Radiology Ordering Guide

Transcription

R A D I O L O G YO R D E R I N GG U I D EB 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 LT R A S O U N DTo Schedule an Exam:215-481-EXAM (3926)

2This 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 tests.We want to provide our patients with the highest level, safest imaging. Our physicians are board certifiedin diagnostic radiology, and some have additional certifications in specialties such as neuro-radiologyand interventional radiology. And we use state-of-the-art imaging technology at all of our locations,at Abington Memorial Hospital and at Lansdale Hospital.Our 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 haveinformation about the specific clinical condition so that appropriate imaging is performed.When 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. We appreciate it if you would specify a particular entity or condition upon whichyou would like us to comment in the report.We appreciate your trusting your patients’ care to us,Abington HealthDepartment of RadiologyCentral Scheduling: 215-481-EXAM (3926)TO OUR PHYSICIAN PARTNERS

3Table of ContentsRADIOLOGY LOCATIONS.4Nuclear Medicine – Gastrointestinal Scans .25Nuclear Medicine – Lung Scan .26BREAST IMAGING .5Nuclear Medicine – Renal / Bladder / Testicular Scan .26Nuclear Medicine – Thyroid Uptake & Scan.26CT GENERALNuclear Medicine – Parathyroid Scan .27CT General – Head & Neck.7Nuclear Medicine – I-131 Whole Body Scans.27CT General – Spine .8Nuclear Medicine – Sentinel Node .27CT General – Chest .8Nuclear Medicine – Salivary Gland.28CT General – Abdomen & Pelvis .9Nuclear Medicine – Red Cell Mass .28CT General – Extremities .10Nuclear Medicine – Tumor Imaging .28CT Specialty Exams .10Nuclear Medicine – Therapy.29CT ANGIOGRAPHYULTRASOUNDCT Angiography (CTA) .11Ultrasound – Neck .31Ultrasound – Chest (including Breast) .31MRIUltrasound – Abdomen .32MRI General – Head & Neck .12Ultrasound – Pelvis .33MRI General – Spine.13Ultrasound – Urinary Tract .34MRI General – Spectroscopy .14Ultrasound – Extremity .35MRI General – Chest .16Ultrasound – Pregnancy .36MRI General – Abdomen & Pelvis.17Ultrasound – Pediatric .37MRI General – Extremities .18Ultrasound – Procedures.38MRI General – Arthrogram.19MRI ANGIOGRAPHYMRI Angiography (MRA/MRV) – Head & Neck .20MRI Angiography (MRA/MRV) – Chest .20MRI Angiography (MRA/MRV) – Abdomen & Pelvis.21NUCLEAR MEDICINENuclear Medicine – Bone Scan .23Nuclear Medicine – Brain.23Nuclear Medicine – Cardiovascular .24Nuclear Medicine – Hepatobiliary (Gallbladder) .24Nuclear Medicine – Abscess Imaging .25

4Radiology LocationsA BINGTO N M E M O R I AL H OSP I TA L1200 Old York RoadAbington, PAL A N S DAL E H OS P I TAL100 Medical Campus DriveLansdale, PAAB IN GTO N H E ALT H C E NT E R – SC HI L LING CAMPUSBlairwood Building2701 Blair Mill RoadWillow Grove, PAA BI N GTO N HE ALT H C E N TE R – WA RM INST ER CAMPUS225 Newtown RoadWarminster, PAA BIN GTO N P HYS I C I AN S AT M O NTGO M ERYVI LLE1010 Horsham Road, Suite 110North Wales, PAAH–SCHILLINGAH–WA R M I N ST E R Mammography Bone Densitometry (DEXA) O U T PAT I E N T T E S T I N GX-RayAMH LHUltrasound Nuclear Medicine Computed Tomography (CT) Magnetic Resonance Imaging (MRI) Interventional Radiology (IR) Positron Emission Tomography (PET) AHPHYSICIANSLEVY Cardiology Cardiology

