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ACR APPROPRIATENESS CRITERIA- DIAGNOSTIC IMAGING PROCEDURES

COMPUTED TOMOGRAPHY
CT abdomen and pelvis with IV contrast
CT abdomen and pelvis without and with IV contrast
CT abdomen and pelvis without IV contrast
CT abdomen with IV contrast
CT abdomen without and with IV contrast
CT abdomen without IV contrast
CT ankle with IV contrast
CT ankle without and with IV contrast
CT ankle without IV contrast
CT appendicular skeleton area of interest with IV contrast
CT appendicular skeleton area of interest without and with IV contrast
CT appendicular skeleton area of interest without IV contrast
CT area of interest with IV contrast
CT area of interest without and with IV contrast
CT area of interest without IV contrast
CT arm with IV contrast
CT arm without and with IV contrast

CT arm without IV contrast


CT arthrography ankle
CT arthrography elbow
CT arthrography hindfoot/ankle
CT arthrography hip
CT arthrography knee
CT arthrography shoulder
CT arthrography wrist
CT cervical spine with IV contrast
CT cervical spine without and with IV contrast
CT cervical spine without IV contrast
CT chest abdomen pelvis with IV contrast
CT chest abdomen pelvis without and with IV contrast
CT chest abdomen pelvis without IV contrast
CT chest and abdomen with IV contrast
CT chest and abdomen without and with IV contrast
CT chest and abdomen without IV contrast
CT chest with IV contrast
CT chest without and with IV contrast

CT chest without IV contrast


CT colonography
CT colonography every 5 years after negative screen
CT coronary calcium
CT elbow with IV contrast
CT elbow without and with IV contrast
CT elbow without IV contrast
CT enteroclysis
CT enterography
CT finger with IV contrast
CT finger without and with IV contrast
CT finger without IV contrast
CT foot with IV contrast
CT foot without and with IV contrast
CT foot without IV contrast
CT forearm with IV contrast
CT forearm without and with IV contrast
CT forearm without IV contrast
CT hand with IV contrast

CT hand without and with IV contrast


CT hand without IV contrast
CT head and neck with IV contrast
CT head and neck without and with IV contrast
CT head and neck without IV contrast
CT head and orbits with IV contrast
CT head and orbits without and with IV contrast
CT head and orbits without IV contrast
CT head cisternography with IV contrast
CT head perfusion with IV contrast
CT head with IV contrast
CT head without and with IV contrast
CT head without IV contrast
CT heart function and morphology with IV contrast
CT hindfoot/ankle with IV contrast
CT hindfoot/ankle without and with IV contrast
CT hindfoot/ankle without IV contrast
CT hip
CT hip with IV contrast

CT hip without and with IV contrast


CT hip without IV contrast
CT hips and spine with IV contrast
CT hips and spine without and with IV contrast
CT hips and spine without IV contrast
CT hips with IV contrast
CT hips without and with IV contrast
CT hips without IV contrast
CT knee with IV contrast
CT knee without and with IV contrast
CT knee without IV contrast
CT leg with IV contrast
CT leg without and with IV contrast
CT leg without IV contrast
CT lower extremity area of interest (not pelvis or hip) without IV contrast
CT lower extremity area of interest (not pelvis or hip) with IV contrast
CT lower extremity area of interest (not pelvis or hip) without and with IV contrast
CT lumbar spine with IV contrast
CT lumbar spine without and with IV contrast

CT lumbar spine without IV contrast


CT maxillofacial with IV contrast
CT maxillofacial without and with IV contrast
CT maxillofacial without IV contrast
CT neck with IV contrast
CT neck without and with IV contrast
CT neck without IV contrast
CT orbits with IV contrast
CT orbits without and with IV contrast
CT orbits without IV contrast
CT paranasal sinuses and orbits with IV contrast
CT paranasal sinuses and orbits without and with IV contrast
CT paranasal sinuses and orbits without IV contrast
CT paranasal sinuses with IV contrast
CT paranasal sinuses without and with IV contrast
CT paranasal sinuses without IV contrast
CT pelvis and hips with IV contrast
CT pelvis and hips without and with IV contrast
CT pelvis and hips without IV contrast

