TIC Ordering Guide

www.wolfriverimaging.com

Fax: 844-622-3087

7600 Wolf River Blvd. Suite 100, Germantown, TN 38138

Phone: 901-312-4033

Medical Imaging Ordering Guide

Chest

Brain

Head TIA Alzheimer's Dizziness Headaches

Acoustic Neuroma Syrinx Visual Change Vascular Lesions (AVM) Elevated Prolactin Vertigo Bell's palsy

Mental Status Change Confusion Dementia Memory Loss

Tumor / Mass / Cancer Cranial Nerve Lesions HIV Infection Multiple Sclerosis Neurofibromatosis Hearing Loss, IAC Mass

Tumor / Mass / Cancer / Mets

Exopthalmos / Proptosis

MRI Chest / Mediastinum w/ & w/o

Nerve Avulsion

w/ & w/o

MRI Chest / Mediastinum

Brachial Plexus Injury

Yes

w/ & w/o

Brachial Plexus

Vocal Cord Paralysis

Pain

MRI Orbits/ Face/ Neck

w/ & w/o

MRI Orbits/ Face/ Neck

MRI Orbits/ Face/Neck wo

MRI Brain w/ & w/o

MRI Brain w/o

Procedure to Pre-Cert

Tumor / Mass / Cancer / Mets

Tumor / Mass / Cancer / Mets

Infection

Yes

Yes

Pseudotumor

Graves Disease

Vascular Lesions (Hemangioma)

No

Yes

No

IV Contrast

Trauma

Pituitary Lesion

Stroke /CVA

Trauma

Reason for Exam

71552

71552

70543

70543

70540

70553

70551

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Mediastinum

Neck

Orbits

Body Part

Area of Concern

MRI Anatomical Guide

Endometrioma

Bicomuate Uterus Ovarian Mass

Dizziness

Stroke/ CVA

Carotid Stenosis

Abnormal Dopplar

No

No

No

Yes

Yes

Yes

Yes

Yes

No

Yes

Yes

IV Contrast

MRA Neck w/o

MRV w/o

MRA Brain w/o

MRI Pelvis w/ & w/o

MRI Pelvis w/ & w/o

MRI Abdomen w/ & w/o

MRI Abdomen w/ & w/o

MRI Abdomen w/ & w/o

MRI Abdomen w/o

MRI Abdomen w/ & w/o

MRI Abdomen w/ & w/o

Procedure to Pre-Cert

70547

70544

70544

72197

72197

74183

74183

74183

74181

74183

74183

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

TIA

Bruit

MRA Neck

TIA

hx aneurysm Venous Thrombosis

Stroke / CVA

Pre/Post Fibroid Embolization

Aneurysm, family

MRV Brain

MRA Brain (COW)

Septate Uterus

Adenomyosis

Uterus & Ovaries

MRI Anatomical Guide

MRA

Infertility

Fibroid

Pelvis Soft Tissue:

Decubitus Ulcer

Pain

General

Abscess

PSC (primary sclerosing cholangitis)

Ampulla Evaluation Tumor / Mass / Cancer / Mets

Painless Jaundice

Cholangiocarcinoma

Pelvis Soft Tissue:

Increased LFT's

Pancreatitis / Pancreas Mass

Pancreas

Pheochromocytoma

Abnormal Finding

Hematuria Adrenal Mass or Lesion

Transitional Cell Carcinoma of Kidney

Renal Mass (cyst or solid)

Abnormal Enzymes

Stones

Adrenal

Renal

Jaundice

Increased LFTs

Hepatoma Biliary Obstruction

Cirrhosis

Hemangioma

MRCP: Biliary

Hepatitis

Post Embolization

Abdomen: Liver

Abdominal Pain

Tumor / Mass / Cancer / Mets

Abdomen: General

Abdomen and Pelvis

Reason for Exam

Body Part

Area of Concern

Arm - Non-Joint: (Forearm, Humerus, Hand, Finger, Thumb)

Musculoskeletal

Fracture Septic Arthritis Infection/Abscess

Pain/Groin Pain/Pubic Pain Tumor/ Mass/ Cancer/ Mets/Lump Osteomyelitis

Septic Arthritis

Tumor/ Mass/ Mets/Lump Trauma

Osteomyelitis

Ulcer

(Ankle, Knee, Hip)

Muscle/ Tendon Tear

Abscess

Arthritis (Inflammatory)

