2020 CPT Code Exam Ordering Guide - Imaging Healthcare
Everyone's choice for imaging
2020 CPT Code Exam Ordering Guide
T 858 658 6500 F 866 558 4329
IHS Radiology Medical Group - Tax ID# 47-3394746
MRI HEAD/NECK & NEURO
EXAM TO ORDER
MRI brain - post fossa w/ & w/o contrast (IAC w/ & w/o)
MRI brain (pituitary protocol) w/ & w/o contrast
MRI brain (seizure protocol) w/ & w/o contrast
MRI brain and orbits w/ & w/o contrast
SYMPTOMS/CONCERNS
? Bell's Palsy ? Vertigo
? Hearing loss
? Hormone abnormalities ? Pituitary
? Seizures - multiple early onset
? Loss of vision ? Optic neuritis
? Ocular mass or tumor ? Visual disturbance
CPT CODE
70553 70553 70553 70553, 70543
MRI brain w/ & w/o contrast
? Brain tumor ? Headaches (depends on
associated clinical history) ? Multiple sclerosis
? Dizziness ? Meningitis ? Metastatic brain disease ? Seizures
70553
MRI brain w/o contrast
? Ataxia ? Dementia ? Traumatic brain injury
(chronic)
? CVA
? Headaches (depends on associated clinical history)
70551
MRI brain w/o contrast and MRA or MRV
? Personal or family history of aneurysm
? Severe headache
? Subarachnoid hemorrhage
70551, 70544
MRI (facial bones, orbits, neck soft tissue) w/ & w/o contrast
? Tumor, mass, swelling, or infection of the soft tissue neck 70543
2020.v1_1
EXAM TO ORDER
MRI abdomen w/ & w/o contrast
MRA abdomen w/ or w/o contrast
SYMPTOMS/CONCERNS
CPT CODE
? Abdominal pain
74183
? Any complaint related to liver, spleen, pancreas or kidneys
? Hypertension ? Renal artery stenosis
74185
ABDOMEN & PELVIS
MRI abdomen w/ & w/o contrast w/ MRCP
MRI abdomen and pelvis w/ & w/o contrast
MRI pelvis w/o contrast
? Gall stones ? Cholangitis ? Biliary tumor or pancreatitis ? Common bile duct or gallbladder concerns ? Pancreatic duct
? Crohn's disease ? Inflammatory bowel disease ? Ischemic bowel disease
? Coccyx fracture ? Pubic arthralgia ? Sacroiliitis ? Stress fracture (Pelvis)
? Pelvic fracture ? Sacral fracture ? Sports hernia
74183, 76377
74183 Abdomen w/ & w/o 72197 Pelvis w/ & w/o
72195
MRI pelvis and prostate gland w/ & w/o contrast
2020.v1_2
? Prostate cancer screening, staging or follow up
72197
PELVIS
EXAM TO ORDER
MRI pelvis female GYN w/ & w/o contrast
MRI pelvis w/ & w/o contrast
SYMPTOMS/CONCERNS
CPT CODE
? Adenomyosis
? Cervical cancer
? Dermoid
? Family history of uterine
? Fibroid ? Infection or tumor
or ovarian malignant tumor ? Ovarian disease
72197
? Post menopausal bleeding ? UFE planning
? Uterine mass
? Vaginal cancer
? Non-gynecological tumor or infection ? Non-specific pelvic pain
72197
SPINE
? Demyelination, Infection MRI cervical spine w/ & w/o contrast ? MS
? Suspected tumor of cervical spinal cord
MRI cervical spine w/o contrast
? Benign cervical spine ? Cervical neck pain ? Compression fracture (Cervical Spine) ? Degenerative disc disease ? Disk herniation radiculopathy
MRI lumbar spine w/ & w/o contrast
*If prior lumbar surgery (within 10 years), r/o infection, or bone mets then MRI lumbar spine w/ & w/o contrast.
? Malignancy ? Failed back syndrome ? Pathologic compression fracture (Lumbar Spine)
72156 72141
72158 2020.v1_3
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