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Ordering Guide Why This Guide Is Important to You and Your Patients

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Ordering Guide Why This Guide Is Important to You and Your Patients ORDERING GUIDE WHY THIS GUIDE IS IMPORTANT TO YOU AND YOUR PATIENTS This ordering guide is meant to assist you when ordering a study with Radiology Ltd. The guide includes common indications as well as recommendations for the most appropriate examination. It is our goal to provide you and your patients with the most appropriate and complete imaging examination. After the correct order is placed, examinations are further tailored to each patient’s specific condition. Thus, it is very important for the radiologist to be aware of the clinical question or specific condition in question so that the appropriate imaging can be performed. When ordering an examination please include pertinent history as well as signs or symptoms. Please refrain from ordering “r/o” exams such as “rule out tumor” or “rule out anomaly” unless history and signs/symptoms are included as well. Feel free to specify a particular entity or condition you would like the Radiologist to comment upon in the report. We have also included a list of most commonly used ICD-9 codes. Please note that this is not a complete list so you may need to refer to your most current ICD-9-CM and ICD-10- CM code book for the most appropriate code. The note section at the end of the ICD-9 codes list allows you to add additional codes that are commonly used in your practice. In the back of the guide, you will find a list of our contracted insurance and network plans as well as our imaging centers, addresses and phone numbers. Radiology Ltd. also has a Professional Relations Department with field representatives dedicated to serving your needs. If you have any questions or concerns, please contact the Professional Relations Department at (520) 901-6614 or at [email protected]. Thank you, The Physicians and Staff of Radiology Ltd. 1 IMPORTANT CONTACT INFORMATION CENTRALIZED SCHEDULING NEED HELP OR HAVE QUESTIONS Tel: (520) 733-7226 ABOUT WHAT TO ORDER? Fax: (520) 290-8377 CLINICAL REVIEW STAT Hotline: (520) 545-1919 Tel: (520) 545-1819 Toll Free: (866) 565-2220 Fax: (520) 545-1844 Toll Free Fax: (866) 707-0750 SPECIALTY SCHEDULING BREAST BIOPSY INTERVENTIONAL COORDINATION Tel: (520) 901-6792 Tel: (520) 545-1906 Fax: (520) 545-1848 Fax: (520) 545-1898 BREAST MRI PET / CT Tel: (520) 901-6631 Tel: (520) 545-1906, opt. 3 Fax: (520) 901-6746 Fax: (520) 545-1898 OTHER IMPORTANT NUMBERS AUTHORIZATION VERIFICATION PATIENT BILLING Tel: (520) 901-6767 Tel: (520) 296-0278 Fax: (520) 545-1981 Secure Online Bill Pay: radltd.com/online-bill-pay CODING & PRICING HOTLINE Tel: (520) 545-1818 PROFESSIONAL RELATIONS Online Requests: Tel: (520) 901-6614 radltd.com/request-exam-pricing Fax: (520) 545-1726 HIPAA HOTLINE Email: [email protected] Tel: (520) 545-1969 For Supplies: Toll Free Tel: (866) 683-2199 Tel: (520) 733-4104 Email: [email protected] MEDICAL RECORDS Tel: (520) 545-1822 RADVISION Fax: (520) 326-7989 Tel: (520) 901-6747 Online Requests: Fax: (520) 901-6634 radltd.com/medical-record-request Toll Free Tel: (866) 386-9459 Website: radltd.com/for-providers After Hours Tech Support: Tel: (520) 545-1720 2 REFERENCE CONTENTS DIGITAL X-RAY INTERVENTIONAL General....................................................................... 4 Minimally Invasive Diagnostic Procedures........ 35 Pain Management........................................................ 37 DEXA Vascular Services........................................................... 39 Bone Densitometry................................................ 7 Drainage Tube / Stent Placement.......................... 40 BREAST IMAGING ICD-9 CODES CPT Codes for Women’s Imaging...................... 8 Neoplasms................................................................ 41 Mammography Ordering Decision Tree......... 9 Benign Neoplasms.................................................. 41 Screening & Diagnostic Mammography........ 11 Endocrine, Nutritional & Metabolic.................. 41 Additional Imaging & Procedures..................... 12 Disorders................................................................... 41 Breast MRI.................................................................. 13 Blood Diseases......................................................... 42 Mental Disorders..................................................... 43 PET / CT Nervous System & Sense General....................................................................... 14 Organ Disorders...................................................... 