Lower - Joint

Bony Pelvis

Myositis

Labral Tear

Injury

Myositis

Fascitis

Cellulitis

Fascitis

Cartilage Tear

Internal Derangement

Stress Fracture

Osteomyelitis

Ligament Tear

Ostochondritis Dessicans (OCD)

Injury

Cellulitis

Muscle Tear

Avascular Neucrosis (AVN)

Pain

Abscess

Meniscal Tear

Chronic Pain

Stress Fracture Arthritis (osteo)

Muscle / Tendon Tear

Fracture / Injury

Reason for Exam

Yes

No

Yes

Yes

No

No

IV Contrast

MRI --Pelvis w/ & w/o

MRI --Pelvis w/o

Lower Extremity

MRI --Joint w/ & w/o

Lower Extremity

MRI --Non Joint w/ & w/o

Upper Extremity

MRI --Joint Without

Upper Extremity

MRI --Non Joint Without

Procedure to Pre-Cert

72197

72195

73723

73720

73221

73218

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Leg - Non-Joint Morton's Neuroma (Leg, Calf, Toes, Femur, Thigh, Hamstring, Ulcer Foot (midfoot, forefoot) Tumor / Mass /Mets/Lump

Arm - Joint (Wrist, Elbow, Shoulder)

Body Part

Area of Concern

MRI Anatomical Guide

Myelopathy Tumor/ Mass/ Cancer/ Mets

Post-op Fusion Osteomyelitis

Labral Tear Loose Body Recurrent Menisal Tear Loose Body

Hip Arthrogram

Knee Arthrogram

Ankle Arthrogram

ODC

Chondromalacia Post Op

RCT

Collateral Ligament Tear

MRI Arthrogram Ankle

MRI Arthrogram Knee

MRI Arthrogram Hip

MRI Arthrogram Shoulder

MRI Lumbar Spine w & w/o

MRI Lumbar Spine w/o

MRI Thoracic Spine w & w/o

MRI Thoracic Spine w/o

MRI Cervical Spine w & w/o

MRI Cervical Spine w/o

Procedure to Pre-Auth

* Gad is inject- MRI Arthrogram Wrist ed into the joint space by a MSK radiologist MRI Arthrogram Elbow *Labs not required

