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 www.radltd.com 4 CPT CODE 73120 73130 73100 73110 73090 71100 71101 71110 71120 71130 74000 74010 74020 74022 73500 73510 73520 72170 72190 73540 72220 72202 73140 71010 71020 71030 71035 Digital X-rays are done on a walk-in basis. done on a walk-in are Digital X-rays PROCEDURE DESCRIPTION PROCEDURE DIGITAL X-RAY: General X-RAY: DIGITAL for reference are codes CPT X-ray digital The basis. on a walk-in done are Digital X-rays is Information facilities. for all radiology standards does imply protocol This not only. change. subject to Forearm 2 Views Forearm Hand Minimum 3 Views Hand Minimum 3 Wrist 2 Views Views Minimum 3 Wrist Finger(s) Minimum 2 Views Minimum 2 Finger(s) Hand 2 Views Sacrum & Coccyx Minimum 2 Views MinimumSacrum 2 & Coccyx Views 3+ Joints Sacroiliac Pelvis Minimum 3 Views Minimum 3 Pelvis old 11 years & Hips up to Infant / Child Pelvis Hip Unilateral Minimum 2 View Minimum 2 Hip Unilateral + AP Pelvis Views 2 Hips Bilateral Views 1 or 2 Pelvis Abdomen Complete + PA CXR + PA Complete Abdomen View 1 Hip Unilateral Abdomen AP, Additional Oblique + Cone Views Oblique + Cone Additional AP, Abdomen Complete Abdomen Sternoclavicular Joints 3 Views 3 Joints Sternoclavicular Abdomen 1 View Ribs Unilateral 2 Views with PA CXR with PA Views 2 Ribs Unilateral Views 3 Ribs Bilateral Views Minimum 2 Sternum Chest Chest Views Special Views 2 Ribs Unilateral Chest Chest 2 Views Views MinimumChest 4 Chest Chest 1 View • • • • • • • • • • • • • • • • • • • • • • • • • • • Digital X-rays are done on a walk-in basis. done on a walk-in are Digital X-rays CPT CODE 77073 77075 70100 70110 73030 73050 73000 73010 73660 73620 73630 73650 73600 73610 73590 73592 73560 73562 73564 73565 73550 77072 73092 73070 73080 73060 73020 Digital X-rays are done on a walk-in basis. done on a walk-in are Digital X-rays PROCEDURE DESCRIPTION PROCEDURE DIGITAL X-RAY: General X-RAY: DIGITAL for reference are codes CPT X-ray digital The basis. on a walk-in done are Digital X-rays is Information facilities. for all radiology standards does imply protocol This not only. change. subject to Mandible < 4 Views Mandible < 4 Mandible 4 Views Both Knees AP Standing Femur 2 Views Studies Bone Age Studies Bone Length (Bone Survey) Osseous Complete Lower Extremity Infant (up to 364 days old) 2+ Views old) 2+ Extremity 364 days Infant (up to Lower Views Knee 1 or 2 Knee 3 Views Views Knee 4 or More Foot Minimum 3 Views Minimum 3 Foot Views Minimum Calcaneus 2 Ankle 2 Views Views Ankle Minimum 3 Views 2 & Fibula Tibia Clavicle Complete Clavicle Scapula Complete Views Minimum 2 Toe(s) Foot 2 Views Elbow MinimumElbow Views 3 Views Humerus Minimum 2 Shoulder 1 View Views MinimumShoulder 2 Bilateral Joints Acromioclavicular Upper Extremity Infant (up to 364 days old) Minimum 2 Views Minimum old) 2 Upper Extremity 364 days Infant (up to Elbow 2 Views • • • • • • • • • • • • • • • • • • • • • • • • • • •

DIGITAL X-RAY 5 DIGITAL X-RAY www.radltd.com 6 CPT CODE 70210 70220 70250 70260 70360 72040 72050 72052 72070 72072 72100 72110 72114 72120 72010 72069 72090 72080 70030 70140 70150 70160 70200 Our care is unsurpassed, with Our is unsurpassed, care 7 days a week, 365 days a year. 365 days a week, 7 days physicians available 24 hours a day, available physicians Digital X-rays are done on a walk-in basis. done on a walk-in are Digital X-rays PROCEDURE DESCRIPTION PROCEDURE DIGITAL X-RAY: General X-RAY: DIGITAL for are codes CPT X-ray digital The basis. on a walk-in done are Digital X-rays facilities. radiology for all standards does not imply protocol This only. reference change. is subjectInformation to Thoracolumbar AP & Lateral Thoracolumbar Spine, Entire, AP & Lateral Entire, Spine, (Scoliosis) Spine Standing Thoracolumbar Including Study Supine and ErectScoliosis L/S Spine Complete With Bending Views (Minimum 6 Views) (Minimum 6 Views Bending With L/S Spine Complete Views) 2-3 (Only Views L/S Spine Bending L/S Spine 2 or 3 Views L/S Spine 2 or 3 Views L/S Spine Minimum 4 T-Spine 2 Views T-Spine 3 Views T-Spine C-Spine 2 or 3 Views C-Spine 2 or 3 C-Spine Minimum 4-5 6 or more C-Spine Complete SkullViews Minimum 4 Neck Soft Tissue Sinuses Paranasal Minimum 3 Views 3 Minimum Sinuses Paranasal Views < 4 Skull Orbits Minimum 4 Views Orbits Minimum 4 Views < 3 Sinuses Paranasal Facial Bones < 3 Views Bones < 3 Facial Views Bones Minimum 3 Facial Views Nasal Bones Minimum 3 Screening Orbit (Pre MRI) OrbitScreening (Pre • • • • • • • • • • • • • • • • • • • • • • • Digital X-rays are done on a walk-in basis. done on a walk-in are Digital X-rays DEXA DEXA: Bone Densitometry This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change.

CLINICAL INDICATIONS PROCEDURE CODE • Post Menopause DEXA 77080—Hips, • Early Surgical Menopause Spine (axial • Long-Term Current Use of Other Medication skeleton) • Long-Term Current Use of Steroid Treatment • Vertebral Abnormalities • Follow-Up Treatment for Prevention / Monitoring of Osteoporosis

• DEXA with Vertebral Fracture Assessment DEXA 77085

• Vertebral Fracture Assessment DEXA 77086

• DEXA Body Composition Study DEXA 76499

Radiology Ltd. is committed to the health of southern Arizona by providing the most comprehensive imaging and interventional services.

7 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. BREAST IMAGING www.radltd.com 8 . TOMOSYNTHESIS DIAGNOSTIC TOMOSYNTHESIS DIAGNOSTIC TOMOSYNTHESIS (520) 290-8377 G0202 - DIGITAL SCREENING DIGITAL - G0202 MAMMOGRAPHY DIAGNOSTIC UNILATERAL DIGITAL UNILATERAL - G0206 ULTRASOUND BIOPSY DEPENDING VARIES CODING PLEASE PROCEDURE. THE ON CODING OUR CONTACT DETAILED A FOR DEPARTMENT EXPLANATION. MAMMOGRAPHY SCREENING 77052 - CAD FOR SCREENING FOR CAD - 77052 3D BREAST SCREENING - 77063 DIAGNOSTIC FOR CAD - 77051 3D BREAST UNILATERAL - 77061 COMPLETE UNILATERAL - 76641 LIMITED UNILATERAL - 76642 ALONE AXILA - 76882 DIAGNOSTIC MAMMOGRAPHY DIAGNOSTIC BILATERAL DIGITAL BILATERAL - G0204 77051 - CAD FOR DIAGNOSTIC FOR CAD - 77051 3D BREAST BILATERAL - 77062

or fax

(520) 733-7226 For more information on exam codes on exam information more For CPT CODES for WOMEN’S IMAGING WOMEN’S for CODES CPT for all radiology standards does not imply protocol This only. is for reference This change. Information is subject to facilities. Coding and Pricing Hotline at (520) 545-1818. (520) at Hotline and Pricing Coding and pricing, please contact the Radiology please contact Ltd. and pricing, To schedule an appointment, call schedule an appointment, call To DEXA WITH VERTEBRAL WITH DEXA FRACTURE ASSESSMENT BONE DENSITY SCAN DENSITY BONE THE PROCEDURE. PLEASE CONTACT CONTACT PLEASE PROCEDURE. THE A FOR DEPARTMENT CODING OUR EXPLANATION. DETAILED ULTRASOUND GUIDED NEEDLE GUIDED ULTRASOUND BIOPSY BREAST CORE ON DEPENDING VARIES CODING EXPLANATION. GUIDANCE FOR BREAST BIOPSY BREAST FOR GUIDANCE THE ON DEPENDING VARIES CODING OUR CONTACT PLEASE PROCEDURE. DETAILED A FOR DEPARTMENT CODING STEROTACTIC LOCALIZATION STEROTACTIC BREAST MRI BREAST 77080 - DEXA SCAN 77086 - 77059 & 0159T - BILATERAL BREAST MRI BREAST BILATERAL - 0159T & 77059 EXPLANATION. UTERINE FIBROID EMBOLIZATION (UFE) EMBOLIZATION FIBROID UTERINE THE ON DEPENDING VARIES CODING OUR CONTACT PLEASE PROCEDURE. DETAILED A FOR DEPARTMENT CODING . (520) 290-8377

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(520) 733-7226 To schedule an appointment, call schedule an appointment, call To annual Return to Return to screening screening NEGATIVE: NEGATIVE: provider approval) mammogram w/ referring w/ referring . Cyst aspiration aspiration Cyst at time of exam at (can be performed month Order 6 Order BENIGN: follow-up follow-up diagnostic PROBABLY mammogram NO Diagnostic order required order Diagnostic w/breast (520) 290-8377 indicated Extra views needed (call back) Extra views if clinically

Diagnostic Diagnostic ultrasound, ultrasound, mammogram per radiologist recommendation: recommendation: per radiologist ± 3D Tomosynthesis or fax biopsy

Order breast breast Order SUSPICIOUS: SCREENING MAMMOGRAPHY (beginning at age 40) age at (beginning SCREENING MAMMOGRAPHY Annual Annual screening screening Negative mammogram (520) 733-7226 biopsy Order breast breast Order SUSPICIOUS: Does the patient have a problem? a problem? have Does the patient mammogram Order diagnostic diagnostic Order Nipple discharge Nipple discharge w/breast ultrasound w/breast (reproducible, single (reproducible, duct, bloody or serous) Surgical Surgical need for need for NEGATIVE: NEGATIVE: to consider consider to consultation consultation ductography YES ≥30 ± 3D Tomosynthesis MAMMOGRAPHY ORDERING MAMMOGRAPHY TREE DECISION years old years Order Order DIAGNOSTIC MAMMOGRAPHY DIAGNOSTIC w/ breast w/ breast To schedule an appointment, call schedule an appointment, call To diagnostic diagnostic ultrasound mammogram mammogram Palpable Palpable lesion / focal pain lesion / focal <30 only breast breast years old years ultrasound ultrasound

BREAST IMAGING 9 BREAST IMAGING www.radltd.com 10

age of a breast age of a breast in diagnosis cancer relative a 1st degree (though not before age 25) Screening Screening mammography should start 10 the before years • ± 3D Tomosynthesis) ± Tomosynthesis) 3D Order diagnostic Order mammogram ( if w/ultrasound, clinically indicated Annual breast MRI in breast Annual screening addition to mammograms ( (520) 290-8377

