Contrast vs. No Contrast Reference Sheet Head/Neck - MRI Group

Scheduling: 717.291.1016 or 888.MRI.1377 Fax: 717.509.8642 Web Site:

Contrast vs. No Contrast Reference Sheet ? Head/Neck

Body Part

Brain

Brain

Brain Circle of Willis (COW) Carotid Carotid Intracranial Venous Sinus Orbits

Neck-Soft Tissue

Reason for Exam

Procedure to Pre-Cert

Alzheimer's/Confusion/Dementia Headache/Migraine Memory Loss Mental Status Changes Seizures Stroke, CVA, TIA Trauma Cranial Nerve Lesions F/U Lesion/Mass IAC/Hearing Loss/Tinnitus/Vertigo Infection Metastatic Disease Multiple Sclerosis Neurofibromatosis Pituitary Fiducials Gamma Knife Planning Stroke/CVA/TIA Aneurysm Stroke/CVA/TIA Stenosis > 60% on Doppler Ultrasound Venous Thrombosis

Optic Neuritis Exophthalmos, Proptosis Pseudotumor/Mass/Cancer/Mets Vascular Lesions Visual Disturbances Infection Tumor/Mass/Cancer/Mets Vocal Cord Paralysis

MRI Brain without Contrast

MRI Brain without and with Contrast

MRI Brain with Contrast MRA Head without Contrast MRA Neck without Contrast MRA Neck without and with Contrast MRV Head without and with Contrast MRI Orbits/Face/Neck without and with Contrast

MRI Orbits/Face/Neck without and with Contrast

CPT Code

70551

70553

70552 70544 70547 70549 70546 70543

70543

6/14

Scheduling: 717.291.1016 or 888.MRI.1377 Fax: 717.509.8642 Web Site:

Contrast vs. No Contrast Reference Sheet ? Spine

Body Part

Spine: Cervical

Spine: Cervical Spine: Thoracic Spine: Thoracic Spine: Lumbar

Spine: Lumbar

Reason for Exam

Procedure to Pre-Cert

Degenerative Disease Disc Herniation Extremity Pain/Weakness Neck Pain Radiculopathy Trauma Discitis Mass/Lesion Osteomylitis Back Pain Compression Fx Disc Herniation Radiculopathy Trauma Discitis Mass/Lesion Osteomylitis Back Pain Compression Fx Disc Herniation Radiculopathy Stenosis Trauma Discitis Mass/Lesion Osteomylitis Post Lumbar Surgery ( ................
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