CT Quick Reference

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CT Quick Reference

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Ordering Guide

Below is a list of exams and how they should be ordered and scheduled. If you have any questions about the list, please contact the CT department at
864-560-6571 or Pelham Medical Center CT at 864-849-9270. To schedule a procedure, call Regional Scheduling 864-560-7777.

CT Brain

With & without contrast CPT 70470	Without contrast CPT 70450	With contrast CPT 70460
Headaches, tumor, abscess	CVA, TIA, head injury, bleed, hydrocephalus, NPH, bone disease or fracture, abnormal head size in babies. CT Scans for other diagnoses that cannot have contrast due to abnormal labs or allergy. Please call CT department to be sure study can be done w/o prior to scheduling.	Bone metastases

CT Facial Bones/Sinuses

With & without contrast CPT-70488	Without contrast CPT 70486	With contrast CPT 70487
Not routinely done	Bone disease, sinusitis or injury	Mass, tumor, abscess, cellulitis

CT Orbits

With & without contrast CPT-70482	Without contrast CPT-70480	With contrast CPT-70481
Not routinely done	Bone disease or injury	Mass, tumor, abscess, cellulitis

CT Neck (Soft Tissue)

With & without contrast CPT-70492	Without contrast CPT-70490	With contrast CPT-70491
Salivary gland stone, calcifications	Not routinely done. If looking at bone, order CT cervical spine instead of neck.	Mass, swelling, abscess, lymphoma, enlarged lymph nodes

CT Chest or Lung

With & without contrast CPT-71270	Without contrast CPT-71250	With contrast CPT-71260
Not routinely done. Occasionally requested by the cardiologist or surgeons as pre-op.	Follow-up nodule, asbestosis, pulmonary fibrosis, navigational bronch. If unable to have contrast due to abnormal labs or contrast allergies, call CT to be sure study can be done without.	Chest pain, aortic dissection, Pulmonary embolism, Aneurysm, mass, tumor, pneumonia, pneumothorax. If not specified CT, chest/lung are done with contrast.

CT Abdomen

With & without contrast CPT-74170	Without contrast CPT-74150	With contrast CPT-74160
Renal protocol, adrenal protocol	Follow-up pancreatitis, follow-up adrenal adenoma	Aneurysm, liver, spleen, pancreas mass or tumor, pancreatitis

CT Pelvis

With & without contrast CPT-72194	Without contrast CPT-72192	With contrast CPT-72193
Not routinely done	Bone disease or injury	Abscess, bladder injury or disease, fluid collection, mass, tumor

CT Abdomen & Pelvis

With & without contrast CPT-74178	Without contrast CPT-74176	With contrast CPT-74177
Renal protocol	Renal stone protocol, pre-op for the surgeons that are specifically ordered without.	Appendicitis, diverticulitis, abscess (follow up abscess can be limited to abd. or pelvis depending on where it is seen on the initial scan), bowel obstruction, tumor, mass, generalized abdomen pain or swelling. If not specified abdomen/pelvis are routinely done with IV and oral contrast.

CT Cervical Spine

With & without contrast CPT-72127	Without contrast CPT-72125	With contrast CPT-72126
Not routinely done	Bone disease or injury, post discogram	Post-op changes, abscess, mass, tumor, post myelogram

*MRI preferred test if interested in nerves or disc.

CT Thoracic Spine

With & without contrast CPT-72130	Without contrast CPT-72128	With contrast CPT-72129
Not routinely done	Bone disease or injury, post discogram	Post-op changes, abscess, mass, tumor, post myelogram

*MRI preferred test if interested in nerves or disc.

CT Lumbar Spine

With & without contrast CPT-72133	Without contrast CPT-72131	With contrast CPT-72132
Not routinely done	Bone disease or injury, post discogram	Post-op changes, abscess, mass, tumor, post myelogram

*MRI preferred test if interested in nerves or disc.

CT Mastoids/Temporal Bones/Inner Ear

With & without contrast CPT-70482	Without contrast CPT-70480	With contrast CPT-70481
Not routinely done	Bone disease or injury, mastoiditis	Not routinely done. Tumors of the inner ear will require contrast but MRI is better test if possible.

*MRI preferred test if interested in nerves or disc.

CT Upper Extremity

With & without contrast CPT-73202	Without contrast CPT-73200	With contrast CPT-73201
Not routinely done	Bone disease or injury	Mass, tumor, abscess,cellulitis

CT Lower Extremity

With & without contrast CPT-73702	Without contrast CPT-73700	With contrast CPT-73701
NA	Bone disease or injury	Mass, tumor, abscess,cellulitis

CT Colonoscopy

With & without contrast CPT	Without contrast CPT-74161	With contrast CPT
NA	Done for incomplete colonoscopy or unable to have colon in endo due to medications. Requires a H&P.	NA

CTA Chest

With and/or without contrast
CPT-71275

Vascular anatomy in the chest. Aorta.*If evaluating for a PE-do not order CTA-order a CT chest with PE protocol*

CTA Abdomen

With and/or without contrast
CPT-74175

Patient with stents in place. Vascular anatomy in the abdomen. Aorta, renal, celiac, hepatic arteries, any other arteries in the abdomen.

CTA Abdomen & Pelvis

With and/or without contrast
CPT-74174

Patient with stents in place. Vascular anatomy in the abdomen and pelvis.

CTA Abdomen & Pelvis with Run-Off

With and/or without contrast
CPT-75635

Vascular anatomy in the abdomen, pelvis and legs. Scan goes to the toes.

CTA Neck

With and/or without contrast
CPT-70498

Vascular anatomy in the neck. Usually carotid or vertebral arteries, CTA neck needs to be ordered for subclavian steal syndrome.

CTA Head

With and/or without contrast
CPT-70496

Vascular anatomy in the head

CTA Upper Extremity

With and/or without contrast
CPT-73206

Vascular anatomy in the upper extremity – arms, shoulder to finger tips.

CTA Lower Extremity

With and/or without contrast
CPT-73706

Vascular anatomy in the legs. Iliac arteries to toes.

CTA Cardiac/Coronary Arteries

With and/or without contrast
CPT-75574

Done to evaluate the cardiac arteries and heart.