5Breast ImagingSIGNS & SYMPTOMSPA R A M E T E R SORDERSUGGESTED TEXT FOR REQUISITIONAnnual screening asymptomaticAnnual starting at age 40No upper age limitDigital ScreeningMammo w/CADV76.12, V76.11, V16.3ScreeningDigital ScreeningMammo w/CADV76.10, V76.12V76.11, V16.3Screening – implantsWhen scheduling identify that patient hasimplants and is asymptomatic but needsadditional exam time.MastectomyOpposite BreastDigital ScreeningMammo w/CAD174.9, V10.3Personal history of breast cancer; mastectomyLumpectomy 5years since surgeryDigital ScreeningMammo w/CAD174.9, V10.3Screening:Personal history of breast cancer; lumpectomyLumpectomy 5years since surgeryDigital Bilat/Unilat(Lt/Rt) Mammo w/CAD174.9Diagnostic: Personal history of breast cancer;lumpectomyLumpDigital Bilat/Unilat(Lt/Rt) Mammo w/CAD611.72Diagnostic mammogram, Diagnostic ultrasound,(identify area of lump)Nipple DischargeDigital Bilat/Unilat(Lt/Rt) Mammo w/CAD611.79Diagnostic mammogram,Diagnostic ultrasound – nipple discharge(identify breast)Pain – focal and persistentDigital Bilat/UnilatMammo w/CAD611.71Diagnostic mammogram,Diagnostic ultrasound – Pain(identify area of pain)Under 30 yearsSymptomatic breast onlyPain, lump, dischargeUltrasound BreastDigital Bilat/Unilat(Lt/Rt) Mammo w/CAD611.71, 611.72, 611.79Diagnostic breast ultrasound;Mammogram, if necessaryShort term follow up examRecommendation of previousexam 6 month follow up(Birads 3)Digital Bilat/Unilat(Lt/Rt) Mammo w/CADand/or US Breast793.80Diagnostic Mammogram or Ultrasoundas recommended by radiologistShort term follow up examPost benign biopsy examDigital Bilat/Unilat(Lt/Rt) Mammo w/CADand/or US Breast793.806 month follow upRecommendation of additionalimaging call back examMammography additional examUltrasound(Birad 0)Digital Bilat/Unilat(Lt/Rt) Mammo w/CADand/or US Breast793.80Call back for diagnostic mammogramImplantsPersonal history of breast cancerClinical findings(Symptoms)MRIHigh risk screening –Life time risk 25%.MRI Breast Bilat/Unilat(Lt/Rt) Mammo w/CAD770.59or diagnostic ultrasoundHigh risk screening – Life time risk 25%.Diagnostic problemDiagnostic problemBreast cancer extent of diseaseBreast cancer extent of diseaseBreast implant evaluationBreast implant evaluationTo schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-MAMM (6266) or 215-481-3686

CT Table of ContentsCT GENERALCT General – Head & Neck .7CT General – Spine.8CT General – Chest.8CT General – Abdomen & Pelvis.9CT General – Extremities .10CT Specialty Exams .10CT ANGIOGRAPHYCT Angiography (CTA) .11

7CT General – Head & NeckB O D Y PA R TREASON FOR EXAMIV CONTRAST ORAL CONTRASTPROCEDURE TO PRE CERTCPT CODEHeadAltered consciousnessAltered speechCerebrovascular hunt positionSyncopeTIAVertigoNoNoCT Head w/o contrast70450YesNoCT Head w/contrast70470NoNoCT maxillofacial w/o contrast70486YesNoCT maxillofacial w/contrast70487YesNoCT orbits w/contrast70481DiploliaGraves diseaseInjury/traumaNoNoCT orbits w/o contrast70480Hearing lossCholesteatomaMastoiditisNoNoCT orbits w/o contrast70480IAC’sYesNoCT orbits w/contrast70481YesNoCT soft tissue neck w/contrast70491When contrast iscontraindicatedSalivary gland calculiNoNoCT soft tissue neck w/o contrast70490Salivary gland calculiYesNoCT soft tissue neck w/o & scessCellulitisMassOrbitsTemporal BonesSoft Tissue NeckCellulitisFeverInfection/abscessOrbital edemaTumor/neoplasmVision ass/neoplasmVocal cord paralysisTo schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 267-818-0618