CT pelvis with bladder contrast (CT cystography)


CT pelvis with IV contrast
CT pelvis without and with IV contrast
CT pelvis without IV contrast
CT sacroiliac joints and spine area of interest with IV contrast
CT sacroiliac joints and spine area of interest without and with IV contrast
CT sacroiliac joints and spine area of interest without IV contrast
CT sacroiliac joints with IV contrast
CT sacroiliac joints without and with IV contrast
CT sacroiliac joints without IV contrast
CT sacrum with IV contrast
CT sacrum without and with IV contrast
CT sacrum without IV contrast
CT shoulder with IV contrast
CT shoulder without and with IV contrast
CT shoulder without IV contrast
CT spine area of interest with IV contrast
CT spine area of interest without and with IV contrast
CT spine area of interest without IV contrast

CT spine hot area with IV contrast


CT spine hot area without and with IV contrast
CT spine hot area without IV contrast
CT spine with IV contrast
CT spine without and with IV contrast
CT spine without IV contrast
CT sternum with IV contrast
CT sternum without and with IV contrast
CT sternum without IV contrast
CT temporal bone with IV contrast
CT temporal bone without and with IV contrast
CT temporal bone without IV contrast
CT thigh with IV contrast bilateral
CT thigh with IV contrast
CT thigh without IV contrast bilateral
CT thigh without and with IV contrast
CT thigh without and with IV contrast bilateral
CT thigh without IV contrast
CT thoracic and lumbar spine with IV contrast

CT thoracic and lumbar spine without and with IV contrast


CT thoracic and lumbar spine without IV contrast
CT thumb with IV contrast
CT thumb without and with IV contrast
CT thumb without IV contrast
CT venography chest with IV contrast
CT venography head and neck with IV contrast
CT venography head with IV contrast
CT venography lower extremity and pelvis with IV contrast
CT wrist with IV contrast
CT wrist with IV contrast bilateral
CT wrist without and with IV contrast
CT wrist without and with IV contrast bilateral
CT wrist without IV contrast
CT wrist without IV contrast bilateral
CTA abdomen and pelvis with IV contrast
CTA abdomen with IV contrast
CTA chest abdomen pelvis with IV contrast
CTA chest and abdomen with IV contrast

CTA chest with IV contrast


CTA chest with IV contrast with CT venography lower extremities
CTA coronary arteries with IV contrast
CTA coronary arteries with IV contrast low dose
CTA head and neck with IV contrast
CTA head with IV contrast
CTA lower extremity with IV contrast
CTA maxillofacial with IV contrast
CTA neck with IV contrast
CTA spine with IV contrast
CTA upper extremity with IV contrast
Myelography and post myelography CT cervical and thoracic spine
Myelography and post myelography CT cervical spine
Myelography and post myelography CT thoracic and lumbar spine
pQCT distal forearm
QCT hip
QCT lumbar spine and hip
QCT lumbar spine and hip(s)
QCT proximal femur

QCT spine
Watchful waiting with CT follow-up
X-ray discography and post-discography CT lumbar spine
X-ray myelography and post myelography CT complete spine
X-ray myelography and post myelography CT lumbar spine
X-ray myelography and post myelography CT spine
DXA/SXA
DXA distal forearm
DXA extended femur scan
DXA lateral spine
DXA lumbar spine and hip(s)
DXA PA spine
DXA proximal femur and femoral neck and total hip
DXA total body composition
DXA total hip
DXA VFA
Radiographic absorptiometry
SXA distal forearm
TBS lumbar spine

FLUOROSCOPY
Contrast small bowel radiography
Fluoroscopy foot
Fluoroscopy heart
Fluoroscopy hip
Fluoroscopy knee
Hysterosalpingography
X-ray abdomen loopogram
X-ray antegrade pyelography
X-ray barium enema double contrast every 5 years after negative screen
X-ray barium enema double-contrast
X-ray barium enema single contrast every 5 years after negative screen
X-ray barium enema single-contrast
X-ray barium swallow and upper GI series
X-ray barium swallow modified
X-ray barium swallow single contrast
X-ray biphasic esophagram
X-ray contrast enema
X-ray cystography