43 Bone Scan................................................................. 14 Circulatory System.................................................. 45 ULTRASOUND Respiratory System................................................. 46 General....................................................................... 15 Digestive System..................................................... 47 Vascular...................................................................... 17 Genitourinary System........................................... 48 MSK/Extremity.......................................................... 18 Musculoskeletal & Connective Tissue............ 50 Signs & Symptoms.................................................. 51 CT / CTA Injuries & Adverse Effects..................................... 54 CPT Codes for CT Scans........................................ 19 ICD-9 Codes Notes................................................. 56 General....................................................................... 20 Head & Spine............................................................ 23 ICD-10 CODES Musculoskeletal...................................................... 25 ICD-10 Codes Notes................................................. 57 Specialty.................................................................... 26 PREFERRED PROVIDER INFORMATION MRI / MRA Major Insurance Plans............................................. 59 CPT Codes for MRI Scans...................................... 27 Major Network Plans................................................ 59 Breast........................................................................... 28 General....................................................................... 28 IMAGING CENTERS Head & Spine............................................................ 31 Locations..................................................................... 60 Musculoskeletal TECHNOLOGY (including Arthrography)..................................... 33 RadVision..................................................................... 62 3 Digital X-rays are done on a walk-in basis. DIGITAL X-RAY: General X-RAY DIGITAL Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE • Chest 1 View 71010 • Chest 2 Views 71020 • Chest Minimum 4 Views 71030 • Chest Special Views 71035 • Ribs Unilateral 2 Views 71100 • Ribs Unilateral 2 Views with PA CXR 71101 • Ribs Bilateral 3 Views 71110 • Sternum Minimum 2 Views 71120 • Sternoclavicular Joints 3 Views 71130 • Abdomen 1 View 74000 www.radltd.com • Abdomen AP, Additional Oblique + Cone Views 74010 • Abdomen Complete 74020 • Abdomen Complete + PA CXR 74022 • Hip Unilateral 1 View 73500 • Hip Unilateral Minimum 2 View 73510 • Hips Bilateral 2 Views + AP Pelvis 73520 • Pelvis 1 or 2 Views 72170 • Pelvis Minimum 3 Views 72190 • Pelvis & Hips Infant / Child up to 11 years old 73540 • Sacrum & Coccyx Minimum 2 Views 72220 • Sacroiliac Joints 3+ Views 72202 • Finger(s) Minimum 2 Views 73140 • Hand 2 Views 73120 • Hand Minimum 3 Views 73130 • Wrist 2 Views 73100 • Wrist Minimum 3 Views 73110 • Forearm 2 Views 73090 Digital X-rays are done on a walk-in basis. 4 DIGITAL X-RAY DIGITAL DIGITAL X-RAY: General Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE • Upper Extremity Infant (up to 364 days old) Minimum 2 Views 73092 • Elbow 2 Views 73070 • Elbow Minimum 3 Views 73080 • Humerus Minimum 2 Views 73060 • Shoulder 1 View 73020 • Shoulder Minimum 2 Views 73030 • Acromioclavicular Joints Bilateral 73050 • Clavicle Complete 73000 • Scapula Complete 73010 • Toe(s) Minimum 2 Views 73660 • Foot 2 Views 73620 • Foot Minimum 3 Views 73630 • Calcaneus Minimum 2 Views 73650 • Ankle 2 Views 73600 • Ankle Minimum 3 Views 73610 • Tibia & Fibula 2 Views 73590 • Lower Extremity Infant (up to 364 days old) 2+ Views 73592 • Knee 1 or 2 Views 73560 • Knee 3 Views 73562 • Knee 4 or More Views 73564 • Both Knees Standing AP 73565 • Femur 2 Views 73550 • Bone Age Studies 77072 • Bone Length Studies 77073 • Osseous Complete (Bone Survey) 77075 • Mandible < 4 Views 70100 • Mandible 4 Views 70110 5 Digital X-rays are done on a walk-in basis. Digital X-rays are done on a walk-in basis. DIGITAL X-RAY: General X-RAY DIGITAL Digital X-rays are done on a walk-in basis. The digital X-ray CPT codes are for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. PROCEDURE DESCRIPTION CPT CODE • Screening Orbit (Pre MRI) 70030 • Facial Bones < 3 Views 70140 • Facial Bones Minimum 3 Views 70150 • Nasal Bones Minimum 3 Views 70160 • Orbits Minimum 4 Views 70200 • Sinuses Paranasal < 3 Views 70210 • Sinuses Paranasal Minimum 3 Views 70220 • Skull < 4 Views 70250 • Skull Minimum 4 Views 70260 •
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