8CT General – SpineB O D Y PA R TREASON FOR EXAMIV CONTRAST ORAL CONTRASTPROCEDURE TO PRE CERTCPT CODECervical Spinedisc herniation / painNoNoCT Cervical spine w/o contrast72125Thoracic Spinedisc herniation / painNoNoCT Thoracic spine w/o contrast72128Lumbar Spinedisc herniation / painNoNoCT Lumbar spine w/o contrast72131Cervical Spineabscess / mass / infectionYesNoCT Cervical spine w/contrast72126Thoracic Spineabscess / mass / infectionYesNoCT Thoracic spine w/contrast72129Lumbar Spineabscess / mass / infectionYesNoCT Lumbar spine w/contrast72132PROCEDURE TO PRE CERTCPT CODENoCT Chest/Thorax w/o contrast71250YesNoCT Chest/Thorax w/contrast71260YesNoCT Chest/Thorax PE Exam71260YesNoCT Chest/Thorax w/o & w/contrast71270YesNoCT Venogram of chest71260Unless there is a prior contraindication, MRI Spine would be a more optimal examCT General – ChestB O D Y PA R TREASON FOR EXAMChestBronchiectasisInterstitial Lung DXFollow up pulmonary nodule NoPneumothoraxAtelectasisCoughEmphysemaFever of unknown originInjury/traumaInfiltrateLung cancerLymphangitic spreadMassPericardial effusionPleural effusionPulmonary nodule(first CT scan)PneumoniaSOBChest painPericardial effusionElevated D-DimerHypoxiaRecent surgery withnew onset SOBChest painThoracic Aortic AneurysmThoracic Aortic DissectionSVC ChestVenogramPre Op Venous AccessReposition of catheterThrombusObstructionIV CONTRAST ORAL CONTRASTTo schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 267-818-0618

9CT General – Abdomen & PelvisB O D Y PA R TREASON FOR EXAMIV CONTRAST ORAL CONTRASTPROCEDURE TO PRE CERTCPT CODEAbdomenRenal massYesWaterCT Abdomen w/o & w/contrast74170Liver massYesWaterCT Abdomen w/contrast74160Upper abdominal painAbnormal lab workJaundiceYesWaterCT Abdomen w/contrast74160YesWaterCT Abdomen w/contrast74160YesYesCT ABD/Pelvis w/contrast74177NoNoCT ABD/Pelvis w/o contrast74176YesWaterCT Urogram Abdomen Pelvis74178NoNoCT Pelvis w/o contrast72192YesYesCT Pelvis w/contrast72193Pre Op venous accessEdemaIVC ThrombusYesNoCT ABD/Pelvis w/contrast74177PainTraumaFractureNoNoCT Pelvis w/o contrast72192Pancreatitis / Liver massTumor/mass/cancer/metsWeight lossHerniaAbdomen and PelvisAbdominal painPelvic painMassAbnormal labsAbscessAscitesFever of unknown sisNauseaPancreatitisTumor/mass/cancer/metsWeight lossHerniaStone protocolFlank painAbdominal pain,R/O aneurysmRuptured aneurysmDrop in hemoglobinwithout traumaRetroperitoneal bleedUrogramPelvisHematuriaHydronephrosiswithout flank painFractureTraumaPelvic massCollectionAdenopathyPainIVC and Pelvic VeinsBony PelvisTo schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 267-818-0618