Yes

No

Yes

No

Yes

No

Contrast

73222

73222

73222

73222

73222

73222

72158

72148

72157

72146

72156

72141

Code

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Labral Tear

Tumor/ Mass/ Cancer / Mets

Osteomyelitis

Shoulder Arthrogram

Post-Op-Hx of Back Surgery

Discitis

Loose Body

Compression Fracture - No hx

Radiculopathy

Elbow Arthrogram

Spinal Stenosis

Disc Herniation

Soft Tissue Ganglia

Spondylolithesis

Degenerative Disease

TFCC Tear Intercarpal Ligaments

Sciatica

Back/Leg Pain/Trauma

Compression Fracture- w/ hx of malignancy

Discitis

Syrinx

Numbness

Multiple Sclerosis

Compression Fracture - no hx of malignancy

Disc Herniation

Syrinx

Tumor/ Mass/ Cancer/ Mets Degenerative Disc Disease

Myelopathy

Osteomyelitis Radiculopathy

Discitis

Multiple Sclerosis

Back Pain/Trauma

Radiculopathy

Disc Herniation

Degenerative Disease

Arm/ Shoulder/Neck Pain

Reason for Exam

Wrist Arthrogram

MRI Anatomical Guide

Musculoskeletal MR Arthrography

Spine: Lumbar

Spine: Thoracic

Spine: Cervical

Musculoskeletal

Spine

Body Part

Area of Concern

Head

Area of Concern

Neck

Temporal Bones

Face

Sinus

Orbit

Brain

Body Part

CT Anatomical Guide Trauma Dizziness, Vertigo Shunt Check

Stroke/ Bleed Alzheimer’s

HIV

Infection

Bony Abnormalities Abscess Cellulitis

Fracture Graves Disease Mass, Swelling

Nasal Polyps Deviated Septum

Foreign Body Pain

Goiter Esophageal Cancer

Lymphadenopathy Lymphoma Salivary Gland Stone

Dysphagia

Focal Mass

Trauma

Mass in Ear

Abscess

Swelling, Mass in Face Tinnitus

Infection

Tumor

Cholesteatoma

Bony Abnormalities

Pain

Congenital hearing loss

Fracture

Trauma

Mass

Sinus Headache

Sinusitis

Pain

Foreign Body

Trauma

Meningioma

Metastatic Staging

Mass/ Tumor

Memory Loss, Confusion

Change in mental status

Hydrocephalus

Headaches

Reason for Exam

Congestion

None

IV Contrast

None

IV Contrast

None

IV Contrast

None

IV Contrast

None

IV Contrast

None

IV Contrast

CT Soft Tissue Neck w/o

CT Soft Tissue Neck w/

CT Temporal Bones w/o

CT Maxillofacial w/

CT Maxillofacial w/o

CT Sinus w/

CT Sinus w/o

CT Orbits w/

CT Orbits w/o

CT Head w/ & w/o

CT Head w/o

Procedure to Pre-Cert

70490

70491

70480

70487

70486

70487

70486

70481

70480

70470

70450

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Weight loss Abnormal US Constipation Bloody stools

Appendicitis Metastasis Diverticulosis Diverticulitis Nausea / Vomiting / Diarrhea

General

CT Anatomical Guide

Adrenal / Renal

CT Urogram

Tri-phase Renal

Renal Mass / Cancer

Lymphoma

IBD

Obstruction

Trauma

Hernia

Mass

Mass

Hernia

No

Yes

Yes

No

Yes

Yes

Yes

Yes

Yes

Contrast

CT abdomen w/ & w/o

CT abd/pelvis w & w/o

CT abd/pelvis w/ & w/o

CT abd/pelvis w/o

CT abdomen w/

CT abd/pelvis w/

or

CT pelvis w/

CT abd/pelvis w/

CT abd/pelvis w/

CT abdomen w/

Procedure to Pre-Cert

74170

74178

74178

74176

74160

72193

74178

74177

74160

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Abnormal Renal US

Adrenal Mass / Abnormality

Abnormal Cystogram

Bladder mass

Hematuria

Complex renal cyst Hematuria

Abnormal US

Renal Mass work-up

Prostatitis

Dysuria

Flank/Back Pain Urinary Frequency

Renal Stone

Jaundice

Abnormal Abd US Hematuria

RUQ Pain

Increased LFTs

Renal Stone

Hemangioma

Hepatitis

Renal

Hepatoma

Hemochromatosis

Cirrhosis

Liver Cancer/Transplant

Ovarian Cancer

Pelvic/Adnexal Mass

Liver

Trauma

Abnormal Pelvic US

General

Hernia

Pelvic/Groin/LLQ/RLQ Pain

Pelvis

Cancer staging for melanoma or carcinoid

All cancer staging except melanoma or carcinoid

Neoplasm

Abdominal/Pelvis Pain

Abdomen & Pelvis

RLQ/LLQ Pain

RUQ or LUQ Pain

Neoplasm Weight Loss

Pancreatic Lesion

Trauma

Abnormal US

Abdominal Pain

General

Abdomen

Reason for Exam

Body Part

Pancreas

Adrenal /

Abdomen/ Pelvis

Area of Concern

General Chest

Hi Resolution Chest

General Chest

CTA Abdomen

Nodule/Nodule FU Rib Fractures Chronic Cough

H/o Chronic Smoking Bony Abnormality Abnormal Xray

Fibrosis

Hilar Abnormality

Asbestos Exposure

Asbestos Exposure

Hemoptysis

Neoplasm

Bronchiectasis

Lymphadenopathy

Hx Cancer, Tumor, Mets

Interstitial Disease

Lung Lesion

Chest Pain

COPD

Trauma

Emphysema

Sarciodosis

Abscess

Pneumonia

Malignant Hypertension

Renal Artery Stenosis

Mesenteric ischemia

Trauma Dissection

Post stent grafting

Renal Artery Stenosis

Abdominal Aortic Aneurysm

Abnormal US

Abdominal Aortic Aneurysm

Aortic Dissection

Thoracic Aneurysm

CTA Abdomen

Shortness of Breath

Pulmonary Embolus

TIA

CTA Chest

Ruptured Aneurysm

CVA

Carotid Stenosis

CTA Head

CT Angiography

Reason for Exam

None

None

IV Contrast

IV Contrast

IV Contrast

IV Contrast

IV Contrast

IV Contrast

IV Contrast

Hi resolution

CT Chest w/o contrast

CT Chest w/o contrast

CT Chest w/ contrast

CTA Abdomen w & w/o

contrast

CTA Abdomen w & w/o

CTA Chest w/ & w/o contrast

CTA Neck w/ & w/o contrast

CTA Head w/ & w/o

Procedure to Pre-Cert

71270

71250

71260

74174

74175

71275

70498

70496

Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

CTA Neck

Body Part

Area of Concern

CT Anatomical Guide

Infection tumor/ mass/ cancer/ mets Pain Arthritis Infection

radious/ ulna, humerus

shoulder

Leg

(Foot, ankle, knee, hip

tibia/ fibia, femur)

