Breast Imaging Ordering Guidelines

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Patricia L. Scheifly Breast Health Center Mammography – Hacienda Heights 12393 Washington Blvd 1850 S. Azusa Ave., Suite 88 Whittier, CA 90606 Hacienda Heights, CA 91745 P: 562.907.0667 P: 626.225.4905 F: 562.789.4411 F: 562.789.4411 TDD: 562.696.9267 . TDD: 562.696.9267 Breast Imaging Ordering Guidelines Screening Mammography Diagnostic Mammography Breast Ultrasound Only Breast MRI ***If ordering a diagnostic mammogram in eHR or ***If ordering an ultrasound in eHR or Patient is currently Request for Breast Imaging Services form, Request for Breast Imaging Services form, Evaluation of Implant integrity asymptomatic Ultrasound of the same breast should not be ordered Mammogram of the same breast should not separately. be ordered separately. No new problems BILATERAL Diagnostic Mammogram with . This exam is done without . No pain Ultrasound if needed contrast and only evaluates the The patients below should begin with implant(s). No mass/thickening . Patient is currently symptomatic ultrasound only with diagnostic . No spontaneous clear . If the referring provider would - Male patients (20 years and older) mammogram if needed. or bloody nipple also like the breast tissue discharge - Female patients (30 years and older) evaluated, “Evaluation for breast . No skin changes cancer exam must be ordered” . Patient has had breast cancer with lumpectomy Females: Symptomatic Clinical notes/problems must . Patient has had a bilateral also specify that the implant Patient has never been . Patient presents with clinical breast problem of integrity should also be diagnosed with breast one breast and is due for her annual exam mammogram within the last 3 cancer within months at one of the facilities listed evaluated. 2 months above (Whittier or Hacienda Heights). Evaluation for Breast Cancer UNILATERAL Diagnostic Mammogram with . Patients that are 29 years of age or *Creatinine levels within 6 weeks Ultrasound if needed younger should begin with may be required ultrasound . Patient is symptomatic . Patient has had breast cancer with mastectomy . This exam will evaluate the Males: Symptomatic breast tissue. This exam is done . Patient has had a mammogram in the last . Patients that 19 years of age or with and without contrast. 10 months and is now presenting with a new younger should begin with symptom. ultrasound . If the patient has both breasts, please order a bilateral breast Abnormal Mammogram & Short Term Abnormal Mammogram & Short exam regardless if symptom is Follow-up only on one side. Term Follow-up . If the radiologist’s report recommends: “Diagnostic mammogram (Special Views) . If the radiologist’s report . If the patient has had a and/or ultrasound” recommends: “Ultrasound and/or mastectomy, please order a mammogram” unilateral exam. - Order unilateral or bilateral “mammogram with ultrasound if needed “ - Order the “ultrasound with (refer to last imaging report). mammogram if needed” (refer to last imaging report). NOT PART OF THE MEDICAL RECORD Revised 6.2016 .

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