10CT General – ExtremitiesB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEUpper ExtremitiesInjury / traumaNoCT Right or Left Extremity w/o contrast73200Infection / massYesCT Right or Left Extremity w/contrast73201Injury / traumaNoCT Right or Left Extremity w/o contrast73700Infection / massYesCT Right or Left Extremity w/contrast73701Lower ExtremitiesCT Specialty ExamsB O D Y PA R TREASON FOR EXAMCT Calcium ScoreAsymptomatic withlow/intermediate risk CADIV CONTRAST ORAL CONTRASTNoNoPROCEDURE TO PRE CERTCT Calcium ScoreCPT CODECASH PAYPlease note: Doctor’s office will fax theCardiac document to the RadiologyClerical Staff fax#: 215-481-4970CT Virtual ColonNoNoCT Colonography DiagnosticPlease note: Doctor’s office will fax theColonography document to theRadiology Clerical Staff fax#:215-481-4503To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 267-818-061874261

11CT Angiography (CTA)B O D Y PA R TREASON FOR EXAMCTA HeadHeadacheAneurysmCerebral vascular diseaseYesCT Angiogram - Head70496Acute Stroke ProtocolTIACerebral vascular diseaseYesCT Angiogram - Head70496CTA NeckCarotid StenosisYesCT Angiogram - Neck70498CTA ChestThoracic aneurysmPre or Post Op evaluationYesCT Angiogram Chest w or w/o contrast71275CTA AbdomenRenal Artery StenosisYesCT Angiogram - Abdomen w/contrast74175CTA Abdomen andPelvisPre Op AAA SurgeryPost Stent GraftPre or Post Op Evaluationor mappingMesenteric ischemiaYesCT Angiogram - Abdomen and Pelvisw/o or w/contrast75635CTA Bilateral RunoffLower extremity ischemiaYesCT Angiogram Aorta - Bilat Runoff75635CTA CardiacSymptomatic withdiscordant prior test resultsNew onset heart failureNoncoronary cardiacsurgeryBypass graft or left mainstent 3 mm sizeCardiac structure or functionExtra cardiac structuresYesCT Angiography, heart,Coronary Arteries75574CTA Head & NeckCT PulmonaryVein MappingIV CONTRAST ORAL CONTRASTNoPROCEDURE TO PRE CERTCPT CODEPlease note: Doctor’s office will fax thefollowing documents to the RadiologyClerical Staff fax#: 215-481-4970Appointment Request Form forCardiac CT. Recent Labs, BUN & Cr(within 90 days). Appointmentcannot be scheduled if no recent labsYesNoCT Heart Structure Morph withPlease note: Doctor’s office will fax thefollowing documents to the RadiologyClerical Staff fax#: 215-481-4970Appointment Request Form forCardiac CT. Recent Labs, BUN & Cr(within 90 days). Appointmentcannot be scheduled if no recent labsTo schedule an appointment: call 215-481-EXAM (3926) Direct line for questions: call 267-818-061875572

MRI Table of ContentsMRIMRI General – Head & Neck .12MRI General – Spine .13MRI General – Spectroscopy .14MRI General – Chest.16MRI General – Abdomen & Pelvis .17MRI General – Extremities .18MRI General – Arthrogram.19MRI ANGIOGRAPHYMRI Angiography (MRA/MRV) – Head & Neck .20MRI Angiography (MRA/MRV) – Chest .20MRI Angiography (MRA/MRV) – Abdomen & Pelvis .21