(MRI more sensitive)

Infection

CT Anatomical Guide

Cellulitis

Tumor/ mets

Malunion

Fracture

Malunion

Fracture

IV Contrast

None

IV Contrast

None

None

None

None

None

IV Contrast

72128 72131

Thoracic Lumbar

72132

Lumbar

CT pelvis w/ contrast

72193

72192

72129

Thoracic

CT pelvis w/o contrast

72126

Cervical

CT w/ contrast

72125

73701

73700

73201

73200

Cervical

CT w/o contrast

CT w/ contrast

CT w/o contrast

CT w/ contrast

CT w/o contrast

Procedure to Pre-Cert Codes

To avoid delay in patient care, please write “Contrast at Radiologist’s Discretion” on the order.

Abscess

Infection

Bone Lesions

Acetabulum Soft tissue mass

Fracture

Arthritis

fusion

trauma

tumor, mass, cancer, mets

fracture

(MRI more sensitive)

Bone Lesion

Fusion

(MRI more sensitive)

Bone Lesion

Fusion

Pain

Pelvis/ Hips

Spine

Arthritis

(Hand, wrist, elbow,

tumor/ mass/ cancer/ mets

Pain

Arm

Musculoskeletal

Reason for Exam

Body Part

Area of Concern

Abdomen

Kidneys/Bladder/Aorta/IVC

Kidneys/Bladder/Aorta/IVC Doppler Renal/Arcuate Arteries Aorta/IVC/Pancreas/Liver GB/CBD/Kidneys/Spleen Doppler, Hepatic Artery

Renal

Renal Artery Duplex

VASCULAR DUPLEX

Duplex Abdomen

Duplex Hepatic/Portal

VASCULAR DUPLEX

GB/CBD/Kidneys/Spleen

VASCULAR DUPLEX

Back Pain/Smoker

Liver Transplant

NPO 8 hours

Schedule in am to limit bowel gas.

NPO 8 hours

NPO 8 hours

Schedule in am to limit bowel gas.

NPO 8 hours.

Schedule in am to limit bowel gas.

NPO 8 hours

Schedule in am to limit bowel gas.

NPO 8 hours except for water.

to exam and hold it

Drink 24oz of water 1 hour prior

NPO 6-8 hr (No NPO for Hernia)

NPO 8 hours

NPO 8 hours

Ultrasound Prep

Men 65-75 who have smoked 100 cigarettes in a lifetime Schedule in am to limit bowel gas.

