Name That Guideline
This guideline may be used to process imaging requests ordered to evaluate for a parotid gland mass.
What is Neck-11?
Unless found incidentally on CT, MRI, or PET, this laboratory study needs to be measured/provided in the initial evaluation of thyroid nodule, mass, asymmetry, or goiter.
What is TSH?
(Neck-8.1)
For more suspicious or larger thyroid nodules, if Fine Needle Aspiration (FNA) is not performed or was not diagnostic for malignancy, this imaging modality can be repeated.
*Please include both the modality/anatomy location.
What is a Neck Ultrasound?
(Note: imaging time interval for follow-up depends on the sonographic pattern (i.e. the suspicion level). Neck-8.1)
You will need to reroute a study request for an indication of laryngeal palsy to this specialty.
What is the Neuro specialty?
(Neck-7, reroutes you to HD-7)
Depending on the level of the lesion, this imaging study, as represented by CPT code of 70491, may be indicated to evaluate a structural lesion identified on esophagram that requires further evaluation.
What is a CT Neck with contrast?
(Neck-3.1)
This guideline could be used to process an imaging request being ordered to evaluate for segmental or lobar lung collapse.
What is Neck-9.1?
This is the initial study that would be used to evaluate an anterior neck mass that was tender.
What is Neck Ultrasound?
(Neck-5.1)
This imaging can be used to follow-up a neck mass for which CT suggest further imaging is needed.
*Please include the modality/anatomy/contrast level.
What is Neck MRI without and with contrast (CPT® 70543)?
(Neck-5.1)
You will need to reroute an imaging request for an indication of a known malignancy of the neck to this specialty.
What is the Oncology specialty?
(Neck-6, reroutes you to ONC-3,4,6,9,27,28)
For a suspected vascular ring, this study, as represented by the CPT code 71552, may be indicated.
What is an MRI Chest without and with contrast?
(Neck-3.1)
An imaging request to evaluate for suspected vascular ring would be best reviewed using this guideline.
What is Neck-3.1?
You may want to ask for these labs in working an imaging request being ordered to evaluate for suspected primary hyperparathyroidism.
What are serum PTH and serum calcium?
(Neck-8.3)
These imaging studies can be used to further evaluate structural lesions found on endoscopy done for esophageal dysphagia.
*Please include both the modality/anatomy location.
What is a CT Neck (CPT® 70491), CT Chest (CPT® 71260) and/or CT Abdomen (CPT® 74160) depending on the level of the lesion.)?
(Neck-3.1)
An imaging study requested for oropharyngeal dysphagia, should be forwarded to this specialty if a neurological cause is suspected.
What is Neuro?
(Neck-3.1)
For a substernal goiter with dyspnea, this imaging study, as represented by the CPT codes 78013 or 78014, may be indicated.
What is a Nuclear medicine thyroid scan?
(Neck-8.1)
To review an imaging request ordered to evaluate for a suspected peritonsillar abscess, one might use this guideline.
What is Neck-5.1?
This initial imaging would be required prior to advanced imaging in the evaluation of suspected foreign body impaction and ingested foreign bodies.
What are plain films?
(Neck-3.1)
This imaging study may be approved to follow-up on an ultrasound whose results were noted to be indeterminate for cervical lymphadenopathy measuring 1.4cm.
*Please include the modality/anatomy/contrast level.
What is a Neck CT with contrast (CPT® 70491)?
(Neck-5.1)
You will need to reroute an imaging request for an indication of Carotid Disease to this specialty.
What is the Cardiology specialty?
(Neck-2, reroutes you to PVD-3: Cerebrovascular and Carotid Disease)
This study, as represented by CPT code of 78070, may be indicated to evaluate for suspected classic primary hyperparathyroidism.
What is Parathyroid Planar Imaging?
(Neck-8.3)
To review an imaging request ordered to evaluate for suspicion of ectopic thyroid tissue, you may want to use this guideline.
What is Neck-8.1?
Per the guidelines, these imaging studies/procedures should be performed initially for evaluating patients with suspected tracheal and visualized bronchial pathology.
What are plain x-rays of the neck and chest and bronchoscopy?
(Neck-9.1)
This imaging is indicated to follow a negative CT Neck with contrast (CPT® 70491), and/or MRI Cervical Spine without contrast (CPT® 72141), or CT Cervical Spine without contrast (CPT® 72125), in an adult being evaluated for non-traumatic torticollis.
*Please include the modality/anatomy/contrast level.
What is an MRI Brain without and with contrast (CPT® 70553) ?
(Neck 10.2)
You will need to reroute an imaging request for an indication of neck pain with cervical radiculopathy to this specialty.
What is the Ortho-Spine specialty?
(Neck-10.1)
For an evaluation of traumatic torticollis in an adult, this imaging study, represented as CPT code 72125, may be indicated.
What is a CT Cervical Spine without contrast ?
(Neck-10.2)