13MRI General – Head & NeckB O D Y PA R TREASON FOR EXAMBrainAqueductal stenosis, obstructivehydrocephalus, massalso add CSF flow orderFollow up tumor, assess forangiogenesis also order PerfusionDeep Brain StimulatorAlzheimer'sChanges in Mental StatusConfusionDementiaMemory LossHeadaches w/o Focal SymptomsSeizuresStrokeCVATIATraumaCranial Nerve LesionsDizzinessIAC/Hearing LossHIVVertigo/or Trigeminal Neuralgia/facial tics,face painInfectionMultiple SclerosisNeurofibromatosisPituitary LesionElevated ar LesionsVision ChangesTMJOrbitsSoft Tissue NeckJaw pain/injurydegenerative or inflammatoryarthritisGraves DiseaseDemyelination/Multiple SclerosisDiplopiaDysthyroid Eye isVascular cal Cord ParalysisIV CONTRASTPROCEDURE TO PRE CERTCPT CODEYesMRI Brain w/ and w/o contrast70553NoMRI TMJ w/o contrast70336YesMRI Orbit/Face/Neck w & w/o contrast70543YesMRI Orbit/Face/Neck w & w/o contrast70543Any patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

14MRI General – SpineB O D Y PA R TREASON FOR EXAMSpine: CervicalArm/Shoulder Painand/or WeaknessDegenerative DiseaseNeck PainDisc HerniationRadiculapathyPost-Operative(any Hx of cervical surgery)SyrinxDiscitisOsteomyelitisMultiple cer/MetastasisVascular Lesions/AVMSpine: ThoracicBack PainCompression Fracture(no Hx of Cancer/Metastasis)Degenerative DiseaseDisc HerniationRadiculapathyTraumaVertebroplasty Planning(no Hx of Cancer or Metastasis)Compression Fracture(with Hx of elitisPost Operative(any hx of Thoracic Surgery)OsteomyelitisMultiple cer/MetastasisVascular LesionsAVMVertebroplasty Planning(with Hx of Cancer or Metastasis)IV CONTRASTPROCEDURE TO PRE CERTCPT CODENoMRI Cervical Spine w/o contrast72141YesMRI Cervical Spine w/ and w/o contrast72156NoMRI Thoracic Spine w/o contrast72146YesMRI Thoracic Spine w/ and w/o contrast72157Any patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

15MRI General – SpineB O D Y PA R TREASON FOR EXAMSpine: LumbarBack PainCompression Fracture(no Hx of Cancer/Metastasis)Degenerative DiseaseDisc HerniationRadiculopathySpina Bifida, sacral dimple,tethered plasty Planning(no Hx of Cancer or Metastasis)Compression Fracture(with Hx of elitisPost Operative(any Hx of Lumbar Surgery)Tumor/Mass/Cancer/MetastasisCSF leak order MR MyelogramVertebroplasty Planning(with Hx of Cancer or Metastasis)IV CONTRASTPROCEDURE TO PRE CERTCPT CODENoMRI Lumbar Spine w/o contrast72148YesMRI Lumbar Spine w/ and w/o contrast72158IV CONTRASTPROCEDURE TO PRE CERTCPT CODEYesMRI Spectroscopy w/ and w/o contrast76390MRI – SpectroscopyB O D Y PA R TREASON FOR emiaHypoxiaMultiple SclerosisBrain InjuryAny patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

16MRI General – ChestB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEBrachial PlexusBrachial Plexus InjuryNerve AvulsionTumor/Mass/Cancer/MetastasisYesMRI Chest/Mediastinum w/ & w/o contrast71552Pectoralis Major/RibsSternoclavicular Joints/Clavicle/ScapulaNoMRI Chest w/o RI Chest/Mediastinum w/ & w/o contrast71552BreastImplant RuptureNoMRI Breast w/o contrast Bilateral77059Abnormal MammogramDense Breast/High Risk forMass/LesionCancerPalpable MassYesMRI Breast w/ or w/o Bilateral /UnilateralSpecify Lt/Rt77059Anomalous Coronary ArteryNoMorphology & Function w/o contrast75557YesMorphology & Function w/ and w/o l DiseaseMassViabilityMyocardial InfarctionValve Insufficiency/RegurgitationAtrial/Ventricular Septal Defect75562in conjunctionwith 75757 or75561Any patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