X-ray fluoroscopic cystocolpoproctography


X-ray fluoroscopic defecography
X-ray intravenous urography
X-ray pharynx dynamic and static imaging
X-ray retrograde cystography
X-ray retrograde pyelography
X-ray retrograde urethrography
X-ray small bowel enteroclysis
X-ray small bowel follow-through
X-ray tenography ankle
X-ray upper GI series
X-ray upper GI series with small bowel follow-through
X-ray urethrography double balloon
X-ray voiding cystourethrography
INVASIVE
Aortography abdomen
Aortography abdomen and pelvis
Aortography chest and abdomen
Aortography thoracic

Arteriography abdomen
Arteriography bronchial with or without embolization
Arteriography cerebral
Arteriography cervicocerebral
Arteriography coronary
Arteriography coronary with ventriculography
Arteriography craniofacial
Arteriography kidney
Arteriography kidneys
Arteriography lower extremity
Arteriography maxillofacial
Arteriography neck
Arteriography pelvis
Arteriography pulmonary
Arteriography pulmonary with right heart catheterization
Arteriography spine
Arteriography upper extremity
Arteriography visceral
Arteriography with possible embolization abdomen and pelvis

Arteriography with possible embolization kidney


Arthrography and aspiration hip
Aspiration area of interest
Aspiration hip
Aspiration knee
Aspiration shoulder
Aspiration wrist
Biopsy adrenal gland
Biopsy and aspiration kidney
Biopsy renal mass
Epidural venography
ERCP
Facet injection/medial branch block cervical spine
Image-guided anesthetic injection ankle
Image-guided anesthetic injection hindfoot/ankle
Image-guided anesthetic injection of hip
Image-guided aspiration or biopsy adnexal mass
Image-guided core biopsy breast
Image-guided fine needle aspiration breast

Imaging localization for surgical excision breast


Injection anesthetic iliopsoas tendon
Intravenous angiography kidney (IVDSA)
Lymphangiography
Lymphangiography abdomen and pelvis bipedal
Percutaneous biopsy area of interest
Percutaneous biopsy femur
Percutaneous biopsy spine
Percutaneous cholecystostomy
Percutaneous image-guided biopsy liver
Percutaneous US-guided renal biopsy
Renal vein renin assays
Right heart catheterization
Transcatheter arteriography/intervention (TAI)
Transthoracic needle biopsy
US-guided anesthetic injection ankle tendon
US-guided biopsy prostate bed transrectal
Venous sampling petrosal sinus
Wedge venography with pressures liver with TIPS

Wedge venography with pressures liver without TIPS


X-ray arthrocentesis shoulder
X-ray arthrography ankle
X-ray arthrography area of interest
X-ray arthrography elbow
X-ray arthrography hindfoot/ankle
X-ray arthrography hip
X-ray arthrography hip with anesthetic with or without corticosteroid
X-ray arthrography knee
X-ray arthrography shoulder
X-ray arthrography shoulder with anesthetic and/or corticosteroid
X-ray arthrography thumb
X-ray arthrography wrist
X-ray discography
X-ray discography cervical spine
X-ray discography lumbar spine
X-ray myelography
X-ray myelography cervical and thoracic spine
X-ray myelography cervical spine

X-ray myelography lumbar spine


X-ray shoulder bursography/tenography with anesthetic and/or corticosteroid
X-ray venography cervicocerebral
X-ray venography lower extremity
X-ray venography pelvis
X-ray venography upper extremity and SVC
MAMMOGRAPHY
Digital breast tomosynthesis diagnostic
Digital breast tomosynthesis screening
Digital breast tomosynthesis short-interval follow-up
Mammography diagnostic
Mammography diagnostic bilateral
Mammography screening
Mammography short interval follow-up
MAGNETIC RESONANCE
MR arthrography ankle
MR arthrography elbow
MR arthrography hindfoot/ankle
MR arthrography hip

MR arthrography knee
MR arthrography shoulder
MR arthrography thumb
MR arthrography wrist
MR colonography
MR colonography every 5 years after negative screen
MR defecography with rectal contrast
MR enteroclysis
MR enterography
MR spectroscopy head without IV contrast
MR venography chest without and with IV contrast
MR venography chest without IV contrast
MR venography head and neck without and with IV contrast
MR venography head and neck without IV contrast
MR venography head without and with IV contrast
MR venography head without IV contrast
MR venography lower extremity and pelvis without and with IV contrast
MR venography lower extremity and pelvis without IV contrast
MRA abdomen and pelvis without and with IV contrast