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(520) 733-7226 MAMMOGRAPHY ORDERING MAMMOGRAPHY TREE DECISION To schedule an appointment, call schedule an appointment, call To Riley-Ruvalcaba syndrome, or have one of these syndromes in one of these syndromes or have syndrome, Riley-Ruvalcaba relatives first-degree The Tyrer-Cuzick breast cancer risk assessment model is model risk assessment cancer breast Tyrer-Cuzick The performed patients on all our screening the ages of 10 and 30 years with a BRCA1 or BRCA2 gene mutation, and have not had with a BRCA1 or BRCA2 and have mutation, gene themselves genetic testing Suspected leakage implant Skin or retraction thickening follow-up Six month • • • • ≤ 3 years lumpectomy • ≤ 3 years • Have Li-Fraumeni syndrome, Cowden syndrome, or Bannayan- Bannayan- or syndrome, Cowden syndrome, Li-Fraumeni • Have • Had radiation therapy to the chest when they were between between were the chest when they to therapy • Had radiation • Have a first-degree relative (parent, brother, sister, or child) sister, brother, (parent, relative a first-degree • Have or greater. 25% of 20% to cancer risk of breast a lifetime • Have • Have a known BRCA1 or BRCA2 gene mutation • Have SPECIAL CIRCUMSTANCES HIGH RISK PATIENT including those who: High risk patients WHAT IS THE ARIZONA DENSE BREAST LAW? BREAST DENSE ARIZONA THE IS WHAT results was sent to your physician. physician. your sent to was results effect October into 1, 2014. went law This raise your awareness and to encourage you to discuss with your health care providers providers health care your discuss with to you encourage and to awareness your raise and your you Together, risk factors. cancer other breast tissue and dense breast your A report for you. right your of options are decide if additional screening can physician is common and is found in fifty percent of women. However, dense breast tissue can tissue dense breast women. However, and is found in fifty of is common percent and may also be by mammography breast in the cancers to detect difficult it more make to information is being This provided cancer. risk of breast with an increased associated Radiology, must include the following in the summary of the mammography report summarythe in following the include must mammography the of Radiology, the patient: to sent Densetissue breast tissue. dense breast have that you indicates mammogram Your The law requires that a health care institution or facility that categorizes a patient as patient a institution or facility categorizes that a health care that requires law The image based on breast dense or extremely dense breasts heterogeneously having of the American College (BIRADS)reporting established by system and the data . (520) 290-8377

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(520) 733-7226 To schedule an appointment, call schedule an appointment, call To . TEXT FOR ORDER SUGGESTED SUGGESTED With Ultrasound With pain) (localized Ultrasound With Mammogram (if needed) Mammogram (specify patient has implants and is NOT but symptomatic needs extra time for exam) Mammogram Mammogram: HistoryPersonal Cancer— of Breast Lumpectomy Mammogram: With Ultrasound (identify of mass) area Mammogram: (identify Pain of pain) area Mammogram (specify baseline or annual exam) Diagnostic Breast Breast Diagnostic Screening Screening Screening Unilateral Diagnostic Diagnostic Diagnostic Screening Screening • • • • • • • (520) 290-8377

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ORDER / PERFORM Ultrasound Mammogram Mammogram Mammogram Mammogram Mammogram Mammogram Diagnostic Diagnostic Screening Screening Screening Diagnostic Diagnostic Diagnostic Screening Screening • • • • • • • (520) 733-7226 PARAMETERS Localized pain Localized untreated breast (12 breast untreated months and 1 day since last exam) surgery (12 months and since last 1 day exam) screening (12 months and since last 1 day exam) screening Pain—Localized Mass Discharge— Annual Screening of Annual Screening Lumpectomy 6 months post Annual ≤ 3 years Mass afterAnnual age 40 afterAnnual age 40 • • • • • • • • • (77051) deemed appropriate for other reasons. deemed appropriate (77052) (77052) (G0202-

(77061) (77062) (77063) for all radiology facilities. Information is subject to change. is subject Information to facilities. for all radiology BREAST IMAGING: Screening and Screening IMAGING: BREAST Diagnostic Mammography standards does not imply protocol This only. is for reference This

(G0202) CODES To schedule an appointment, call schedule an appointment, call To (77051) 3D mammography may be ordered as an may be adjunct ordered or screening 3D mammography to diagnostic mammography, if the patient has dense breasts or it is if the patient has dense breasts diagnostic mammography, 52) Order Ultrasound Order Tomosynthesis Tomosynthesis Symptoms / Bilateral) (G0204 / Unilateral) (G0206 (G0204 / Bilateral) (G0204 Tomosynthesis Screening Screening Tomosynthesis PATIENT SYMPTOMS & & SYMPTOMS PATIENT (76641 / Unilateral, Complete) (76641 / Unilateral, Limited) (76642 / Unilateral, (G0206 / Unilateral) (G0206 (77052) Screening Annual (G0202) Under 30 Years of Age— Years Under 30 Bilateral Breast 3D Breast Bilateral Findings— Clinical CAD CAD for Screening Screening CAD for History Cancer of Breast Diagnostic CAD for 3D Breast Unilateral Mastectomy CAD for Screening Screening CAD for 3D Breast Screening Implants Screening CAD for Asymptomatic Annual Annual Asymptomatic • • • • • • • • • • • • • •

BREAST IMAGING 11 BREAST IMAGING www.radltd.com 12

: : : . TEXT FOR ORDER SUGGESTED SUGGESTED Indeterminate / Mass Lesion Mammogram Biopsy Post contact the patient schedule thisto exam. A report with the final recommendation will thebe sent to provider. referring specified in call onback indicated mammography report) Mammogram Discharge (identify breast and describe discharge) Nipple Discharge Mammogram Short-Term Follow-Up Left / RightLeft Diagnostic Diagnostic will Radiology Ltd. Ultrasound (as Diagnostic for Ductogram Diagnostic Diagnostic

• • • • • • • (520) 290-8377

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ORDER / PERFORM First Ductogram Guided Core Biopsy Exam Mammogram Mammogram Mammogram Additional Left / RightLeft Ultrasound Ultrasound Diagnostic Diagnostic Diagnostic Diagnostic Mammogram

• • • • • • • patient (520) 733-7226 ( PARAMETERS Discharge must be able to discharge express at time of ductogram) Ultrasound Solid Visualizing Lesion (1-11 months previous after mammogram) of Previous Exam of Previous (3-6 months) Single Duct on Found Ultrasound Ultrasound Unilateral Reproducible Post Biopsy Exam Post Mammography Recommendation

• • • • • • • • • for all radiology facilities. Information is subject to change. is subject Information to facilities. for all radiology BREAST IMAGING: Additional Imaging Additional IMAGING: BREAST Procedures and standards does not imply protocol This only. is for reference This To schedule an appointment, call schedule an appointment, call To PATIENT SYMPTOMS PATIENT Indeterminate Lesion Indeterminate Nipple Discharge Additional Imaging Imaging Additional or Recall Exam) (Callback Short Term Follow-Up Follow-Up Short Term Exam of Recommendation • • • • BREAST IMAGING BREAST IMAGING: Breast MRI This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change.

SUGGESTED PATIENT SYMPTOMS PARAMETERS ORDER / TEXT PERFORM FOR ORDER • Cystic Mass / Lesion • Previous • Left / Right • Left / Right Cystic Found on Previous Breast Ultrasound Report Cystic Aspiration Ultrasound Indicating Need for Aspiration Aspiration • High Risk Patient • See high risk • Bilateral Breast • Bilateral Breast MRI patient parameters MRI on page 10 • Pre-Operative Staging • Recent Diagnosis • Bilateral Breast • Bilateral Breast MRI of Breast Cancer MRI (and (and Chest MRI, if Chest MRI, if necessary) necessary) • Silicone Implants and • Suspected Silicone • Bilateral Breast • Bilateral Breast MRI Palpable Lump, Pain or Implant Leak MRI “Implant Protocol” Abnormal Mammogram • Indeterminate Clinical or • Further Evaluation • Bilateral Breast • Bilateral Breast MRI Imaging Results of Indeterminate MRI Clinical or Imaging Results (“radiologist recommendation”) • Follow-Up for • Follow-Up for • Bilateral Breast • Bilateral Breast MRI Chemotherapy Treatment Neo-Adjuvant MRI Chemotherapy

Radiology Ltd. provides a Patient Education Specialist for Women’s Imaging, who will be solely dedicated to support you and your patients. The Patient Education Specialist brings a wealth of knowledge to both patients and the referring physician community. If you have questions and would like to speak with our Patient Education Specialist, she can be reached at (520) 901-6668.

13 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. PET/CT www.radltd.com 14 CODE 78816 CODE 78608 78459 78815 78816 .

(520) 290-8377

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REQUESTED TEXT (520) 733-7226 REQUESTED TEXTREQUESTED (This the into only if the patient is entered is covered eligible Registry Medicare and is only open to National Pet ) patients. PET / CT Sodium Fluoride With Bone Scan Sarcoma, & Merkel Cell Carcinoma, Cutaneous & Merkel Cutaneous Sarcoma, Carcinoma, Cell Lymphoma) is diabetic) be done if patient (Cannot

PET / CT (all other diagnoses) Skull Mid-Thigh Base to PET Melanoma, / CTWhole Body Myeloma, (Diagnosis: PET / CT Brain PET / CT Myocardium • • • • • please call (520) 545-1906, opt. 3. please call (520) 545-1906, opt. Camp Lowell site. To schedule a PET exam, To site. Lowell Camp Our PET services are centrally located at our at located Our PET centrally services are PET / CT: Bone Scan PET / CT: standards does protocol This not imply only. is for reference This change. Information is subject to facilities. for all radiology PET / CT: General PET / CT: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To BODY PART BODY BODY PART BODY Lung Prostate Breast Mid-Thigh Thyroid

Myocardium Brain Whole Whole Body Skull Base to Base Skull to • • • • • • • • . (520) 290-8377

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(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE . 76856 Trans Abdominal 76830 Trans Vaginal 76775 G0389 76700 (520) 290-8377

screening Medicare Medicare – PROCEDURE Ultrasound Ultrasound Ultrasound or fax Pelvic Ultrasound Pelvic Abdominal Aorta Abdominal Aorta Abdominal

• • • • (520) 733-7226 REASON FOR EXAM REASON smoked “at least 100 cigarettes” “at smoked coronary heart hyper- disease, disease cerebrovascular tension, Family Hx of AAA Family old male who has65-75 year risk factorsAdditional include • • • following risks: following Preventative Physical Exam (IPPE) Physical Preventative Must be referred from Initial from Must be referred at least one of the must have Patient

– – specifically or ovaries; uterus to ultrasound is not the exam of choice disorders) intestinal for Ovarian Cysts PCOS (relating Below—Umbilicus Pain Pelvic AAA Mass Bruit / Pulsatile Abd Aortic Dissection Medicare for AAA Screening Abdominal Pain Above Umbilicus Above Abdominal Pain Abnormal LFT’s Cirrhosis Hepatitis C Hepatomegaly Disease Polycystic Splenomegaly Endometriosis Uterus / Enlarged Fibroids Inguinal Hernia IUD Menstrual Disorders • • • • • • • • • • • • • • • • • • • ULTRASOUND: General ULTRASOUND: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART Aorta (Seen to Iliacs) Pelvic Area Area Pelvic (Non-OB) Abdomen BODY BODY • • •

ULTRASOUND 15 ULTRASOUND www.radltd.com 16 CODE . 76857 76536 76870 76770 (520) 290-8377

PROCEDURE or fax Ultrasound Ultrasound Ultrasound

Thyroid Thyroid Testicular Renal Ultrasound Bladder • • • •

(520) 733-7226 REASON FOR EXAM REASON Orchalgia / Swelling Pain Torsion Varicocele Nodules Mass on Neck Palpable Thyroiditis Epididymitis Hydrocele Check Post Void Residual Void Check Post Hematuria Node Lymph Enlarged / Fullness Thyroid Enlarged Goiter Hypo- / Hyper-Thyroid Neurogenic Bladder Neurogenic Kidneys Polycystic / Mass Renal Cyst Renal Disease (CKD) UTI Bladder Mass / Stone Flank / Back Pain / Back Flank Hematuria Incomplete Bladder Emptying ULTRASOUND: General ULTRASOUND: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology • • • • • • • • • • • • • • • • • • • • • • • • Locally owned and operated, Radiology Ltd. offers offers Radiology Ltd. and operated, owned Locally To schedule an appointment, call schedule an appointment, call To PART seven imaging centers to patients across southern Arizona. across patients to imaging centers seven Testicles Neck Thyroid or Thyroid Soft Tissue Bladder Kidneys BODY BODY • • • • . (520) 290-8377