17MRI General – Abdomen & PelvisB O D Y PA R TREASON FOR EXAMAbdomenAbnormal EnzymesFetal MRIMRCP (Biliary/Pancreatic Ducts,Stones, Jaundice)Adrenal MassUrogram for hematuria(Abd and Pelvis needed)LiverTumor/Mass/Cancer/MetastasisAbdominal PainAbscess/AscitesPancreatic Mass/LesionSmall Bowel EnterographyRenal MassAbdomenPregnancyPelvisFracturePregnancy/and or Evaluatefor Placenta AccretaPubalgia/Sports HerniaRectus AbdominisSacroiliac JointsMuscle tearUrethral DiverticulumFibroidUrethral diverticulum, c ArthritisPre/Post Operative cessUlcerProstate CancerUrogram for hematuria(Abdomen and Pelvis needed)PlexopathyIV CONTRASTPROCEDURE TO PRE CERTCPT CODEYesMRI Abdomen w/ and w/o contrast74183NoMRI Abdomen w/o contrast74181NoMRI Pelvis w/o contrast72195YesMRI Pelvis w/ and w/o contrast72197Any patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

18MRI General – ExtremitiesB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEExtremity/Non-Joint(includes)Arm, Toe, Hand, FootFinger, Lower leg,FemurStress/FractureMuscle/Tendon TearNoMRI Non-Joint w/o contrastLower ExtremityUpper ExtremityLower Extremity737187321873718YesMRI Non-Joint w/ and w/o contrastLower ExtremityUpper Extremity7372073220NoMRI Joint w/o contrastLower ExtremityUpper Extremity7372173221YesMRI Joint w/ and w/o contrastLower ExtremityUpper Extremity7372373223Morton's NeuromaAbscessUlcerBone sitisOsteomyelitisSoft des)Shoulder, Elbow,Wrist, Hip, Knee,AnkleArthritisAVN (Avascular Necrosis)Stress/FractureInternal DerangementJoint Pain (Specify Joint)Labral TearMeniscus TearMuscle TearTendon TearLigament TearCartilage TearOsteochondritis Dissecans (OCD)Extremity, Joint(includes)Shoulder, Elbow,Wrist, Hip, atory ArthritisSeptic ArthritisTumor/Mass/Cancer/MetastasisPost Operative Knee/InfectionAny patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

19MRI ArthrogramB O D Y PA R TREASON FOR EXAMIV CONTRASTLabral TearLigament Tear-further sensitive/specific assessmentLoose BodiesYesOsteochondral Defect StabilityCartilage DefectsTriangular Fibrocartilage /Ligament Tears of the wristPost Operative indicationssuch as:**Post Operative Rotator Cuff Repair*Post Operative Labral Repair*Post Operative Cartilage Repair*Post Operative Meniscus Repair*Post Operative Ligament Repair(elbow/wrist, etc.)PROCEDURE TO PRE CERTCPT CODEMRI Joint w/contrast (Order 3 codes)1) Lower Extremity w/contrast orUpper Extremity w/contrast73722732222) Fluoroscopy Guided ArthrogramChoose one body part (CPTs listed beloware for Fluoroscopic Guidance andArthrogram procedure)ShoulderElbowWristHipKneeAnkle*Consult Radiologist/Orthopaedicsfor other appropriate indicationsAny patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-360873040 & 2335073085 & 2422073115 & 2524673525 & 2709373580 & 2737073615 & 27648