MRA abdomen and pelvis without IV contrast


MRA abdomen without and with IV contrast
MRA abdomen without IV contrast
MRA aorta without and with IV contrast
MRA aorta without IV contrast
MRA chest abdomen pelvis without and with IV contrast
MRA chest abdomen pelvis without IV contrast
MRA chest and abdomen without and with IV contrast
MRA chest and abdomen without IV contrast
MRA chest without and with IV contrast
MRA chest without IV contrast
MRA coronary arteries without and with IV contrast
MRA coronary arteries without IV contrast
MRA head and neck without and with IV contrast
MRA head and neck without IV contrast
MRA head without and with IV contrast
MRA head without IV contrast
MRA knee without and with IV contrast
MRA knee without IV contrast

MRA lower extremity without and with IV contrast


MRA lower extremity without IV contrast
MRA maxillofacial without and with IV contrast
MRA maxillofacial without IV contrast
MRA neck without and with IV contrast
MRA neck without IV contrast
MRA pulmonary arteries without and with IV contrast
MRA pulmonary arteries without IV contrast
MRA spine without and with IV contrast
MRA spine without IV contrast
MRA upper extremity without and with IV contrast
MRA upper extremity without IV contrast
MRI abdomen and pelvis without and with IV contrast
MRI abdomen and pelvis without IV contrast
MRI abdomen without and with IV contrast
MRI abdomen without and with IV contrast with MRCP
MRI abdomen without IV contrast
MRI abdomen without IV contrast with MRCP
MRI ankle without and with IV contrast

MRI ankle without IV contrast


MRI appendicular skeleton area of interest without and with IV contrast
MRI appendicular skeleton area of interest without IV contrast
MRI area of interest without and with IV contrast
MRI area of interest without IV contrast
MRI arm without and with IV contrast
MRI arm without IV contrast
MRI breast without and with IV contrast
MRI breast without and with IV contrast bilateral
MRI breast without IV contrast
MRI breast without IV contrast bilateral
MRI cervical spine without and with IV contrast
MRI cervical spine without IV contrast
MRI chest without and with IV contrast
MRI chest without IV contrast
MRI complete spine with IV contrast
MRI complete spine without and with IV contrast
MRI complete spine without IV contrast
MRI elbow without and with IV contrast

MRI elbow without IV contrast


MRI finger without and with IV contrast
MRI finger without IV contrast
MRI foot without and with IV contrast
MRI foot without IV contrast
MRI forearm without and with IV contrast
MRI forearm without IV contrast
MRI functional (fMRI) head without IV contrast
MRI hand without and with IV contrast
MRI hand without IV contrast
MRI head and internal auditory canal without and with IV contrast
MRI head and internal auditory canal without IV contrast
MRI head and neck without and with IV contrast
MRI head and neck without IV contrast
MRI head and orbits without and with IV contrast
MRI head and orbits without IV contrast
MRI head and paranasal sinuses without and with IV contrast
MRI head and paranasal sinuses without IV contrast
MRI head perfusion with IV contrast

MRI head with standard dose IV contrast


MRI head without and with IV contrast
MRI head without IV contrast
MRI head without IV contrast with DTI
MRI heart function and morphology without and with IV contrast
MRI heart function and morphology without IV contrast
MRI heart with function and vasodilator stress perfusion without and with IV contrast
MRI heart with function and inotropic stress without and with IV contrast
MRI heart with function and inotropic stress without IV contrast
MRI hindfoot/ankle without and with IV contrast
MRI hindfoot/ankle without IV contrast
MRI hip and spine without and with IV contrast
MRI hip and spine without IV contrast
MRI hip without and with IV contrast
MRI hip without IV contrast
MRI hips without and with IV contrast
MRI hips without IV contrast
MRI knee without and with IV contrast
MRI knee without IV contrast