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(520) 733-7226 To schedule an appointment, call schedule an appointment, call To . CODE 93971 Unilat 93970 Bilat 93975 93975 Dup Scan Complete Pelvic, (Abdominal, and/or contents Scrotal organs) retroperitoneal 93976 Duplex Scan Limited 93880 (520) 290-8377

the best care, the best care, Radiology Ltd. – Radiology Ltd. or fax the best technology, the best technology,

and the best expertise, and the best expertise, right in your own backyard. own in your right PROCEDURE Duplex / Doppler Duplex / Doppler Doppler Doppler Abdominal Renal Artery Carotid Duplex / Carotid / Duplex Venous • • • • (520) 733-7226 REASON FOR EXAM REASON Extremity / Pain Swelling Portal HTN Thrombosis Portal Venous Transplant Liver TIPS Abd Bruit Renal Artery Stenosis HTN Uncontrolled Amaurosis Fugax Amaurosis Arterial Vascular Disease Ataxia HTN Hyperlipidemia Stenosis Stroke TIA DVT Redness Reflux Upper and Lower Valvular Incompetency • • • • • • • • • • • • • • • • • • • • ULTRASOUND: Vascular ULTRASOUND: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART Renal Artery and Lower and Lower Extremity Abdominal Venous Venous Upper Carotid BODY BODY • • • • •

ULTRASOUND 17 ULTRASOUND www.radltd.com 18 CODE 76881 76604 76604 76705 76881 76881 76881 76881 76536 76881 . (520) 290-8377

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PROCEDURE Ultrasound Ultrasound / Head Ultrasound Upper Back Back Lower Soft Tissue Elbow Elbow Tissue Soft Ultrasound Groin Tissue Soft Chest Wall Soft Tissue AnkleTissue Soft KneeTissue Ultrasound Soft Soft Tissue Ultrasound Neck Tissue Soft Wrists Hands / Tissue Soft Ultrasound Foot Tissue Soft • • • • • • • • • • (520) 733-7226 on the REASON FOR EXAM REASON Back or Torso Posterior Tibialis, Tibialis, Posterior Peroneals) Lymphadenopathy Abnormality Palpable Abnormality Palpable Biceps Rupture Bursitis / Swelling Pain Abnormality Palpable Ulnar Nerve Inguinal Hernia Baker’s Cyst Baker’s / Swelling Pain Abnormality Palpable Tendon Patellar Quadriceps Tendon Tendon Achilles GanglionCysts Body Foreign / Swelling Pain Abnormality Palpable Tibialis, (Anterior Tendonitis Ganglion Cyst Neuroma Morton’s Pain Abnormality Palpable Fasciitis Plantar Tear Plate Plantar Ganglion Cyst / Swelling Pain Abnormality Palpable Radial/ Ulnar Nerve Rheumatoid Arthritis / Arthritis Body Foreign Lymphadenopathy Abnormality Palpable Body Foreign • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ULTRASOUND: MSK/Extremity ULTRASOUND: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART Unlisted Groin Elbow Knee Ankle Foot Hands / Wrists Neck / Head BODY BODY • • • • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To . LUMBAR SPINE LUMBAR W/O CONTRAST 72131 - W/ CONTRAST 72132 - W/ CONTRAST W/O & 72133 - CERVICAL SPINE W/O CONTRAST 72125 - W/ CONTRAST 72126 - W/ CONTRAST W/O & 72127 - CHEST W/O CONTRAST 71250 - W/ CONTRAST 71260 - W/ CONTRAST W/O & 71270 - SPINE THORACIC W/O CONTRAST 72128 - W/ CONTRAST 72129 - W/ CONTRAST W/O & 72130 - ABDOMEN PELVIS COMBINATION W/O CONTRAST 74176 - W/ CONTRAST 74177 - W/ CONTRAST W/O & 74178 - BRAIN W/O CONTRAST 70450 - W/ CONTRAST 70460 - 70470 - W/O & W/CONTRAST (520) 290-8377

or fax

(520) 733-7226 CPT CODES for CT for SCANS CODES CPT for all radiology standards does not imply protocol This only. is for reference This change. Information is subject to facilities. To schedule an appointment, call schedule an appointment, call To 73702 - W/O & W/ CONTRAST W/O & 73702 - LOWER EXTREMITY LOWER W/O CONTRAST 73700 - W/ CONTRAST 73701 - 73202 - W/O & W/ CONTRAST W/O & 73202 - SOFT TISSUE NECK W/ CONTRAST 70491 - UPPER EXTREMITY W/O CONTRAST 73200 - W/ CONTRAST 73201 - MAXILLOFACIAL W/O CONTRAST 70486 - W/ CONTRAST 70487 - W/ CONTRAST W/O & 70488 - ORBIT / FACE W/O CONTRAST 70480 - W/ CONTRAST 70481 - W/ CONTRAST W/O & 70482 -

CT / CTA 19 CT / CTA www.radltd.com 20 CODE 71250 71275 71275 74175 70491 71270 71250 71260 . (520) 290-8377

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PROCEDURE High-Resolution Contrast CT Neck With Contrast CTWith Neck CT Chest Without Contrast, Chest CTA Chest and Abdomen CTA CT Chest Without and With With and CTWithout Chest Contrast CTWithout Chest Contrast CTWith Chest • • • • • • • (520) 733-7226 exam) st REASON FOR EXAM REASON Gland CT / CTA: General CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology Mass Mass Parotid Stone Parotid Submandibular Stone Dysphagia Infection Gland Infection of Parotid Infection of Submandibular Lymphadenopathy Shortness of Breath Vascular Evaluation Aortic Dissection AorticThoracic Aneurysm Workups Cancer Bronchiectasis Fibrosis Disease Interstitial Lung Plaques Pleural Sarcoidosis Pulmonary Embolism Lymphoma Mass Pneumonia Shortness of Breath Tracheal Stenosis Asbestosis Abnormal Chest X-ray COPD Cough Esophageal CA Hemoptysis CA Lung Lung Nodules (1 Lung Nodules (follow-up) Lung • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • To schedule an appointment, call schedule an appointment, call To PART Neck CTA & Chest Abdomen CTA Chest Chest CTA (PE Study) Chest, Chest, High Resolution Chest BODY BODY • • • • • 72125 - W/O CONTRAST 72125 - W/ CONTRAST 72126 - W/ CONTRAST W/O & 72127 - CERVICAL SPINE . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE 74170 74170 72192 72193 74176 74160 72193 74177 74177 72193 . bone) (520) 290-8377

or fax

PROCEDURE Without Contrast Without (Liver Contrast Without protocol) Without Contrast (Stone (Stone Contrast Without protocol) apply areas Contrast Contrast CT Abdomen With and CTWith Abdomen and CTWith Abdomen CT Pelvis Without Contrast Without CT Pelvis Contrast With CT Pelvis CT Abdomen and Pelvis Contrast CTWith Abdomen Contrast With CT Pelvis With CT Abdomen and Pelvis With CT Abdomen and Pelvis CT Pelvis With Contrast With CT Pelvis • • • • • of Concern: Area (hip Crest Iliac Above • (hip bone) Iliac Crest Below • unknown or both Location • • • (520) 733-7226 REASON FOR EXAM REASON (MR preferred) (MR preferred) inguinal) Any Cancer Staging Cancer Any Appendicitis Colitis / Ulcerative Crohns Diarrhea Diverticulitis IBD Mass Adrenal Cirrhosis Hepatitis, Hepatoma, Hemangioma Liver Abdominal Pain Abscess umbilical, ventral, Hernia (ie, Mass Cancer Staging Cancer Cysts Hernia Infection Mass Pain Non-Arthritis Union Fracture, Bone Infection Tumor / Mass Cancer / Mets / protocol) (Stone Stone • • • • • • • • • • • • • • • • • • • • • • • CT / CTA: General CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART Adrenal Liver Abdomen / Abdomen Pelvis Pelvis Pelvis (Bone) Pelvis Pelvis (Soft Tissue) BODY BODY • • • • •

CT / CTA 21 CT / CTA www.radltd.com 22 CODE

74178 75635 74175 74174 74170 74160 74170 . (520) 290-8377

or fax

eighty years. eighty PROCEDURE services for more than than more services for With Contrast (Pancreatic (Pancreatic Contrast With 1st time) protocol (Kidney Contrast With and protocol) CTA Abdomen CTA Abdomen and Pelvis CTA CT Abdomen Without and CTWithout Abdomen Contrast CTWith Abdomen CTWithout Abdomen CT IVP or CT Urogram Abdomen and Run Off CTA • • • • • • • Radiology Ltd. is one of the Radiology Ltd. providing diagnostic imaging providing largest physician-owned group group physician-owned largest practices in Tucson and has been Tucson in practices (520) 733-7226 REASON FOR EXAM REASON Malfunction Kidney and/or Bladder Renal Artery Stenosis AAA Vessels Crossing / Obstruction Stent / Leak Hematuria Claudication Artery Peripheral Disease (PAD) Mesenteric Ischemia Any Renal Pathology Any of Carcinoma Cell Transitional Pancreatic Mass Pancreatic Pancreatitis Pseudocyst CT / CTA: General CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology • • • • • • • • • • • • • To schedule an appointment, call schedule an appointment, call To PART Stent Vessels Renal Arteries Abdominal Abdominal Aorta Mesenteric CTA Abdomen & Run Off CT / Urogram CT IVP Kidney Pancreas BODY BODY • • • • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE 70498, 70496 70460 70496 70498 70450 . (520) 290-8377

and/or or fax

PROCEDURE authorize both codes) authorize (If both ordered, please (If both ordered, (Please authorize with both) authorize (Please (Reconstruction) Contrast CTA Neck CTA Neck Head, CTA CTA Head / Brain CTA CT Head / Brain Without CTWithout Head / Brain Contrast CTWith Head / Brain • • • • • (520) 733-7226 REASON FOR EXAM REASON Malformation) Mastoiditis Malformation) TIA Tumor Vascular Bruit Stenosis Carotid CVA TIA Vascular (Arterio / AVM Tumor Vascular Stroke Vertebrobasilar Insufficiency Meningioma Meningitis Metastatic Staging Seizures Toxoplasmosis / Dizziness /Vertigo Aneurysm Venous (Arterio / AVM Bruit CVA Stroke Alzheimer’s CVA 7 Days Than Headache Less Hydrocephalus Memory Confusion Loss, Shunt Check Stroke / Bleed Trauma 7 Days Than Headache More HIV Infection Tumor Mass / • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • CT / CTA: Head and Spine Head CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART Carotid Carotid Artery CTA Neck, CTA CTA Brain CTA Head / Brain BODY BODY • • •

CT / CTA 23 CT / CTA www.radltd.com 24 CODE 70486 72125 72128 72131 70480 70470 70480 70481 . (520) 290-8377

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PROCEDURE Without Contrast Contrast With Contrast Contrast Contrast CT Inner Ears, Temporal Bones Bones CTTemporal Inner Ears, and CTWithout Brain CT Without Cervical Spine Without Spine Thoracic CT Without CT Spine Lumbar CT Contrast Without Orbit CT Contrast With Orbit Contrast CTWithout Sinus • • • • • • • • (520) 733-7226 For more information on exam codes on exam information more For Coding and Pricing Hotline at (520) 545-1818. (520) at Hotline and Pricing Coding and pricing, please contact the Radiology please contact Ltd. and pricing, REASON FOR EXAM REASON CT / CTA: Head and Spine Head CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology Herniation, Infection Mets, Defect Pars Herniation, Infection Mets, Changes Herniation, Infection Mets, Sinus Surgery MRI Unless Contraindicated MR Recommended for Disc MR Recommended for Fusion, Fracture, Trauma, Cholesteotoma Trauma Trauma, Fracture, Fusion Fracture, Trauma, Degenerative Bony Assess Disc MR Recommended for Functional Endoscopic Functional Ostiomeatal Complex Sinusitis Disc MR Recommended for Cellulitis Exophthalmos Disease Graves Mass Pain Tumor Pseudo Foreign Body Foreign Fracture Trauma • • • • • • • • • • • • • • • • • • • • • To schedule an appointment, call schedule an appointment, call To PART Bone / IAC’s Pituitary Sacral Temporal Spine: / Lumbar Spine: Thoracic Spine: Cervical Sinus / Face Orbit BODY BODY • • • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE 73700 73201 73701 73706 73200 . (520) 290-8377

or fax

PROCEDURE Extremity (mention part) Extremity (mention part) CT Without Contrast Lower Lower Contrast CTWithout Contrast—Upper CTWith Contrast—Lower CTWith Extremity Lower CTA CT Without Contrast Upper Contrast CTWithout • • • • • (520) 733-7226 REASON FOR EXAM REASON Without Contrast Except for for Except Contrast Without Evaluations Tumor for Except Contrast Without Evaluations Tumor Tumor / Mass / Mets / Cancer Tumor Artery Peripheral Disease All Bone Exams Ordered All BoneExams Ordered All Bone Exams Ordered All BoneExams Ordered • • • • CT / CTA: Musculoskeletal CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To PART –Finger –Forearm –Hand –Wrist –Humerus –Arm –Thigh –Thigh –Ankle –Calf –Foot –Hip –Knee Extremity Stenosis Stenosis (Lower Extremity) (Lower (Lower Extremity) Extremity Arterial Extremities Ischemia Lower Lower Upper BODY BODY • • • • •