Family History of AAA

Aorta/IVC/Kidneys

Aorta Screening

Family History of AAA

Cirrhosis

Portal Hypertension

exocrine pancreatic insufficiency

Post prandial pain

Cirrhosis

Hepato/Splenomegaly

Portal Hypertension

HTN/Elevated Cholesterol

Aorta/IVC/Kidneys

Hepatic Artery/TIPS Shunt

Portal/Hepatic/Splenic Veins

Hematuria, Dysuria

Flank Pain, HTN

Kidney Transplant

UTI

Elevated Creatinine Uncontrolled Hypertension

Urinary Frequency

Hernia

Splenomegaly Proteinuria

LUQ pain

Epigastric Pain

Splenic Trauma

VASCULAR DUPLEX

Aorta

GB/CBD/Kidneys/Spleen

VASCULAR DUPLEX Doppler

Aorta/IVC/Pancreas/Liver

Duplex TIPS

Doppler, SMA/Celiac Axis

Aorta/IVC/Pancreas/Liver

Duplex SMA/Celiac

Portal/Hepatic/Splenic Veins

Single Organ Abdomen

Nausea/Vomiting

Elevated Liver Function Tests

Right Kidney

Palpable Mass

Epigastric Pain Chest Pain

Bloating

Weight Loss RUQ pain

Jaundice

Nausea/Vomiting/Fever

Pancreas/Liver/GB/CBD

Cirrhosis

Elevated Liver Function Tests

GB/CBD/Kidneys/Spleen

Hepato/Splenomegaly

Abdominal Pain

Reason for Exam

Aorta/IVC/Pancreas/Liver

Body Part

Abdomen Limited

RUQ /Liver

Abdomen

Area of Concern

Ultrasound Anatomical Guide

G0389

76775

93975

93975

93975

93975

76770

76705

76705

76700

Codes

Ultrasound Anatomical Guide

Chest/Superficially

Chest

Epididymitis/Orchitis

Doppler Testicles/Epididymis Head or Neck Soft tissue

Pain/Trauma

Epididymis/Scrotum

Head or Neck/ Soft tissue

Pain/Infection/ Swelling

Testicles/Inguinal Canal

Scrotum

Palp lump

Palp Lump

no prep

to exam and hold it

Drink 32oz of water 1 hour prior

no prep if transvaginal only

to exam and hold it

Drink 32oz of water 1 hour prior

to exam and hold it

Drink 24oz of water 1 hour prior

no prep

Ultrasound Prep

Lymphadenopathy

Palp Lump

Enlarged Scrotum

no prep

no prep

no prep

Swollen Neck, Goiter no prep

Thyroidmegaly(enlarged thyroid)

Palp Lump, Elevated TSH

Thyroid

Thyroid

Fibroids

Abnormal Uterine Bleeding

Focal Pain

Dysmenorrhea

Menometrorrhagia Palp Lump

Menorrhagia

Post Menopausal Bleeding

Small Parts

Axilla

RLQ/LLQ Pain

Fibroids

Abnormal Uterine Bleeding Endometriosis/cyst/torsion

Dysmenorrhea

Menometrorrhagia Amenorrhea

Menorrhagia

Post Menopausal Bleeding

Pelvic Pain

RLQ/LLQ Pain

Endometriosis/cyst/torsion

Axilla

Uterus/Ovaries/Bladder/Adnexa

Pelvic

Amenorrhea

Fibroids

Abnormal Uterine Bleeding Pelvic Pain

Dysmenorrhea

Menometrorrhagia

OF STRUCTURES IN THE PELVIS

Uterus/Ovaries/Adnexa

Menorrhagia

Post Menopausal Bleeding

PROVIDES BEST VISUALIZATION

TV

RLQ/LLQ Pain

Endometriosis/cyst/torsion

BOTH EXAMS PERFORMED TOGETHER

Uterus/Ovaries/Bladder/Adnexa

Pelvic/TV

UTI

Hematuria Dysuria

Cystitis

Urinary Frequency

Amenorrhea

Bladder

Bladder

RLQ pain

Reason for Exam

Pelvic Pain

Appendix

Appendix

Body Part

Axilla

Pelvis

Area of Concern

76604

76536

76870

76536

76881

76856

76830

76830

AND

76856

76856

76705

Codes

Pediatrics

Musculoskeletal

Vascular

Bilateral Arm/Forearm Bilateral Leg/Calf Bilateral Arm Shoulder

VASCULAR DUPLEX

VASCULAR DUPLEX

Barbotage

Any subcutaneous area Fingers/Toes

Small Joint Injection Aspirations

Palpable mass

Calcific Tendonitis

Limited range motion

Testicles/Inguinal Canal/ scrotum Doppler Testicles/Epididymis

Pediatric Scrotum

Bilateral Leg/Calf

Uterus/Ovaries/Adnexa

Pediatric Pelvis

VASCULAR DUPLEX

Aorta / IVC / Pancreas / Liver GB / CBD / Kidneys / Spleen

Subacromial Joint

Pediatric Abdomen

Aspiration

Wrist, Elbow, Ankle, Olecranon Bursa

TIA

Diabetes

Leg Pain

Diabetes

swelling

Palpable Mass Amenorrhea Torsion Polycystic Ovarian Syn. Menometrorrhagia Fibroids Enlarged Scrotum Palp Lump

Epigastric Pain Pelvic/RLQ/LLQ Pain Endometriosis / Cyst Menorrhagia Dysmenorrhea Abnormal Uterine Bleeding Infection/Epididymitis/Orchitis Pain/Swelling/Trauma varicosities

Hepto / Splenomegaly Cirrhosis Jaundice Bloating

Lump/Pain

Effusion/Cyst

Lump/Pain

Effusion/Cyst

Effusion/Cyst Lump/Pain

Swelling

Foreign body

Baker's cyst

Pain/arthritis

Rotator Cuff Tear/ Pain

Smoker

PVD

HTN

Pain

Abdominal Pain Elevated Liver Function Test Nausea/Vomiting/Fever Weight Loss

Arthritis / Bursities

Joint Pain

Arthritis / Bursities

Shoulder, Hip, Knee

Aspiration

Major Joint Injections

Joint Pain Arthritis / Bursities

Pain

Palpable lump

Temporomandibular, Acromioclavicular Joint Pain

on an extremity

Immediate Joint Injection

(Palpable)

