Diagnostic Imaging Utilization Management 2010-2011 Program Guidelines v.6.1.9 Effective Date: August 16, 2010 Proprietary and Confidential Clinical & Regulatory Programs 8600 West Bryn Mawr Avenue Suite 800 Chicago, IL 60631 Phone: 773-864-4600 Fax: 773-864-4662 www.americanimaging.net 1 Copyright © 2010, American Imaging Management, Inc. All Rights Reserved. Table of Contents Use of AIM’s Diagnostic Imaging Guidelines Use of AIM’s Diagnostic Imaging Guidelines .............................................................................................. 4 Administrative Guidelines ............................................................................................................................. 5 Guideline: Simultaneous Ordering Of Multiple Imaging Tests .................................................................. 6 Head & Neck Imaging CT of the Head ................................................................................................................................................ 8 CTA of the Head: Cerebrovascular ............................................................................................................. 14 MRI of the Head ............................................................................................................................................ 17 MRA of the Head: Cerebrovascular ............................................................................................................ 23 Functional Brain MRI ................................................................................................................................... 26 PET Brain Imaging ....................................................................................................................................... 28 CT of theOrbit, Sella Turcica, Posterior Fossa and the Temporal Bone, including Mastoids .............. 30 MRI of the Orbit, Face, Neck ........................................................................................................................ 33 CT of the Paranasal Sinus Maxillofacial Area ............................................................................................ 36 MRI of the Temporomandibular Joints ....................................................................................................... 39 CT of the Neck (Soft Tissue) ....................................................................................................................... 41 CTA of the Neck ............................................................................................................................................ 43 MRA of the Neck ........................................................................................................................................... 46 Chest Imaging CT of the Chest ............................................................................................................................................. 49 CTA of the Chest ........................................................................................................................................... 54 MRI of the Chest ........................................................................................................................................... 58 MRA of the Chest ......................................................................................................................................... 61 MRI of the Breast .......................................................................................................................................... 65 Cardiac Imaging Nuclear Cardiology - Myocardial Perfusion Imaging ................................................................................ 68 Nuclear Cardiology - Cardiac Blood Pool Imaging ................................................................................... 75 Nuclear Cardiology - Infarct Imaging ......................................................................................................... 79 Stress Echocardiography ............................................................................................................................ 81 Transesophageal Echocardiography (TEE) ............................................................................................... 88 Resting Transthoracic Echocardiography (TTE) ....................................................................................... 90 CT Cardiac (Structure) ................................................................................................................................. 98 CCTA Coronary Artery ............................................................................................................................... 102 CT - Evaluation of Coronary Calcification ............................................................................................... 105 2 Copyright © 2010, American Imaging Management, Inc. 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MRI - Cardiac .............................................................................................................................................. 107 PET Myocardial Imaging .............................................................................................................................112 Abdominal & Pelvic Imaging CT of the Abdomen .....................................................................................................................................114 MRI of the Abdomen .................................................................................................................................. 120 CTA/MRA of the Abdomen ......................................................................................................................... 124 CTA of the Abdominal Aorta - Lower Extremity Run-off ......................................................................... 128 CT of the Pelvis .......................................................................................................................................... 130 MRI of the Pelvis ......................................................................................................................................... 135 CTA/MRA of the Pelvis ............................................................................................................................... 139 CT of the Abdomen & Pelvis Combination .............................................................................................. 142 CT Colonography ....................................................................................................................................... 147 Spine Imaging CT of the Cervical Spine ............................................................................................................................ 149 MRI of the Cervical Spine .......................................................................................................................... 152 CT of the Thoracic Spine ........................................................................................................................... 155 MRI of the Thoracic Spine ......................................................................................................................... 158 CT of the Lumbar Spine ............................................................................................................................. 161 MRI of the Lumbar Spine ........................................................................................................................... 164 MRA of the Spinal Canal ............................................................................................................................ 168 Upper Extremity Imaging CT of the Upper Extremity ......................................................................................................................... 169 MRI of the Upper Extremity (Any Joint) ................................................................................................... 171 MRI of the Upper Extremity (Non-Joint) ................................................................................................... 176 CTA/MRA Upper Extremity ........................................................................................................................ 179 Lower Extremity Imaging CT of the Lower Extremity ......................................................................................................................... 181 MRI of the Lower Extremity (Joint & Non- Joint) ..................................................................................... 183 CTA/MRA of the Lower Extremity ............................................................................................................. 188 PET Imaging - Other Including Oncologic PET - Other PET Applications Including Oncologic Tumor Imaging ..................................................... 191 Other Magnetic Resonance Spectroscopy (MRS) ............................................................................................. 200 MRI - Bone Marrow Blood Supply ............................................................................................................. 201 Quantitative CT - Bone Mineral Densitometry ......................................................................................... 203 3 Copyright © 2010, American Imaging Management, Inc. 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