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CT Quick Reference

Ordering Guide

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.