CT / CTA 25 CT / CTA www.radltd.com 26 CODE . 74175 74177 72192 51600 75571 75574 71250 74263 Screening 74261 Diagnostic (520) 290-8377

or fax

PROCEDURE Contrast With and Contrast Screening Must Meet Criteria 3D Rendering (Virtual Colonoscopy) be given to Cleansing prep NOTE: at facility Arteries CT Calcium Score Without Without CT Score Calcium Coronary ArteryWithout CTA CT Cancer Dose Lung Low CT Cystogram CT Colonography With With CT Colonography Renal For Abdomen CTA CT Enterography • • • • codes) BOTH authorize (Please • • • (520) 733-7226 –Bowel Obstruction–Bowel –Fistula –Inflammation –Tumor –Abscess –Bleeding Sources REASON FOR EXAM REASON Tachycardia Thinners Who Are Not Who Are Thinners Routine for Candidates Colonoscopy CT / CTA: Specialty CT / CTA: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology Chest Pain, Sub Chest Pain, Screening Bleeding Hydronephrosis Reflux Vesicoureteral Hyperlipidemia Screening, Abnormal Echo Bladder Cancer Bladder Polyps Crohn’s Disease Crohn’s Issues Related Small Bowel Screening Hypertension Renal Artery Stenosis Failed Colonoscopy Failed Blood Taking Patients • • • • • • • • • • • • • • • • To schedule an appointment, call schedule an appointment, call To PART BODY BODY Screening CT Low Dose Lung Cancer CTA Heart CTA CT Heart Bladder Urinary Small Intestine (Bowel) Renal Artery (or Mesenteric Artery) Colon • • • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To . 72196 - W/ CONTRAST 72196 - W/ CONTRAST W/O & 72197 - 72142 - W/ CONTRAST 72142 - W/ CONTRAST W/O & 72156 - CHEST (CLAVICLE) W/O CONTRAST 71550 - W/ CONTRAST 71551 - W/ CONTRAST W/O & 71552 - BREAST W/ CONTRAST W/O & 77059 - SPINE THORACIC W/O CONTRAST 72146 - W/ CONTRAST 72147 - W/ CONTRAST W/O & 72157 - ABDOMEN W/O CONTRAST 74181 - W/ CONTRAST 74182 - W/ CONTRAST W/O & 74183 - SPINE LUMBAR W/O CONTRAST 72148 - W/ CONTRAST 72149 - W/ CONTRAST W/O & 72158 - PELVIS W/O CONTRAST 72195 - BRAIN W/O CONTRAST 70551 - W/ CONTRAST 70552 - W/ CONTRAST W/O & 70553 - CERVICAL SPINE W/O CONTRAST 72141 - (520) 290-8377

or fax

(520) 733-7226 CPT CODES for MRI SCANS MRI for CODES CPT for all radiology standards does not imply protocol This only. is for reference This change. Information is subject to facilities. To schedule an appointment, call schedule an appointment, call To THIGH, LOWER LEG OR FOOT THIGH, LOWER NON-JOINT) EXTREMITY, (LOWER W/O CONTRAST 73718 - W/ CONTRAST 73719 - W/ CONTRAST W/O & 73720 - HIP, KNEE OR ANKLE HIP, JOINT) EXTREMITY, (LOWER W/O CONTRAST 73721 - W/ CONTRAST 73722 - W/ CONTRAST W/O & 73723 - (UPPER EXTREMITY, JOINT) (UPPER EXTREMITY, W/O CONTRAST 73218 - W/ CONTRAST 73219 - W/ CONTRAST W/O & 73220 - SHOULDER, ELBOW OR WRIST OR SHOULDER, ELBOW JOINT) (UPPER EXTREMITY, W/O CONTRAST 73221 - W/ CONTRAST 73222 - W/ CONTRAST W/O & 73223 - FOREARM OR NON-JOINT HUMERUS, ORBIT, FACE & NECK & FACE ORBIT, W/O CONTRAST 70540 - W/ CONTRAST 70542 - W/ CONTRAST W/O & 70543 - TMJ 70336

MRI / MRA 27 MRI / MRA www.radltd.com 28

CODE 77059 77059 77059 (71552) 77059 CODE 72197 70553 74183 72197 75557 & 75561 70336 74183 & . (520) 290-8377

PROCEDURE or fax PROCEDURE

Chest MRI, if necessary) Addition “Implantto Protocol” Bilateral Breast MRI (and Breast Bilateral MRI in Breast Bilateral MRI Breast Bilateral MRI Breast Bilateral • • • • MRI Heart MRI TMJ MRI Urogram MRI Brain MRI Enterography • • • • • (520) 733-7226 Radiologist ) REASON FOR EXAM REASON REASON FOR EXAM recommendation Chemotherapy Indeterminate Clinical or Imaging Results ( Cancer Follow-Up for Neo-Adjuvant for Follow-Up Suspected Silicone Implant Leak Lump Palpable Pain of Evaluation Further Recent Diagnosis of Breast of Breast Recent Diagnosis

• • • • • • Abnormalities Issues Crohn’s Disease Crohn’s Inflammatory Disease Bowel Internal Derangement Joint Dysfunction Hematuria - Congenital Urinary Tract Obstruction Hearing Loss Congenital Defect & Heart Valve Valve Defect & HeartCongenital MI - Other Issues Cardiac Past

• • • • • • • • • MRI / MRA: General for all radiology standards does protocol This not imply only. is for reference This change. Information is subject to facilities. MRI: Breast MRI: standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology Please note: Breast MRI does not replace screening mammography. screening MRI does Breast not replace note: Please To schedule an appointment, call schedule an appointment, call To BODY PART BODY BODY PART BODY Chemotherapy Chemotherapy Treatment (Indeterminate (Indeterminate or Clinical Imaging Results) (Silicone (Silicone Implants) (Pre-Operative Staging) Enterography Ear Heart Follow-Up for for Follow-Up Breast Breast Breast Breast Breast Breast TMJ

Urogram

• (IAC) Brain • • • • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE 70553 71552 71552 70543 72195 72195 72197 72197 74181 74183 . (520) 290-8377

PROCEDURE or fax

Without and WithWithout Contrast and (Specify Brachial Plexus) Contrast With Contrast With Contrast Contrast With Contrast (MRCP)Contrast and With Contrast MRI Brain MRI Chest / Mediastinum and Without MRI Chest and Without MRI Neck Without MRI Pelvis MRI Dynamic Pelvis and Without MRI Pelvis MRI Prostate MRI Abdomen Without Without MRI Abdomen Without MRI Abdomen • Cranial Nerves Att: • • • • • • • • • (520) 733-7226 REASON FOR EXAM REASON (BPH) Osteomyelitis Embolization Fibroid / Post Pre Septic Arthritis / Mass / Mets / Cancer Tumor Diverticulum Urethral Hyperplasia Prostatic Benign Prostate Enlarged Cancer of Prostate Evaluation Infection (Prostatitis) Abscess Prostate Bells Palsy Trigeminal Neuralgia Pain / Mass / Mets / Cancer Tumor Paralysis Cord Vocal Adenomyosis Fracture Tear Muscle / Tendon Prolapse Organ Pelvic Dysfunction Floor Pelvic Outlet Obstruction Incontinence Abscess Fibroid Adrenal Ducts)MRCP (Biliary / Pancreatic Eval Liver Eval Pancreas All Other Reasons Injury Brachial Plexus Nerve Avulsion / Mass / Mets / Cancer Tumor / Mass / Mets / Cancer Tumor Infection • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MRI / MRA:MRI General for all radiology standards does not imply protocol This only. is for reference This change. Information is subject to facilities. PART To schedule an appointment, call schedule an appointment, call To

Cranial Nerve Cranial Series Prostate Pelvis Chest Chest Mediastinum Neck (Soft Tissue) Brachial Brachial Plexus Abdomen BODY BODY • • • • • • •

MRI / MRA 29 MRI / MRA www.radltd.com 30 CODE 73725 73725 72198 74183 71555 71555 74185 72198 74185, 72198, 73725 (x2) 74185 74185 74185 . (520) 290-8377

or fax

PROCEDURE Extremity Extremity and With and With Contrast MRA Pelvis –MRA Abdomen LEFT –MRA Lower RIGHT –MRA Lower –MRA Abdomen –MRI Abdomen Without –MRA Abdomen –MRA Chest Lower Extremities Lower Order 4 Exams: Order MRA Chest 2 Exams: Order Pelvis MRA MRA Abdomen 2 Exams: Order MRA Abdomen, Pelvis and MRA Abdomen, Pelvis (Please authorize ALL codes) authorize (Please • • AND AND AND • • AND codes) BOTH authorize (Please • • • AND codes) BOTH authorize (Please (520) 733-7226 REASON FOR EXAM REASON (other than dissection)(other Pre-Op Aneurysm) Claudication Pain Foot Cold AVM AVM May Thurner Vascular Vascular Anomalies Aortic Dissection Vessels Subclavian Thoracic Aorta Mesenteric Ischemia Renal Artery Stenosis Transplant Liver Pre Transplant Kidney Pre Renal Mass-Evaluation / AAA (Abdominal Aortic AAA (Abdominal Abdominal Aorta Dissection Peripheral Vascular InsufficiencyVascular Peripheral • • • • • • • • • • • • • • • • MRI / MRA:MRI General standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To Pelvis BODY PART BODY MRA Abd/Pel MRA Abd/Pel w/Run Off Run-Off Peripheral Peripheral Chest Abdomen • • • • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE 72156 72146 72157 70553 72141 . (520) 290-8377

PROCEDURE or fax

Without and with Without Contrast Contrast Without Without and With Contrast Without Contrast Without MRI Cervical Spine MRI Thoracic Spine MRI Thoracic Spine MRI Cervical Spine

MRI Brain • • • • Pituitary Att: • (520) 733-7226 REASON FOR EXAM REASON (with hx malig) (with no hx malig) (with hx malig / mets) mets) Weakness AVM AVM Compression Fx Discitis Multiple Sclerosis Myelopathy Osteomyelitis Syrinx Osteomyelitis Osteomyelitis Syrinx Back Pain / Fx (no hx malig Compression Disease Degenerative Disc Herniation Radiculopathy Arm / Shoulder Pain and/or Arm / Shoulder Pain Chiari Malformation Disease Degenerative Disc Herniation Neck Pain Radiculopathy Fusion Post-Op Discitis Multiple Sclerosis Myelopathy Vascular Lesions Vascular Vertebroplasty Planning Vascular Lesions, AVM Lesions, Vascular Vertebroplasty Planning Tumor / Mass / Mets / Cancer Tumor Tumor / Mass / Mets / Cancer Tumor Trauma

Elevated Prolactin Elevated • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MRI / MRA:MRI and Spine Head standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To BODY PART BODY Thoracic Cervical Pituitary Protocol Spine: Spine:

• • •

MRI / MRA 31 MRI / MRA www.radltd.com 32 CODE 76377 72195 72158 70551 70553 70551, 72148 .