Smoker

DVT

DVT

Difference in blood pressures (side to side)

Arm Pain

Claudication

Elevated Cholesterol

Recent Surgery/IV placement

Arm Swelling

Recent Surgery

Leg/Calf swelling or pain

HTN

CVA

Elevated D-dimer

Smoker

High Cholesterol

Diabetes

Numbness

Vision Impairment

Bruit, Dizziness, Vertigo

Reason for Exam

foot-ankle/knee/thigh/popliteal fossa Tendon tear/tendonitis

Extremity non-vasc limited

(Palpable)

hand/wrist/elbow

Shoulder

Unilateral Arm

Unilateral Leg/Calf

Extremity non-vasc

Shoulder

Arterial Upper Ext

Arterial Lower Ext

Unilateral Arm/Forearm

VASCULAR DUPLEX

Venous Upper Ext

Bilateral Leg/Calf

Unilateral Leg/Calf

Carotid/Vertebral Arteries

Body Part

VASCULAR DUPLEX

Venous Lower Ext

VASCULAR DUPLEX

Carotid

Area of Concern

Ultrasound Anatomical Guide

no prep

NPO for 8 hrs Drink water prior to exam (as much as possible but no less than 24oz)

Older than 6 months–

6 months or younger– NPO for 4 hrs

no prep - schedule in AM

no prep - schedule in AM

no prep - schedule in AM

no prep

OBTAIN PRIORS

no prep

no prep - OBTAIN PRIORS

no prep - schedule in AM

no prep

no prep

no prep

no prep

no prep

Ultrasound Prep

93970

76870

76856

76700

20611

20606

20604

76882

76881

76942

76881

93930

93931

93925

93926

93970

93971

93970

93971

93880

Codes

Pelvis Clavicle Shoulder Upper Arm Elbow Forearm Wrist Hand Finger Pelvis SI Joints Hip Thigh Knee Lower Leg Ankle Foot Toe

Pelvis Upper Extremity

X-ray Anatomical Guide

Lower Extremity

KUB

Thoracic Spine Lumbar Spine

Cervical Spine

Abdomen

Spine

Ribs

Skull Orbit Jaw Face Sinus Chest

Head

Chest

Body Part

Area of Concern Fracture Injury Fracture Injury Fracture Injury Fracture Injury Congestion Infection Chest Pain Asthma Shortness of Breath Injury

Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain

Trauma or s/p replacement Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma Dislocation Trauma

Pain (Injury/Accident/Chronic) Pain (Radicular) Instability / Spondy Pain (Injury/Accident/Chronic) Pain (Injury/Accident/Chronic) Pain (Radicular) Instability / Spondy Abdominal Pain Nausea Constipation Diarrhea

Trauma Trauma Trauma Trauma Mass Cough COPD Fracture

Reason for Exam

Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture Fracture

Vomiting

Pneumonia

Foreign Body Foreign Body Foreign Body Foreign Body

Ribs Bilateral MIN 3 views Ribs Unilateral w 1 view chest Ribs Unilateral 2 views AP and LAT– Odontoid 2-3 views AP, LAT and Obliques 4-5 views AP, LAT, FLEX/EXT 6+ views AP, LAT, and Swimmers view AP and LAT /L5-S1 Spot Film 2-3 views AP, LAT and Obliques MIN 4 views AP, LAT, FLEX/EXT MIN 6 views Abdomen 1 view KUB Abdomen 2 views KUB & Upright Acute Abdomen Series - included 1 view chest AP Only 1-2 views Clavicle Complete Shoulder MIN 2 views Humerus MIN 2 views Elbow 2 views Radius Ulna 2 views Wrist Complete MIN 3 views Hand MIN 3 views Finger MIN 2 views Pelvis 1 or 2 views Sacroiliac JT Complete or 3+ views Hip Unilateral 3 views Femur MIN 2 views Knee 3 views Tib Fib 2 views Ankle 3+ views Foot Complete MIN 3 views Toe MIN 2 views

Skull Complete MIN 4 views Eye Orbits Full Series MIN 4 views Mandible Complete MIN 4 views Facial Bone Complete MIN 3 views Sinuses Complete MIN 3 views Chest PA LAT 2 views

Views

71110 71101 71100 72040 72050 72052 72072 72100 72110 72114 74018 74019 74022 72170 73000 73030 73060 73070 73090 73110 73130 73140 72170 72202 73502 73552 73562 73590 73610 73630 73660

70260 70200 70110 70150 70220 71046

Code

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