MRI, and various radionuclide techniques. Standard CT and

More information

Dose Estimates for Nuclear Medicine Procedures: What are they? Where do they come from?

Dose Estimates for Nuclear Medicine Procedures: What are they? Where do they come from? Dose Estimates for Nuclear Medicine Procedures: What are they? Where do they come from? SNM Continuing Education Lecture Salt Lake City, UT -- June 6, 2010 Darrell R. Fisher Pacific Northwest National

More information

Annex III. Amendments to relevant sections of the product information

Annex III. Amendments to relevant sections of the product information Annex III Amendments to relevant sections of the product information Note: These amendments to the relevant sections of the product information are the outcome of the referral procedure. The product information

More information

Table of Contents. Part I: Medical Tests for Healthy Living. Part II: Screening and Preventive Care Tests. Preface...xv

Table of Contents. Part I: Medical Tests for Healthy Living. Part II: Screening and Preventive Care Tests. Preface...xv Table of Contents Preface...xv Part I: Medical Tests for Healthy Living Chapter 1 Regular Health Exams Are Important... 3 Section 1.1 Healthy Men... 4 Section 1.2 Healthy Women... 9 Section 1.3 Five Minutes

More information

COMPETENCY REQUIREMENTS for the CERTIFICATION EXAMINATION

COMPETENCY REQUIREMENTS for the CERTIFICATION EXAMINATION COMPETENCY REQUIREMENTS for the 10/2013 CERTIFICATION BOARD FOR RADIOLOGY PRACTITIONER ASSISTANTS CERTIFICATION EXAMINATION Note: The competency requirements contained in this document will be in effect

More information

Room and Board - Per Day Charges

Room and Board - Per Day Charges At Augusta University Health System, we strive to provide the information you need to understand every aspect of your care. In keeping with this promise, AUHS is providing this price list for our services.

More information

Breast Cancer PET/CT Imaging Protocol

Breast Cancer PET/CT Imaging Protocol Breast Cancer PET/CT Imaging Protocol Scanning Protocol: Patients are scanned from the top of the neck through the pelvis. Arms-up position is used to avoid beam-hardening artifact in the chest and abdomen.

More information

Radiology ii. 2nd digit indicates the sub region within a main region or category eg. Head / Skull and Brain = 10xxx

Radiology ii. 2nd digit indicates the sub region within a main region or category eg. Head / Skull and Brain = 10xxx NATIONAL REFERENCE PRICE LIST FOR RADIOLOGISTS, EFFECTIVE FROM 1 JANUARY 2006 The following reference price list is not a set of tariffs that must be applied by medical schemes and/or providers. It is

More information

STEP 2: Identification of recurrence (local, regional or distant metastases) based on electronic health record algorithm using automated databases:

STEP 2: Identification of recurrence (local, regional or distant metastases) based on electronic health record algorithm using automated databases: Appendix 1. Specifications for identifying subsequent breast cancer STEP 1: Identification of second primary breast cancer Identification based on key variables from Cancer Registry including date of diagnosis;

More information

Ryan Niederkohr, M.D. Slides are not to be reproduced without permission of author

Ryan Niederkohr, M.D. Slides are not to be reproduced without permission of author Ryan Niederkohr, M.D. CMS: PET/CT CPT CODES 78814 Limited Area (e.g., head/neck only; chest only) 78815 78816 Regional (skull base to mid-thighs) True Whole Body (skull vertex to feet) SELECTING FIELD

More information

MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers.

MyCare Advisor is our online suite of tools that assist Members in understanding and comparing cost, quality, and satisfaction among Providers. January 2012 What is MyCare Advisor SM? Thinking about health care services in a different light is the first step to educating yourself on health care costs. Capital BlueCross is taking the second step

More information

POSITRON EMISSION TOMOGRAPHY (PET)

POSITRON EMISSION TOMOGRAPHY (PET) Status Active Medical and Behavioral Health Policy Section: Radiology Policy Number: V-27 Effective Date: 08/27/2014 Blue Cross and Blue Shield of Minnesota medical policies do not imply that members should

More information

Table S1. International classification of disease (ICD)-9 codes and descriptions of malignancy. types. Additional file 1

Table S1. International classification of disease (ICD)-9 codes and descriptions of malignancy. types. Additional file 1 Additional file 1 Table S1. International classification of disease (ICD)-9 codes and descriptions of malignancy types. Malignancy Type ICD-9 Description Bone & Soft-tissue 170.0-170.9 Malignant neoplasm

More information

Medical Diagnostic Imaging

Medical Diagnostic Imaging Medical Diagnostic Imaging Laboratories Medical Diagnostic Imaging Lab Name Location Person in Charge Programs Served Courses Served Patient Care and Management (2) Introduction to MDI Radiographic Technique

More information