(520) 290-8377

or fax PROCEDURE

With Contrast With Without Without and With Contrast Contrast Without Contrast Without MRI Brain Without and Without MRI Brain MRI Lumbar Spine MRI Lumbar MRI Brain Without MRI Lumbar Spine MRI Lumbar

MRI Brain with NeuroQuant • • • • • (520) 733-7226 Mental Status

REASON FOR EXAM REASON open MRI called Espree X-Large MRI. X-Large open MRI called Espree Radiology Ltd. offers a better choice in choice a better offers Radiology Ltd. Memory Loss, Changes Dementia, Hydrocephalis, Dementia, Hydrocephalis, (with no hx malig) mets) mets) All other reasons Headache Pseudotumor Seizures Discitis Osteomyelitis Post-Op Confusion, Alzheimer’s, Stenosis Fx (hx malig / Compression Degenerative Disease Degenerative Disc Herniation Radiculopathy Sacrum / SI Joints Sciatica Spondylolisthesis Back Pain Fx (no hx malig / Compression Vascular Lesions Vascular Vertebroplasty (with hx malig) Vertebroplasty Vertebroplasty Vertebroplasty Planning Tumor / Mass / Mets / Cancer Tumor Tumor / Mass / Mets / Cancer Tumor Trauma

Dementia Memory Loss Seizures • • • • • • • • • • • • • • • • • • • • • • • • • • • MRI / MRA:MRI and Spine Head standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To The open design of the Magnetom Espree accommodates Espree of the Magnetom open design The patients of all sizes and helps eliminate anxiety and claustrophobia. anxiety and claustrophobia. and helps eliminate of all sizes patients NeuroQuant BODY PART BODY MRI Head Brain Spine: Lumbar

• • • . (520) 290-8377

or fax

(520) 733-7226 To schedule an appointment, call schedule an appointment, call To CODE CODE . 70544 70548 70544 70553 70543 73218 73718 73220 73720 (520) 290-8377

or fax

PROCEDURE PROCEDURE (including Arthrography) Contrast codes) BOTH authorize (Please Without and With Contrast Contrast With and Without (If patient has not had recent Brain MRI Brain, please add MRI Contrast) With and Without codes) BOTH authorize (Please –Upper Extremity Extremity –Lower –Upper Extremity Extremity –Lower MRA Without Brain With Contrast MRA Neck MRV Without Contrast MRI Brain and OrbitsMRI Brain and

• • • • and With and With Contrast Contrast MRI—Non Joint Without Without Joint MRI—Non MRI—Non Joint Without Without Joint MRI—Non • • (520) 733-7226 REASON FOR EXAM REASON (special protocol—please (special protocol—please specify) / MetsCancer / MetsCancer REASON FOR EXAM Ulcer Abscess Arthritis / Mass / Tumor Bone Cellulitis Faciitis Myositis Neuroma Morton’s Osteomyelitis / Mass / Tumor Tissue Soft Fracture Tear Muscle / Tendon Fracture Stress Exophthalmos, Proptosis Exophthalmos, Disease Graves / CVA Stroke Venous Thrombosis Venous TIA Vertebrobasilar Insufficiency Vertebrobasilar • • • • • • • • • • • • •

• • • • • • MRI: Musculoskeletal MRI: Musculoskeletal standards does protocol This not imply only. is for reference This change. Information is subject to facilities. for all radiology MRI / MRA:MRI and Spine Head standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology To schedule an appointment, call schedule an appointment, call To Vessels Vessels Great Great Brain Neck Brain Arch & Arch – – – – BODY PART BODY / Face MRV MRA Brain / Orbits Brain BODY PART BODY

Arm Arm Hand Leg Foot • • • • • • •

MRI / MRA 33 MRI / MRA www.radltd.com 34 . CODE 23350 & 73040 24220 & 73085 25246 & 73115 27093 & 73525 27370 & 73580 27648 & 73615 73223 73723 71552 73722 73222 77002 73221 73721 (520) 290-8377

or fax

–Knee –Ankle –Shoulder –Elbow –Wrist –Hip PROCEDURE Contrast OR Upper Contrast Extremity With Contrast Arthrogram (including Arthrography) (including 1–Lower 1–Lower Extremity With Guided 2–Fluoro 3–Choose body part: –Upper Extremity Extremity –Lower –Upper Extremity Extremity –Lower Order with 3 codes: Order Without and With contrast With and Without With Contrast With MRI Chest Without and Without MRI Chest MRI Joint With Contrast— With MRI Joint MRI Lower Extremity—Joint Extremity—Joint MRI Lower MRI—Joint Without Contrast Without MRI—Joint • • • • (520) 733-7226 Evaluation (pannus eval) Mets (OCD) REASON FOR EXAM REASON Pain Sprain / Strain Tear OCD Stability Meniscus Post-Op Ulcer Labral Tear Bodies Loose Inflammatory Arthritis Myositis Osteomyelitis Septic Arthritis / Mass / / Cancer Tumor Fascitis Plantar Fracture Stress Tear Tendon Abscess Arthritis Cellulitis Fasciitis Joint Pain (specify joint) Joint Pain Labral Tear Ligament Tear Meniscal Tear Muscle Tear Osteochondritis Dissecans Avascular Necrosis (AVN) Necrosis Avascular Cartilage Tear Fracture Internal Derangement • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • This is for reference only. This does not imply protocol standards does not imply protocol This only. is for reference This change. is subject Information to facilities. for all radiology MRI: Musculoskeletal Musculoskeletal MRI: To schedule an appointment, call schedule an appointment, call To

–Hip –Knee –Ankle –Shoulder –Elbow –Wrist BODY PART BODY

Arthrography (Not Included In Shoulder) MRI Scapula Knee Ankle Toe Wrist Finger Hip Shoulder Elbow • • • • • • • • • • INTERVENTIONAL INTERVENTIONAL RADIOLOGY SERVICES This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. No No Local Sedation Required anesthetic No Labs Only if Only if patient patient is taking is taking Required Coumadin Coumadin No No No Required Evaluation or Body Body, or Body, Radiologist Radiologist Interventional Interventional, Performed By Performed Musculoskeletal Neuroradiologist (TMJ, (TMJ, (shoulder, hip, (shoulder, (shoulder, hip, (shoulder, (fingers, toes): (fingers, (fingers, toes): (fingers,

CPT Code(s) 73222, 23350, 73040, 77002

62303, 72129 62304, 72132 73222, 24220, 73085, 77002 73722, 27648, 73615, 77002

73722, 27370, 73580, 77002 73222, 25246, 73115, 77002

73722, 27093, 73525, 77002, 27095 Minimally Invasive Diagnostic Procedures Minimally Invasive Upper Joints Shoulder: Elbow: Wrist: Joints Lower Hip: Knee: Ankle: Upper Joints Replace code 73222 with 73201 Joints Lower Replace code 73722 with 73701 T-Spine: L-Spine: 2 or 3 levels Use 62305 for or Bursa Small Joint ankle, wrist, elbow, acromioclavicular, olecranon bursa): 20605, 77002 or Bursa Major Joint knee, bursa): 20610, 77002 subacromial or Bursa Small Joint 20600, 77012 or Bursa Joint Intermediate ankle, wrist, elbow, acromioclavicular, olecranon bursa): 20605, 77012 or Bursa Major Joint knee, bursa): 20610, 77012 subacromial 20600, 77002 or Bursa Joint Intermediate or or CT CT then CT then MRI Modality Fluoroscopy Fluoroscopy; Fluoroscopy;

Fluoroscopy Fluoroscopy

Interventional ServiceInterventional Arthrogram (Shoulder, Elbow, Wrist, Wrist, Elbow, (Shoulder, Arthrogram and Ankle) Knee, Hip, the place a thin needle into is used to joint. Dyesymptomatic is injected and In obtained. most casesimages are then obtained additional images are using MRI or CT. (Thoracic, Lumbar) Myelogram place a thin is used to Fluoroscopy Dye is the spinal canal. needle into In obtained. injected and images are then most cases additional images are obtained using CT. Aspiration, (Joint Fluid Arthrocentesis Aspiration) Fluid Synovial Tap, Joint a joint space andA needle is placed into analysisfor diagnostic removed fluid is on pain and pressure help relieve or to the joint.

3635 To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. INTERVENTIONAL INTERVENTIONAL RADIOLOGY SERVICES This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. No Yes Yes Sedation Required Yes, Yes, Yes, Labs call for call for call for specifics specifics specifics Required No Yes Yes Required Evaluation or Body or Body or Body Radiologist Radiologist Radiologist Interventional Interventional Interventional Performed By Performed www.radltd.com 32405, 76942 32405, 77002 32405, 77012

CPT Code(s) 60100, 76942 60100, 77002 60100, 77012

50200, 76942 50200, 77002 50200, 77012

47000, 76942 47000, 77002 47000, 77012

Minimally Invasive Diagnostic Procedures Minimally Invasive 49083 49083 32555 32555 Thyroid: Lung/Mediastinum: Liver: Renal: Mass: Abdominal/Retroperitoneal 49180, 77012 Thyroid: Lung/Mediastinum: Liver: Renal: Mass: Abdominal/Retroperitoneal 49180, 76942 Thyroid: Lung/Mediastinum: Liver: Renal: Mass: Abdominal/Retroperitoneal 49180, 77002 or or or CT CT CT, Modality Ultrasound Ultrasound Ultrasound Fluoroscopy Interventional ServiceInterventional Paracentesis A thin needle or tube is placed into remove to the abdomen in order reduce and/or for diagnosis fluid discomfort. Thoracentesis A thin needle or tube is placed into for fluid remove to the chest in order discomfort. reduce and/or to diagnosis Image-Guided Biopsy Percutaneous A needle is placed in a desired guidance in location using imaging obtain a small piece of to order tissue so that it can be examined a pathologist. by Certain be need to biopsies may performed at the hospital due to their risk of complications.

77012, 62311 Pain Management Pain CPT Code(s) 64493 (1st), 64494 (2nd), 64493 (1st), 64494 (2nd),

64483, 64484 64483, 64484 77012, 62311

Lumbar Facet: Facet: Lumbar 64495 (3rd) (SI): Sacroiliac 64495 (3rd) 62270, 77003 Epidural: L-Spine: L-Spine: Epidural: Nerve Root/Block L-Spine: L-Spine: Epidural: SI: Nerve Root/Block L-Spine: or or CT CT Modality Fluoroscopy Fluoroscopy Fluoroscopy Biliary w/o or w/Stent Dilation Biliary Drain Biopsy (Renal / Lung) (Renal / Pelvis) Placement Catheter Stripping Catheter • • • • • Anesthetics and/ services are usually performedservices staff in a hospital setting: are Radiology by Ltd. Due to the sensitive nature of some interventional procedures, the following procedures, of some interventional nature Due the sensitive to Local anesthesia is Local

Steroid medication is injected Steroid Interventional ServiceInterventional Angiogram Angioplasty Aortagram Arteriogram BiliaryChange Tube • • • • • Lumbar Puncture (Spinal Tap, (Spinal Puncture Lumbar Puncture, Thecal Spinal Puncture, Rachiocentesis) of the the lumbar region injected into back, and a needle is inserted the into (CSF) can fluid Cerebrospinal spinal canal. testing. for then be removed Spinal Injection Nerve Root, (Epidural, and Sacroiliac) Facet, injected in medications are or steroid back and/or leg reduce the spine to and can be both diagnostic These pain. nervetherapeutic and include epidural, joint injections. facet and sacroiliac root, and InjectionJoint Facet (Lumbar Sacroiliac) decrease joint to the symptomatic into pain and swelling.

