Stanson Health, a Premier Inc. company, acquired Care to Care, Inc. in October 2022. Care to Care is a leading provider of radiology benefits management services.
- CTA Abdomen 74175
- CTA Abdomen and Pelvis 74174
- CTA Abdominal Aorta and Bilateral Iliofemoral Runoff 75635
- CTA Brain 70496
- CTA Carotid and Vertebral 70498
- CTA Chest 71275
- CTA of the Lower Extremity (Angiogram or Arteriogram) 73706
- CCTA 75574
- CTA Pelvis 72191
- CTA Upper Extremity (Angiogram or Arteriogram) of the 73206
- CT Abdomen and Pelvis
- CT For Bone Densitometry QCT
- CT Cervical Spine 72125 72126 72127
- CT Chest 71250 71260 71270 G0297
- CT Colonography (Virtual Colonoscopy) 74261 74262 74263
- CT Guidance Procedures 77011 thru 77014
- CT Head 70450 70460 70470
- CT Heart 75571 – 75574
- CT Lower Extremity (includes Arthrograms) 73700 73701 73702
- CT Lumbar Spine 72131 72132 72133
- CT Maxillofacial CT 70486 70487 70488
- CT Neck Soft Tissue 70490 70491 70492
- CT Orbit, Sella, Posterior Fossa, Ear 70480 70481 70482
- CT Thoracic Spine 72128 72129 72130
- CT Upper Extremity (includes Arthrograms) 73200 73201 73202
- MRA (Magnetic Resonance Angiogram) Abdomen 74185
- MRA (Magnetic Resonance Angiogram) Carotid and Vertebral 70547 70548 70549
- MRA (Magnetic Resonance Angiogram) Head 70544 70545 70546
- MRA (Magnetic Resonance Angiogram) Lower Extremity 73725
- MRA (Magnetic Resonance Angiogram) Pelvis 72198
- MRA (Magnetic Resonance Angiogram) Spinal Contents 72159
- MRA (Magnetic Resonance Angiogram) Thorax 71555
- MRA Upper Extremity (Magnetic Resonance Angiogram) 73225
- MRI Abdomen 74181 74182 74183 S8037
- MRI Bone Marrow Blood Supply 77084
- MRI Breast 77046, 77047, 77048, 77049
- MRI Brain 70551 70552 70553
- MRI Cervical Spine 72141 72142 72156
- MRI Chest 71550 71551 71552
- MRI Functional of the brain with physician 70555
- MRI Functional of the brain without physician 70554
- MRI Guidance Procedures 77021 -77022
- MRI Heart for Morphology and Function 75557 thru 75564 C9762 C9763
- MRI Lower Extremity Joint 73721 73722 73723
- MRI Lower Extremity, Non Joint 73718 73719 73720
- MRI Lumbar Spine 72148 72149 72158
- MRI Orbit, Face, Neck 70540 70542 70543
- MRI Pelvis 72195 72196 72197 – MRI Fetal 74172 74173
- MR Spectroscopy 76390
- MRI Temporomandibular Joint 70336
- MRI Thoracic Spine 72146 72147 72157
- MRI Upper Extremity Joint 73221 73222 73223
- MRI Upper Extremity, Non Joint 73218 73219 73220
- MRI Cardiac Magnetic Resonance Imaging for Velocity Flow Mapping 75565
- Brain SPECT 78607
- Cerebrospinal Fluid Flow SPECT (Single Photon Emission Computed Tomography) 78647
- Infarct Avid Myocardial Imaging 78466
- Kidney SPECT (Single Photon Emission Computed Tomography) 78710
- Myocardial Perfusion – SPECT includes Wall Motion and Ejection Fraction – 78451, 78452
- Myocardial Perfusion – PLANAR includes Wall Motion and Ejection Fraction – 78453, 78454
- MUGA (Multigated Radionuclide Angiography: 78472, 78473, 78481, 78483, 78494, 78496
- Parathyroid Nuclear Scintigraphy 78070 78071 78072
- PET body 78811 78812 78813 78814 78815 78816
- PET for Brain Metabolism 78608
- PET for Brain Perfusion 78609
- PET of the Heart 78429 78430 78430 78432 78433 78434 78459 78491 78492
- Radiopharmaceutical Localization of Inflammatory Process SPECT (Single Photon Emission Computed Tomography) 78807
- Transthoracic Echocardiography 93306, 93307, 93308
- Transesophageal Echocardiography 93312
- Stress Echocardiography 93350
- Conservative Management Defined for imaging purposes Glossary of Medical Terms
- Glossary of Medical Terms
- Tinnitus Algorithm
- Imaging protocol for the Diagnosis and Follow Up of Multiple Sclerosis
Introduction to Oncology Guidelines
These are permissive guidelines, meant to allow rapid approval of routine studies, i.e. those ordered as part of a standard work up or surveillance, not to evaluate a change in clinical status. These are routine studies, appropriate to the diagnosis alone. Requests that do not meet these criteria should be reviewed based on the clinical history presented and the criteria established for the study requested. No requests should be denied based on failure to meet the criteria in this section alone.
In all of the entires, both here and in the criteria in general, PET refers to PET/CT. As such, whenever PET exams are requested at the same time as CT exams of the region covered by the PET study the request should be sent for Physician review.
Definitions
Initial Work up and Staging refers to imaging studies that are part of the routine evaluation of a patient prior to therapy
Restaging After Treatment refers to recommendations for studies to be performed regardless of the clinical status of the patient after completion of an episode of treatment.
Surveillance Imaging refers to recommendations for imaging to be performed at intervals following therapy regardless of the clinical status of the patient.
Evaluation for Change in Clinical Status refers to examinations ordered to evaluate new or worsening signs and symptoms.