20MRI Angiography (MRA/MRV) – Head & NeckB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEMRA HeadStrokeCVATIAAneurysmAVM (Arteriovenous Malformation)NoMRA Head/Brain w/o contrast70544Surgery Hx of Aneurysm Clips /Dissection/vessel injuryYesMRA Head/Brain w/ and w/o contrast70546MRV HeadVenous ThrombosisNoMRA Head w/o contrast70544MRA Arch &Great VesselsStrokeCVATIASubclavian StealAVM (Arteriovenous Malformation)AneurysmYesMRA Neck w/ and w/o contrast70549YesMRA Neck w/ and w/o contrast70549MRA NeckDissection/vessel injuryStrokeCVATIASubclavian StealAVM (Arteriovenous Malformation)AneurysmMRI Angiography (MRA/MRV) – ChestB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEMRA ChestThoracic Aorta (other than heart)AneurysmCoarctationVascular AnomaliesDissectionThoracic Outlet SyndromePulmonary EmbolismAVM (Arteriovenous Malformation)Subclavian VesselsYesMRA Chest w/ and w/o contrast71555YesMRA Chest w/ and w/o contrast71555MRV ChestVenous Occlusion/ThrombosisAVM (Arteriovenous Malformation)Any patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

21MRI Angiography (MRA/MRV) – Abdomen & PelvisB O D Y PA R TREASON FOR EXAMIV CONTRASTPROCEDURE TO PRE CERTCPT CODEMRA AbdomenRenal Artery StenosisRenal FailureNoMRA Abdomen w/o contrast74185MRA AbdomenAAA (Abdominal Aortic Aneurysm)DissectionMesenteric IschemiaRenal Artery StenosisYesMRA Abdomen w/ and w/o contrast74185Pre Liver TransplantPre Kidney TransplantRenal MassYesOrder two exams:MRA Abdomen w/ and w/o contrastMRI Abdomen w/ and w/o contrast7418574183Venous OcclusionVenous ThrombosisVenous AnomalyYesMRA Abdomen w/ and w/o contrast74185AVM (Arteriovenous Malformation)May Thurner SyndromeVenous OcclusionYesMRA Pelvis w/ and w/o contrast72198YesOrder two exams:MRA Pelvis w/ and w/o contrastMRI Pelvis w/ and w/o contrast7219872197Order 3 examsMRA Abdomen w/ and w/o contrastMRA Lower extremity w/ and w/o contrast LeftMRA Lower extremity w/ and w/o contrast Right741857372573725Order 3 examsMRA Abdomen w/o contrastMRA Lower extremity w/o contrast LeftMRA Lower extremity w/o contrast Right741857372573725MRA Extremity w/ and w/o contrastUpper extremityLower extremity7322573725MRV AbdomenMRA/MRV PelvisAneurysmPelvic CongestionMRA Run-off(peripheral)ClaudicationCold FootPainGangreneUlcerYesMRA Run-off(peripheral)Renal FailureRenal ArteryStenosisNoMRA ExtremityMRV ExtremityArterial Occlusion/StenosisAneurysmVenous Occlusion/ThrombosisYesAny patient who will be receiving contrast with a history of hypertension, diabetes, kidney or liver disease will needrecent (6-12 weeks) labs drawn to include Glomerular Filtration Rate (GFR).To schedule an appointment: call 215-481-EXAM (3926)Direct line for questions: call 215-481-3608

Nuclear Medicine Table of ContentsNuclear Medicine – Bone Scan .23Nuclear Medicine – Brain .23Nuclear Medicine – Cardiovascular.24Nuclear Medicine – Hepatobiliary (Gallbladder) .24Nuclear Medicine – Abscess Imaging .25Nuclear Medicine – Gastrointestinal Scans .25Nuclear Medicine – Lung Scan .26Nuclear Medicine – Renal / Bladder / Testicular Scan .26Nuclear Medicine – Thyroid Uptake & Scan .26Nuclear Medicine – Parathyroid Scan.27Nuclear Medicine – I-131 Whole Body Scans .27Nuclear Medicine – Sentinel Node.27Nuclear Medicine – Salivary Gland .

Annual screening asymptomatic Annual starting at age 40 Digital Screening Screening No upper age limit Mammo w/CAD V76.12, V76.11, V16.3 Implants Digital Screening Screening - implants