3837 To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. INTERVENTIONAL INTERVENTIONAL RADIOLOGY SERVICES This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. No Yes Yes Sedation Required Yes, Yes, Labs Only if call for call for patient is taking specifics specifics Required Coumadin consult. consult. Yes, may Yes, may Yes, require a require a require either MRI either MRI Required Must have Must have evaluation. evaluation. Sometimes Evaluation or CT+ Bone or CT+ Bone Scan prior to Scan prior to or or Radiologist Radiologist Interventional Interventional Performed By Performed Neuroradiologist Neuroradiologist Neuroradiologist www.radltd.com Pain Management Pain CPT Code(s) 0200T, 72292 0200T,

0201T, 72292 0201T,

22510, each add’l use 22512 level 22513, each add’l use 22515 level 22514, each add’l use 22515 level

22511, each add’l use 22512 level 62273, 77003 T-Spine: vertebrae, (if biopsy is performed on separate use 20225) L-Spine: vertebrae, (if biopsy is performed on separate use 20225) T-Spine: vertebrae, (if biopsy is performed on separate use 20225) L-Spine: vertebrae, (if biopsy is performed on separate use 20225) Unilateral: Bilateral: or CT CT Modality Fluoroscopy Fluoroscopy CT guide two is used to

Interventional ServiceInterventional Epidural Blood Patch Epidural (EBP) is used to Epidural Blood Patch most spinal headaches that are treat after dural commonly encountered acts blood patch The as puncture. a gelatinous glue which prevents (CSF) leakage fluid andcerebrospinal heal. the dural hole to allows Vertebroplasty (Thoracic, Lumbar) Vertebroplasty or CTFluoroscopy guidance is used to a fractured vertebra.place a needle into Bone stabilize cement is then injected to the fracture. (Thoracic, Lumbar) Kyphoplasty or CTFluoroscopy guidance is used to a fractured vertebra.place a needle into Bone stabilize cement is then injected to the fracture. Sacroplasty a fractured sacrum. Aneedles into mixture of bone cement and contrast is the sacrum through then injected into the fracture. stabilize the needles to

To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. 3839 INTERVENTIONAL INTERVENTIONAL RADIOLOGY SERVICES This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. No Yes Sedation Required Labs Only if Only if patient patient is taking is taking Required Coumadin Coumadin Yes Yes Required Evaluation Radiologist Radiologist Interventional Interventional Performed By Performed Vascular Services Vascular CPT Code(s) 75820, 36005 75822, 36005 (x2) Unilateral: Unilateral: Bilateral: are Venograms leg and lower (Foot performed All other venograms on site. performedare in a hospital setting.) 36569, 77001, 76937 Treatment located at 677 N. Wilmot Rd. Wilmot 677 N. at located Treatment & Modality Ultrasound Fluoroscopy Fluoroscopy Radiology Ltd. offers two interventional out-patient facilities in Tucson. facilities in out-patient interventional two offers Radiology Ltd. Our Radiology Ltd. La Cholla Center for Diagnostic Imaging and Treatment located at located Treatment Diagnostic Imaging and for La Center Our Cholla Radiology Ltd. 5960 N. La Cholla Blvd. and Radiology Ltd. Wilmot Center for Diagnositc Imaging Diagnositc and for Center Wilmot and Radiology Ltd. 5960 N. La Blvd. Cholla Interventional ServiceInterventional Venogram and is placed in a vein, A catheter taken is images are while dye detect to injected in order or clotting of the vein. narrowing Lines Placement PICC and ultrasound are Fluoroscopy a through guide a catheter used to in the arm the and then into vein is used for catheter The upper chest. and eliminates long term IV therapy multiple needle the necessity for punctures.

4039 To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. INTERVENTIONAL INTERVENTIONAL RADIOLOGY SERVICES This is for reference only. This does not imply protocol standards for all radiology facilities. Information is subject to change. Yes Yes Yes Sedation Required Yes, Yes, Yes, Labs call for call for call for specifics specifics specifics Required Yes Yes Yes Required Evaluation Radiologist Radiologist Radiologist Interventional Interventional Interventional Performed By Performed www.radltd.com

CPT Code(s) 49405 (performed in a hospital setting): Drainage Tube / Stent Placement / Stent Tube Drainage 47505, 74305 / 47525, 75894 Placement 74425, 50390, 74475, 50392 and Change: Check 50394, 74425 50398, 75984 Abscess: / Retroperitoneal Peritoneal 49406 spleen, lung / liver, kidney, (e.g. Visceral mediastinum): deep tissue, 77012, 10160 (subcutaneous, not specified) location site deep tissue, 76942, 10160 (subcutaneous, not specified) location site deep tissue, 77002, 10160 (subcutaneous, not specified) location site or CT, for these for Modality Modality Ultrasound procedures Fluoroscopy Fluoroscopy Fluoroscopy not specified Interventional ServiceInterventional Biliary Tube Injection Exchange / Stent Tube Biliary guide a is used to Fluoroscopy the into and/or stent catheter is This biliary ducts of the liver. performed the buildup relieve to an obstruction.of bile caused by Tube / Ureteral Nephrostomy & Exchange Placement guide a is used to Fluoroscopy is This the kidney. into catheter performed the buildup relieve to of urine an obstruction. caused by performed placements are Tube in a hospital setting. Drainage Abscess Percutaneous is placed A needle or catheter the skinthrough drain an to collectioninfected in the body. Aspiration Abscess Percutaneous is placed A needle or catheter the skinthrough drain an to collectioninfected in the body.

To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. To schedule an interventional procedure, please call (520) 545-1906 or fax (520) 545-1898. 4041 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE

Neoplasms Benign Neoplasms (cont’d)

• Skin, Uncertain Behavior 238.2 • Lipoma, Any Site 214.9

• Bladder, Unspecified 188.9 • Neoplasm, Unspecified 239.9

• Breast, Female, Unspecified 174.9 • Skin, Soft Tissue Neoplasm, 239.2 Unspecified • Colon, Unspecified 153.9 • Skin, Unspecified 216.9

• Female Genital, 184.9 • Unspecified 229.9 Unspecified, CIS Excluded • Gastrointestinal Tract, 159.0 • Uterus (leiomyoma, 218.9 Unspecified unspecified) • Hodgkin’s, NOS 201.90 Endocrine, Nutritional & Metabolic Disorders • Leukemia, Without 208.90 • B12 Deficiency Without 266.2 Remission, NOS Anemia • Lung, Unspecified 162.9 • BMI < 5th Percentile, V85.51 Pediatric • Male Genital, Unspecified 187.9 • BMI ≥ 95th Percentile, V85.54 Pediatric • Prostate 185 • Dehydration 276.51

• Respiratory Tract, NOS 165.9 • Diabetes I, Uncomplicated 250.01

• Malignant Neoplasm Skin, 173.99 • Diabetes I, With 250.91 Unspecified Unspecified Complications • Unspecified 199.1 • Diabetes II, Uncomplicated 250.00

• Urinary, Unspecified 189.9 • Diabetes II, With 250.90 Unspecified Complications • Diabetic Ketoacidosis 250.13 Benign Neoplasms

• Colon 211.3 • Glucose Intolerance 271.9

4241 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE Endocrine, Nutritional & Endocrine, Nutritional & Metabolic Disorders (cont’d) Metabolic Disorders (cont’d) • Goiter, Unspecified 240.9 • Obesity, NOS 278.00

• Gout, Unspecified 274.9 • Overweight 278.02

• Hypercalcemia 275.42 • Thyroid Nodule 241.0

• Hypercholesterolemia, Pure 272.0 Blood Diseases

• Hyperkalemia 276.7 • Abnormal White Blood Cells, 288.9 Unspecified www.radltd.com • Hyperlipidemia, Mixed 272.2 • Anemia, Acute Blood Loss 285.1

• Hyperlipidemia, Unspecified 272.4 • Anemia, Chronic Disease, 285.29 Other • Hypernatremia 276.0 • Anemia, Chronic Kidney 285.21 Disease • Hyperparathyroidism, 252.00 • Anemia, Chronic 285.22 Unspecified Neoplastic Disease • Hyperthyroidism, NOS 242.90 • Anemia, Iron Deficiency, 280.9 Unspecified • Hypocalcemia 275.41 • Anemia, Other, Unspecified 285.9

• Hypoglycemia, DM, 250.80 • Anemia, Pernicious 281.0 Uncontrolled • Hypoglycemia, Nondiabetic, 251.2 • Blood Disease, Unspecified 289.9 Unspecified • Hypokalemia 276.8 • Hemorrhagic Conditions, 287.9 Unspecified • Hyponatremia 276.1 • Hypercoagulable State, 289.81 Primary • Hypothyroidism, Unspecified 244.9 • Leukocytopenia, 288.50 Unspecified • Nutritional Deficiencies, 269.9 • Lymphadenitis, Chronic 289.1 Unspecified

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4243 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE

Blood Diseases (cont’d) Mental Disorders (cont’d)

• Pancytopenia 284.1 • Dementia, Vascular, 290.40 Uncomplicated • Polycythemia Vera 238.4 • Depressive Disorder, NOS 311.0

• Sickle-Cell Disease, 282.60 • Drug Abuse, Unspecified 305.90 Unspecified • Sickle-Cell Trait 282.5 • Insomnia, Sleep Disorder, 307.40 Unspecified • Learning Disability / 315.9 Mental Disorders Development Delay, NOS • Adjustment Reaction, 309.9 • Mental Retardation, 319.0 Unspecified Unspecified • Alcohol Abuse, Unspecified 305.00 • Neurosis, NOS 300.9

• Alcoholism, Unspecified 303.90 • Panic Disorder, 300.01 No Agoraphobia • Alzheimer’s 331.0 • Personality Disorder, 301.9 Unspecified • Anorexia Nervosa 307.1 • Psychosis, Unspecified 298.9

• Anxiety State, Unspecified 300.00 • Schizophrenia, Unspecified 295.90

• Attention Deficit, 314.01 • Sexual Dysfunction, 302.70 With Hyperactivity Unspecified • Attention Deficit, 314.00 • Situational Disturbance, 308.3 Without Hyperactivity Acute • Bulimia Nervosa 307.51 • Tension Headache 307.81

• Conduct Disorder, 312.9 • Tobacco Abuse 305.1 Unspecified • Delirium, Acute 293.0 Nervous System & Sense Organ Disorders—Nervous System Diseases • Dementia, Senile, 290.0 • Bell’s Palsy 351.0 Uncomplicated

4443 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE Nervous System & Sense Organ Disorders— Nervous System & Sense Organ Disorders— Nervous System Diseases (cont’d) Nervous System Diseases (cont’d) • Carpal Tunnel 354.0 • Tremor / Spasms, NOS 781.0

• Cerebral Artery Occlusion, 434.91 • Trigeminal Neuralgia 350.1 With Infarction, Unspecified • Cognitive Impairment, Mild 331.83 Nervous System & Sense Organ Disorders—Eye Diseases • CVA, Late Effect, Unspecified 438.9 • Blepharitis, Unspecified 373.00

• Epilepsy, Unspecified, 345.90 • Cataract, Unspecified 366.9 Not Intractable www.radltd.com • Intracranial Hemorrhage, 432.9 • Chalazion 373.2 NOS • Meningitis, Unspecified 322.9 • Conjunctivitis, Unspecified 372.30

• Migraine, Unspecified, Not 346.90 • Corneal Abrasion 918.1 Intractable • Movement Disorder, 333.90 • Corneal Ulcer, Unspecified 370.00 Unspecified • Multiple Sclerosis 340 • Eye Disorder, Unspecified 379.90

• Myopathy, Unspecified 359.9 • Eye Foreign Body, External, 930.9 Unspecified • Nervous System, NOS 349.9 • Eye Movement Disorder, 378.9 Unspecified • Neuropathy, Unspecified 357.9 • Glaucoma, Unspecified 365.9

• Parkinsonism, Primary 332.0 • Hordeolum (stye) 373.11

• Restless Legs Syndrome 333.94 • Refractive Errors, 367.9 Unspecified • Sleep Apnea, Obstructive 327.23 • Retinal Disorder, Unspecified 362.9

• Tremor, Essential / Familial 333.1 • Visual Disturbance, 368.10 Unspecified

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4445 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE Nervous System & Sense Organ Circulatory System (cont’d) Disorders—Eye Diseases (cont’d) • Visual Loss, Unspecified 369.9 • Angina, Unstable 411.1

