high tech imaging cpt codes
Codes 70336 70450 70460 70470 70480 70481 70482. High Tech Imaging Codes Requiring a Radiology Quality Initiative RQI Continued on next page Computerized Tomography CT CPT Description Abdomen 74150 CT abdomen.
CT head or brain.
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. Wo contrast followed by contrast. Nuclear scan of liver function 78220. High-tech radiology procedure code summary.
Wo contrast followed by contrast Abdomen. These programs support the consistent use of evidence-based professional guidelines for diagnostic imaging procedures. Site of Care refers to the location where a procedure or scan is performed.
Two separate orderscodes. 72127 Ct neck spine wo wdye. 71552 Mri chest wo wdye.
Single study at rest or. Wo contrast 74160 CT abdomen. With contrast 74170 CT abdomen.
Appeal a claim that has been denied for not meeting our medical policy andor technology assessment criteria. Refer to the following for specific procedure codes and prior authorization requirements for facilities and ordering providers. CT chest thorax with contrast chest tube placement.
CT CTA AbdomenPelvis Panel. 72125 Ct neck spine wo dye. High Tech Imaging Codes Requiring an HMO Blue Texas Preauthorization or a BlueChoiceBlueChoice Solutions RQI Number Effective July 1 2008 the RQI Program will no longer apply to BlueChoice Solutions subscribers Magnetic Resonance Imaging MRI Contd CPT Description 72156 MRI cervical spine.
78459 Myocardial imaging positron emission tomography pet metabolic evaluation. Certain imaging services require prior authorization through National Imaging Associates Inc. 71550 Mri chest wo dye.
Myocardial imaging positron emission tomography pet perfusion. With contrast 74170 CT abdomen. Wo contrast followed by contrast.
High Tech Imaging Codes Requiring a Radiology Quality Initiative RQI Computerized Tomography CT CPT Abdomen 74150 74160 74170 Abdomen Pelvis 74176 74177 74178 Heart 75571 75572 75573 Chest 71250 71260 71270 Upper Extremity 73200 73201 73202 Lower Extremity 73700 73701 73702 Head 70450 70460 70470 Orbit 70480 70481. Abdomen. 4 High-Tech Imaging and Cardiac Program Prior Authorization Code Matrix Authorized CPTHCPCS Code Description Allowable Billed Groupings S8037 MR cholangiopancreatography S8037 74181 74182 74183 Note.
Nuclear scan of heart muscle myocardial perfusion imaging 78451 78452 78453 78454 78466 78468 78469. 540 Lake Cook Road. High Tech Imaging Codes Requiring an HMO Blue Texas Preauthorization or a BlueChoice RQI Number.
Two separate orderscodes. 72126 Ct neck spine wdye. 71551 Mri chest wdye.
CT chest thorax wo contrast high resolution limited. High-Tech Imaging Prior Authorization Program Commercial and Tufts Health Public Plans members. 71555 Mri angio chest w or wo dye.
Nuclear scan of liver and spleen SPECT vascular flow liver-spleen scan 78201 78202 78205 78206 78215 78216. In general non-emergent high-tech radiology imaging proceduresscans including magnetic resonance imaging MRI and computed tomography CT may be performed at either a freestanding imaging facility or a hospital-based imaging departmentfacility. CT CTA ChestAbdomen Panel.
Appeal all other claims for high-technology radiology services. Go to Prior Authorization and Notification Tool. Computerized Tomography CT CPT Description Abdomen74150 CT abdomen.
Radiology Prior Authorization and Notification. CT CTA AbdomenPelvis Panel. We will coordinate your appeal with AIM as appropriate.
Some procedures require prior authorization through Tufts Health Plans Precertification Operations Department. They help reduce risks to patients and improve the quality safety and appropriate use of imaging procedures. 17 rows Product Category CPT Code CPT Code Description Code Management Radiology CT 70470 CT.
Wo contrast 74160 CT abdomen. Radiology high technology Blue Cross and Blue Shield Federal Employee Program Michigan members for services in Michigan Effective for dates of service on or after Feb. Without contrast material 74177 CT.
9 rows Advanced Imaging of the Heart CPT and HCPCS Codes 971 Abdomen and Pelvic Imaging CPT.
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