Nervous System & Sense Organ • Aortic Aneurysm, 441.9 Disorders—Ear Diseases Unspecified • Cerumen Impaction 380.4 • Arterial Disorder, 447.9 Other, Unspecified • Ear Disorder, Unspecified 388.9 • Atherosclerosis, NOS (not 440.9 heart / brain) • Eustachian Salpingitis, 381.50 • Atrial Fibrillation 427.31 Unspecified • Hearing Loss, Unspecified 389.9 • Cardiac Contusion 861.01

• Otitis Externa, Unspecified 380.10 • Chronic Ischemic Heart 414.9 Disease, Unspecified • Otitis Media, Acute 382.00 • Circulatory Disorder, 459.9 Unspecified • Otitis Media, Acute 382.01 • Conduction Disorder, 426.9 With Rupture of TM Unspecified • Otitis Media, Chronic Serous 381.10 • Elevated BP Without 796.2 Hypertension • Vertigo, Central 386.2 • Heart Disease, Other, 429.9 Unspecified • Vertigo, Peripheral, 386.10 • Heart Failure, Combined, 428.40 Unspecified Unspecified • Heart Failure, Congestive, 428.0 Circulatory System Unspecified • Abnormal Electrocardiogram 794.31 • Heart Failure, Diastolic, 428.30 Unspecified • Left Heart Failure With 428.1 • Heart Failure, Systolic, 428.20 Acute Pulmonary Edema Unspecified • Acute Pulmonary Edema, 518.4 • Heart Valve, Aortic, 424.1 Unspecified Not Rheumatic • Angina Pectoris, NOS 413.9 • Heart Valve, Mitral, 424.0 Not Rheumatic

4645 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE

Circulatory System (cont’d) Circulatory System (cont’d)

• Heart Valve, Pulmonary, 424.3 • Premature Beats, 427.60 Not Rheum. Unspecified • Heart Valve, Tricuspid, 424.2 • Pulmonary Embolism, 415.19 Not Rheum. Not Iatrogenic • Hypertension, Benign 401.1 • Pulmonary Heart disease, 416.9 Chronic, Unspecified • Hypertension, Malignant 401.0 • Rheumatic Heart Disease, 398.90 Unspecified • Hypertension, Unspecified 401.9 • Sick Sinus Syndrome 427.81 www.radltd.com • Hypertensive Chronic 403.90 • Thrombophlebitis, 451.9 Kidney Disease, With Unspecified Chronic Kidney Disease, • Transient Ischemic Attack, 435.9 Unspecified Unspecified • Hypertensive Heart Disease, 402.91 • Varicose Veins, 454.9 Unspecified, With Heart Failure Asymptomatic • Long QT Syndrome 426.82 • Venous Insufficiency, 459.81 Unspecified • Myocardial Infarction, 410.90 Respiratory System NOS (to 8 weeks) • Myocardial Infarction, 410.70 • Abscess / Ulcer of Nose 478.19 NSTEMI (to 8 weeks) • Myocardial Infarction, Old 412 • Asthma, Extrinsic, 493.02 Acute Exacerbation • Orthostatic Hypotension 458.0 • Asthma, Intrinsic, 493.12 Acute Exacerbation • Paroxysmal Supraventricular 427.0 • Asthma, Unspecified 493.90 Tachycardia • Pericarditis, Acute, 420.91 • Bronchiolitis, Acute, 466.11 Nonspecific Due to RSV • Peripheral Vascular Disease, 443.9 • Bronchitis, Acute 466.0 Unspecified • Phlebitis, Deep, Lower 451.19 • Bronchitis, Chronic, 491.9 Extremity, Other Unspecified

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4647 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE

Respiratory System (cont’d) Respiratory System (cont’d)

• Bronchospasm, Acute 519.11 • Sinusitis, Acute, NOS 461.9

• Bronchospasm, 493.81 • Sinusitis, Chronic, Frontal 473.1 Exercise Induced • COPD, NOS 496 • Sinusitis, Chronic, Maxillary 473.0

• Croup 464.4 • Sinusitis, Chronic, NOS 473.9

• Emphysema 492.8 • Tonsil / Adenoid Disease, 474.9 Chronic, Unspecified • Laryngitis, Acute, 464.00 • Tonsillitis, acute 463 No Obstruction • Peritonsillar Abscess 475 • Upper Respiratory Infection, 465.9 Acute, NOS • Pharyngitis, Acute 462 Digestive System

• Pleural Effusion, NOS 511.9 • Anal Fissure, Nontraumatic 565.0

• Pleurisy, NOS 511.0 • Appendicitis, Unspecified 540.9

• Pneumonia, Unspecified 486 • Cholecystitis, Acute 575.0

• Pneumothorax, Unspecified 512.89 • Cholelithiasis, NOS 574.20

• Respiratory Disease, 519.9 • Chronic Liver Disease, 571.9 Other, NOS Unspecified • Rhinitis, Allergic, Cause 477.9 • Cirrhosis, NOS 571.5 Unspecified • Rhinitis, Chronic 472.0 • Constipation, Unspecified 564.00

• Sinusitis, Acute, Frontal 461.1 • Crohn’s Disease, NOS 555.9

• Sinusitis, Acute, Maxillary 461.0 • Dental Abscess 522.5

4847 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE

Digestive System (cont’d) Digestive System (cont’d)

• Dental Caries, Unspecified 521.00 • Intestinal Obstruction, 560.9 Unspecified • Dental, Unspecified 525.9 • Irritable Bowel Syndrome 564.1

• Diverticulitis of Colon, NOS 562.11 • Mucositis, Stomatitis, 528.00 Unspecified, NOS • Diverticulosis of Colon 562.10 • Oral, Soft Tissue Diseases, 528.9 Unspecified • Dyspepsia 536.8 • Oral, Tongue Diseases, 529.9 Unspecified www.radltd.com • Esophageal Disease, 530.9 • Pancreatitis, Acute 577.0 Unspecified • Esophagitis, Unspecified 530.10 • Peptic Ulcer Disease, 533.90 Unspecified, Without • Functional Disorder 564.9 Obstruction Intestine, Unspecified • Gallbladder Disease, 575.9 • TMJ Disorder, Unspecified 524.60 Unspecified • Gastritis, Unspecified, 535.50 • Ulcerative Colitis, 556.9 Without Hemorrhage Unspecified • Gastroenteritis, 558.9 Genitourinary System— Noninfectious, Unspecified Urinary System Diseases • Gastroesophageal Reflux, 530.81 • Cystitis, Acute 595.0 No Esophagitis • Hemorrhoids, NOS 455.6 • Cystitis, Interstitial, Chronic 595.1

• Hernia, Hiatal, 553.3 • Glomerulonephritis, 580.9 Noncongenital Acute, Unspecified • Hernia, Inguinal, NOS 550.90 • Glomerulonephritis, 582.9 Chronic, Unspecified • Hernia, Other, NOS 553.9 • Hematuria, Unspecified 599.7

• Ileus 560.1 • Proteinuria, Nonpostural, 791.0 Nonobstetric

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 4849 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE Genitourinary System— Genitourinary System— Urinary System Diseases (cont’d) Male Genital Organ Diseases (cont’d) • Pyelonephritis, Acute, 590.10 • Orchitis / Epididymitis, 604.90 No Necrosis Unspecified • Renal Failure, Acute, 584.9 • Phimosis 605 Unspecified • Renal Failure / Insufficiency, 585.9 • Prostatitis, NOS 601.9 Chronic, Unspecified • Renal Insufficiency, Acute 593.9 • PSA, Elevated 790.93

• Urethral Syndrome, 597.81 • Urethritis, Nongonococcal, 099.40 Non-VD, NOS Unspecified • Urinary Calculus, 592.9 • Varicocele 456.4 Unspecified • Urinary Obstruction, 599.60 Genitourinary System— Unspecified Breast Diseases • Urinary Tract Infection, 599.0 • Breast Disease, Unspecified 611.9 Unspecified / Pyuria Genitourinary System— • Breast Lump 611.72 Male Genital Organ Diseases • Balanitis 607.1 • Dense Breasts 793.82

• BPH / LUTS With Obstruction 600.01 • Fibroadenosis 610.2

• BPH / LUTS Without 600.00 • Fibrocystic Disease 610.1 Obstruction • Hematospermia 608.82 • Galactorrhea 611.6

• Hydrocele, Unspecified 603.9 • Mammogram, Abnormal, 793.80 Unspecified • Impotence, Organic 607.84 • Mastitis, Lactating, 675.90 Unspecified • Impotence, Psychosexual 302.72 Dysfunction Visit us online at • Male Genital Disease, 608.9 Other, Unspecified radltd.com

5049 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Mastitis, NOS 611.0 • Painful Menstruation 625.3

Genitourinary System— Genitourinary System— Female Genital Organ Diseases Disorders of Menstruation (cont’d) • Bartholin Cyst 616.2 • Pelvic Pain 625.9

• Cervical Polyp, NOS 622.7 • Premenstrual Tension 625.4 Syndrome • Cervicitis 616.0 Genitourinary System— Fertility Problems • Cystocele / Rectocele / 618.9 • Infertility, Female, 628.9 Prolapse, Unspecified Unspecified www.radltd.com • Cyst of Ovary, Follicular 620.0 • Infertility, Male, Unspecified 606.9

• Dyspareunia 625.0 Musculoskeletal & Connective Tissue • Endometriosis, Unspecified 617.9 • Acquired Deformity, 736.9 Limb, Unspecified • Female Genital Disease, 629.9 • Arthropathy, Unspecified 716.90 Unspecified • Pelvic Onflammatory 614.9 • Back Pain With Radiation, 724.4 Disease, Unspecified Unspecified • Stress Incontinence, Female 625.6 • Cervical Disorder, NOS 723.9

• Vaginitis / Vulvitis, 616.10 • Connective Tissue Disease, 710.9 Unspecified Unspecified Genitourinary System— • Disc Syndrome, No 722.2 Disorders of Menstruation Myelopathy, NOS • Amenorrhea 626.0 • Ganglion, Unspecified 727.43

• Menopausal Disorders, 627.9 • Internal Derangement, 717.9 Unspecified Knee, Unspecified • Menstruation, Excessive / 626.2 • Kyphosis / Scoliosis, 737.9 Frequent Unspecified • Metrorrhagia 626.6 • Muscle Weakness, 728.87 Generalized

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5051 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Myalgia / Myositis, 729.1 • Abnormal Glucose, Other 790.29 Unspecified Musculoskeletal Signs & Symptoms (cont’d) & Connective Tissue (cont’d) • Osteoarthritis of Spine, NOS 721.90 • Abnormal Loss of Weight 783.21

• Osteoarthrosis, Unspecified 715.90 • Abnormal Pap, ASC-US 795.01

• Osteomyelitis, Acute, 730.00 • Abnormal Pap, ASC, 795.02 Unspecified Possible HGSIL • Osteomyelitis, Chronic, 730.10 • Abnormal Pap, Other 795.09 Unspecified and HPV • Osteoporosis, Unspecified 733.00 • Abnormal Pap, Unspecified 795.00

• Pain, Limb 729.5 • Abnormal Transaminase / 790.4 LDH • Pain, Knee 719.46 • Solitary Pulmonary Nodule 793.11

• Pain, Low Back 724.2 • Other Abnormal Lung 793.19 Findings, Unspecified • Polymyalgia Rheumatica 725 • Abnormalities of RBCs 790.09

• Rheumatoid Aarthritis 714.0 • Anaphylaxis, NOS 995.0 (not JRA) • Shoulder Syndrome, 726.10 • Anorexia 783.0 Unspecified • Synovitis / Tenosynovitis, 727.00 • Arthralgia, Unspecified 719.40 Unspecified • Traumatic Arthropathy, 716.10 • Ascites, Malignant 789.51 Unspecified • Ascites, Other 789.59 Signs & Symptoms

• Abdominal Pain, Unspecified 789.00 • Bleeding, Rectal 569.3

• Abnormal Blood Chemistry, 790.6 • Blood in Stool, Melena 578.1 Other

5251 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Blood in Stool, Occult 792.1 • Effusion / Swelling of Joint, 719.00 Unspecified

Signs & Symptoms (cont’d) Signs & Symptoms (cont’d)

• Cardiac Arrest 427.5 • Encopresis, NOS, 787.6 Fecal Incontinence • Chest Pain, Unspecified 786.50 • Epistaxis 784.7

• Chronic Fatigue Syndrome 780.71 • Failure to Thrive 783.41

• Chronic Pain, Other 338.29 • Fatigue and Malaise, Other 780.79 www.radltd.com • Chronic Pain, Other Post-Op 338.28 • Feeding Problem, 783.3 Infant /Elderly • Chronic Pain, Post- 338.22 • Fever, Unspecified 780.60 Thoracotomy • Chronic Pain, Trauma 338.21 • Gas / Bloating 787.3

• Chronic Pain Syndrome, With 338.4 • Glucose Intolerance 271.9 Psychosocial Dysfunction • Colic, Infantile 789.7 • Glycosuria 791.5

• Coma, Nondiabetic / 780.01 • Headache, Unspecified 784.0 Nonhepatic • Cough 786.2 • Heartburn 787.1

• Diarrhea, NOS 787.91 • Hematemesis 578.0

• Dizziness / Vertigo, NOS 780.4 • Hemoptysis 786.30

• Dysphagia, Unspecified 787.20 • Hepatomegaly 789.1

• Dysuria 788.1 • Hiccups 786.8

• Edema, Localized, NOS 782.3 • Hoarseness 784.49

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5253 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Hyperventilation 306.1 • Other Ill-Defined Conditions 799.89

Signs & Symptoms (cont’d) Signs & Symptoms (cont’d)

• Hypoxemia 799.02 • Pain, Neoplasm Related 338.3

• Incontinence / Enuresis, NOS 788.30 • Palpitations 785.1

• Infant Excessive Crying 780.92 • Polyuria 788.42

• Lack of Normal Physiological 783.40 • Rash, Nonvesicular, 782.1 Development, Unspecified Unspecified • Libido, Decreased 799.81 • Seizures, Convulsions, Other 780.39

• Localized Swelling / Mass, 782.2 • Seizures, Simple, Febrile, 780.31 Superficial Unspecified • Lymph Nodes, Enlarged 785.6 • Semicoma, Stupor 780.09

• Memory Loss 780.93 • Sensory Disturbance Skin 782.0

• Transient Alteration of 780.02 • Shock, Unspecified 785.50 Awareness • Change in Mental Status 780.97 • Shortness of Breath 786.05

• Movement Disorder 781.0 • Skin, Other Symptoms 782.9

• Murmur of Heart, 785.2 • Splenomegaly 789.2 Undiagnosed • Nausea With Vomiting 787.01 • Sweating Excess 780.8

• Nausea, Alone 787.02 • Syncope 780.2

• Nocturia 788.43 • Urinary Frequency 788.41

• Other Abnormal Blood 790.6 • Urinary Urgency 788.63 Chemistry

5453 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Vomiting, Alone 787.03 • Fracture: Pelvic, 808.8 Closed, Unspecified Injuries & Adverse Effects— Signs & Symptoms (cont’d) Fracture (cont’d) • Walking Difficulty 719.7 • Fracture: Phalanges, Foot, 826.0 Closed • Wheezing 786.07 • Fracture: Phalanges, Hand, 816.00 Closed, Unspecified Injuries & Adverse Effects— • Fracture: Ribs, 807.00 Fracture (cont’d) Closed, Unspecified • Fracture: Ankle, 824.8 • Fracture: Skull, 803.00 Closed, Unspecified Closed, Unspecified www.radltd.com • Fracture: Carpal, 814.00 • Fracture: Tibia, 823.80 Closed, Unspecified Closed, Unspecified • Fracture: Clavicle, 810.00 • Fracture: Tibia / Fibula, 823.82 Closed, Unspecified Closed, Unspecified • Fracture: Femur / Hip, 820.8 • Fracture: Vertebral, 805.8 Closed, Unspecified Closed, Unspecified • Fracture: Femur / Shaft, 821.01 • Fracture, Stress: Metatarsals 733.94 Closed • Fracture: Fibula, Closed, 823.81 • Fracture, Stress: Other bone 733.95 Unspecified • Fracture: Foot, Closed, 825.20 • Fracture, Stress: Tibia or 733.93 Unspecified (not toes) Fibula • Fracture: Forearm, 813.80 • Healed Fracture, V67.4 Closed, Unspecified Follow-Up Exam • Fracture: Humerus, 812.20 Injuries & Adverse Effects— Closed, Unspecified Dislocations, Sprains & Strains • Fracture: Mandible, 802.20 • Dislocation: Other, 839.8 Closed, Unspecified Closed, Unspecified • Fracture: Metacarpal, 815.00 • Dislocation: Shoulder, 831.00 Closed, Unspecified Closed, Unspecified • Fracture: Nose, Closed 802.0 • Knee Meniscus Injury, 836.2 Unspecified • Fracture: Other Sites, 829.0 • Sprain / Strain: Ankle, 845.00 Closed, Unspecified Unspecified

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5455 ICD-9 CODESICD-9 ICD-9 CODES Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE • Sprain / Strain: Foot, 845.10 • Crushing Injury, Unspecified 929.9 Unspecified Injuries & Adverse Effects— Injuries & Adverse Effects— Dislocations, Sprains & Strains (cont’d) Other Trauma, Adverse Effects (cont’d) • Sprain / Strain: Hand, 842.10 • Exhaustion Due to Exposure 994.4 Unspecified • Sprain / Strain: Knee / Leg, 844.9 • Foreign Body, Digestive 938 Unspecified System, Unspecified • Sprain / Strain: Neck, 847.0 • Foreign Body, Ear 931 Unspecified • Sprain / Strain: Other Site, 848.9 • Foreign Body, Nose 932 Unspecified • Sprain / Strain: Shoulder / 840.9 • Foreign Body, Skin, 919.6 Arm, Unspecified Superficial, Unspecified • Sprain / Strain: Vertebral, 847.9 • Head Injury, NOS 959.01 Unspecified • Sprain / Strain: Wrist, 842.00 • Heat Injury, Unspecified 992.9 Unspecified Injuries & Adverse Effects— • Insect Bite 919.4 Other Trauma, Adverse Effects • Abrasion, Unspecified 919.0 • Late Effects of Injury, 908.9 Unspecified • Adult Physical Abuse 995.81 • Medication, Adverse Effects, 995.20 Unspecified • Burn, Degree Unspecified 949.0 • Open Wound, Head / Neck / 879.8 Trunk, Unspecified • Child Abuse, Unspecified 995.50 • Open Wound, Lower Limb, 894.0 Unspecified • Cold Injury, Unspecified 991.9 • Open Wound, Upper Limb, 884.0 Unspecified • Concussion, LOC Less 850.11 • Other Trauma, Unspecified 959.9 Than 30 Minutes • Concussion, Unspecified 850.9 • Poisoning, Medicine 977.9 Overdose, Unspecified • Contusion, Unspecified 924.9 • Poisoning, Unspecified 989.9

5655 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODES CODESINTERVENTIONALICD-9 Note: Codes that include NOS (not otherwise specified) or unspecified have alternative diagnosis codes that are more specific. These alternatives can be found in or near the section of ICD-9-CM that deals with the relevant three-digit codes.

REQUESTED TEXT CODE REQUESTED TEXT CODE Please use the spaces below Please use the spaces below for notes or additional codes for notes or additional codes common in your practice. common in your practice. www.radltd.com

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5657 ICD-10 CODESICD-10 ICD-10 CODES NOTES

57 To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. ICD-9 CODESINTERVENTIONALICD-9 ICD-10 ICD-10 CODES NOTES

To schedule an appointment, call (520) 733-7226 or fax (520) 290-8377. 5859 RADIOLOGY LTD. IS A PREFERRED PROVIDER FOR THE FOLLOWING INSURANCES

MAJOR INSURANCE PLANS MAJOR NETWORK PLANS • AARP Medicare Complete • Accountable Health Plans (Formally Secure Horizons) • Ancillary Care Services • Aetna US Healthcare: not contracted with Aetna Sr • Arizona Foundation for Medical Care • AHCCCS (All Plans) • Beech Street • Banner Health Plus • CCN • Blue Cross/Blue Shield including BCBS Advantage • Coventry National • Care1st HealthPlan (AHCCCS) • First Health (Individual Provider Contracts) • CareMore Health Plan • Health Management Network • Cigna • MultiPlan • Cochise Health System • EverCare and Community Plan UHC • PHCS (Formally EverCare Select) • GEHA • Health Choice Arizona • Health Choice Generations If you need further assistance • Health Net / Health Net Medicare Advantage with insurances, please call our • Humana • Humana Community HMO Insurance Billing Representative • Humana Gold at (520) 296-0278. • Indian Health Services • Logistics Health Inc. (LHI) • Mail Handlers Benefit Plan (MHBP) • Mayo Health Plan Arizona • MDIA (Medrisk Data) • Medicare • Mercy Care Healthcare Group • OneCare • One Call Medical • UHC West (Formally Pacificare) • Preferred Medical Claim Solutions • State Compensation Fund • United Medical Resources (UMR) • United Healthcare • United Healthcare Community Plan (Formally APIPA) • United Healthcare Medicare Complete • United Military West – VA • University Family Care (AHCCCS) • University Physician Advantage 59 WE HAVE 7 IMAGING CENTERS TO SERVE YOU

CAMP LOWELL IMAGING CENTER RANCHO VISTOSO 4640 E. Camp Lowell Dr. DIAGNOSTIC IMAGING Tucson, AZ 85712 2551 E. Vistoso Commerce Loop Rd. Tel: (520) 318-6144 Oro Valley, AZ 85755 Tel: (520) 825-1990

LA CHOLLA CENTER FOR DIAGNOSTIC IMAGING & TREATMENT ST. JOSEPH’S IMAGING CENTER LA CHOLLA CENTER FOR 330 N. Wilmot Rd. WOMEN’S IMAGING Tucson, AZ 85711 5960 N. La Cholla Blvd. Tel: (520) 290-4840 Tucson, AZ 85741 Tel: (520) 797-3439 WILMOT CENTER FOR DIAGNOSTIC IMAGING & TREATMENT MIDVALE IMAGING CENTER WILMOT CENTER FOR 1598A W. Commerce Court WOMEN’S IMAGING Tucson, AZ 85746 677 N. Wilmot Rd. Tel: (520) 290-4842 Tucson, AZ 85711 Tel: (520) 722-1832 RADIOLOGY LTD.— CARONDELET IMAGING CENTER 6567 E. Carondelet Dr., Suite 105 Tucson, AZ 85710 Tel: (520) 751-3096

60 MODALITY LOCATIONS X X X X X X X X WILMOT WILMOT WOMEN’S X X X X X X WILMOT X ST. JOSEPH’S X X X X X X RANCHO RANCHO VISTOSO X X X X LTD.— RADIOLOGY RADIOLOGY CARONDELET X X X X X X MIDVALE X X X X X X X WOMEN’S LA CHOLLA LA CHOLLA X X X X X X LA CHOLLA X X X X X CAMP LOWELL MRI (High-field) MRI (Espree— X-Large Opening) CT PET / CT Interventional Ultrasound Digital Mammography 3D Mammography Biopsy Breast MRI Breast Breast Interventional (Bone DEXA Densitometry) X-ray Digital

61 TECHNOLOGY

Radiology Ltd. has a nearly paperless and fully electronic workflow residing on state-of-the-art infrastructure, allowing for rapid and seamless communication across all locations throughout the enterprise. This allows us to route all imaging studies to the most appropriate location, ensuring the most accurate and timely interpretations and the highest level of patient care. We focus on technological improvements that help us both practice better medicine and optimize customer service.

adVision (Provider Portal) - Images are available to the referring community within minutes of exam completion and can be viewed anywhere, anytime. Our systems are also Meaningful Use certified and enable our referring providers to: • Use different viewers to access images on any platform (one viewer is for power users; the other is a zero client viewer that can be used with any browser) • Access current and historical reports • Find status of patient exams • Order patient exams • View new services and products, including Clinical Decision Support, Mobile Report Viewer, and Alert Application