MRI leg without and with IV contrast


MRI leg without IV contrast
MRI lower extremity area of interest (not pelvis or hip) without IV contrast
MRI lower extremity area of interest (not pelvis or hip) without and with IV contrast
MRI lower thoracic spine to lower extremities without and with IV contrast
MRI lower thoracic spine to lower extremities without IV contrast
MRI lumbar spine without and with IV contrast
MRI lumbar spine without IV contrast
MRI maxillofacial without and with IV contrast
MRI maxillofacial without IV contrast
MRI neck without and with IV contrast
MRI neck without IV contrast
MRI paranasal sinuses without and with IV contrast
MRI paranasal sinuses without IV contrast
MRI pelvis (anal sphincter)
MRI pelvis (scrotum) without and with IV contrast
MRI pelvis (scrotum) without IV contrast
MRI pelvis and affected hip without and with IV contrast
MRI pelvis and affected hip without IV contrast

MRI pelvis dynamic with rectal contrast


MRI pelvis endorectal coil
MRI pelvis without and with IV contrast
MRI pelvis without IV contrast
MRI sacroiliac joints and spine area of interest without and with IV contrast
MRI sacroiliac joints and spine area of interest without IV contrast
MRI sacroiliac joints without and with IV contrast
MRI sacroiliac joints without IV contrast
MRI sacrum without and with IV contrast
MRI sacrum without IV contrast
MRI shoulder without and with IV contrast
MRI shoulder without IV contrast
MRI spine area of interest with IV contrast
MRI spine area of interest without and with IV contrast
MRI spine area of interest without IV contrast
MRI spine flow without IV contrast
MRI spine include MR myelography
MRI spine without and with IV contrast
MRI spine without IV contrast

MRI sternum without and with IV contrast


MRI sternum without IV contrast
MRI thigh without and with IV contrast
MRI thigh without and with IV contrast bilateral
MRI thigh without IV contrast
MRI thigh without IV contrast bilateral
MRI thoracic and lumbar spine without and with IV contrast
MRI thoracic and lumbar spine without IV contrast
MRI thumb without and with IV contrast
MRI thumb without IV contrast
MRI whole body without and with IV contrast
MRI whole body without IV contrast
MRI wrist without and with IV contrast
MRI wrist without IV contrast
NUCLEAR MEDICINE
ACE-inhibitor renography
Cholescintigraphy
Cisternography
Ga-67 scan abdomen

Ga-67 scan knee


Ga-67 scan lung
I-123 IMP SPECT head
I-123 Ioflupane SPECT head (DaT scan)
In-111 capromab pendetide scan
In-111 DTPA cisternography
In-111 somatostatin receptor scintigraphy
In-111 WBC and sulfur colloid scan knee
In-111 WBC and Tc-99m sulfur colloid scan hip
In-111 WBC and Tc-99m sulfur colloid scan shoulder
In-111 WBC scan
In-111 WBC scan abdomen and pelvis
In-111 WBC scan heart
In-111 WBC scan spine
Iodocholesterol scan
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan ankle
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan area of
interest
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan arm
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan femur

Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan foot
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan forearm
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan hand
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan knee
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan shoulder
Labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur colloid marrow scan wrist
Labeled leukocyte scan (In-111 or Tc-99m) area of interest
Labeled leukocyte scan ankle (In-111 or Tc-99m)
Labeled leukocyte scan arm (In-111 or Tc-99m)
Labeled leukocyte scan femur (In-111 or Tc-99m)
Labeled leukocyte scan foot (In-111 or Tc-99m)
Labeled leukocyte scan forearm (In-111 or Tc-99m)
Labeled leukocyte scan hand (In-111 or Tc-99m)
Labeled leukocyte scan knee (In-111 or Tc-99m)
Labeled leukocyte scan shoulder (In-111 or Tc-99m)
Labeled leukocyte scan wrist (In-111 or Tc-99m)
MIBG
Radionuclide venography upper extremity and chest
SPECT femur

SPECT head
SPECT paranasal sinuses
SPECT spine
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan ankle
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan area of interest
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan arm
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan femur
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan foot
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan hand
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan knee
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan shoulder
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) and Tc-99m sulfur
colloid marrow scan wrist
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) ankle
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) area of interest
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) arm
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) femur
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) foot
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) forearm
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) hand

Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) knee
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) shoulder
Tc-99m 3-phase bone scan and labeled leukocyte scan (In-111 or Tc-99m) wrist
Tc-99m 3-phase bone scan ankle
Tc-99m 3-phase bone scan area of interest
Tc-99m 3-phase bone scan arm
Tc-99m 3-phase bone scan femur
Tc-99m 3-phase bone scan foot
Tc-99m 3-phase bone scan knee
Tc-99m 3-phase bone scan lower thoracic spine to distal lower extremities
Tc-99m 3-phase bone scan shoulder
Tc-99m 3-phase bone scan wrist
Tc-99m bone scan and Ga-67 scan hip
Tc-99m bone scan ankle
Tc-99m bone scan area of interest
Tc-99m bone scan arm
Tc-99m bone scan elbow
Tc-99m bone scan femur
Tc-99m bone scan foot

Tc-99m bone scan forearm


Tc-99m bone scan hand
Tc-99m bone scan hindfoot/ankle
Tc-99m bone scan hip
Tc-99m bone scan knee
Tc-99m bone scan leg
Tc-99m bone scan neck
Tc-99m bone scan ribs
Tc-99m bone scan shoulder
Tc-99m bone scan whole body
Tc-99m bone scan whole body with SPECT area of interest
Tc-99m bone scan whole body with SPECT complete spine
Tc-99m bone scan whole body with SPECT hip
Tc-99m bone scan whole body with SPECT hip and spine
Tc-99m bone scan whole body with SPECT lower extremity area of interest
Tc-99m bone scan whole body with SPECT neck
Tc-99m bone scan with SPECT hips
Tc-99m bone scan with SPECT lower extremity
Tc-99m bone scan with SPECT neck

Tc-99m bone scan with SPECT spine


Tc-99m bone scan wrist
Tc-99m bone SPECT sternum
Tc-99m DMSA renal cortical scintigraphy
Tc-99m DMSA scan kidney
Tc-99m DTPA scan kidney
Tc-99m DTPA scan lung
Tc-99m HMPAO leucoscintigraphy
Tc-99m HMPAO SPECT head
Tc-99m HMPAO SPECT head ictal
Tc-99m labeled RBC scan abdomen
Tc-99m labeled RBC scan abdomen and pelvis
Tc-99m MAG3 scan kidney
Tc-99m MDP 3-phase bone scan elbow
Tc-99m nuclear arthrography hip
Tc-99m pertechnetate radionuclide cystography
Tc-99m pertechnetate-labeled albumin pulmonary scan
Tc-99m RBC scan liver
Tc-99m scrotal scintigraphy

Tc-99m sestamibi BSGI


Tc-99m sestamibi SPECT heart
Tc-99m SPECT MPI rest and stress
Tc-99m SPECT MPI rest only
Tc-99m sulfur colloid cystography
Tc-99m sulfur colloid reflux scintigraphy
Tc-99m sulfur colloid scan liver
Tc-99m transit scintigraphy esophagus
Tc-99m V/Q scan lung
Tc-99m ventriculography
Tc-99m WBC scan abdomen and pelvis
Thallium-201 SPECT head
Thallium-201 SPECT heart
OTHER
MEG
POSITRON EMISSION TOMOGRAPHY AND PEM
FDG-PEM
F18-fluoride PET hip
FDG-PET heart

FDG-PET hip
Rb-82 PET heart stress
Amyloid PET/CT head
FDG-PET/CT abdomen
FDG-PET/CT abdomen and pelvis
FDG-PET/CT ankle
FDG-PET/CT area of interest
FDG-PET/CT arm
FDG-PET/CT chest
FDG-PET/CT chest and abdomen
FDG-PET/CT elbow
FDG-PET/CT femur
FDG-PET/CT foot
FDG-PET/CT forearm
FDG-PET/CT hand
FDG-PET/CT head
FDG-PET/CT knee
FDG-PET/CT leg
FDG-PET/CT maxillofacial

FDG-PET/CT neck
FDG-PET/CT pelvis
FDG-PET/CT shoulder
FDG-PET/CT skull base to mid-thigh
FDG-PET/CT whole body
FDG-PET/CT wrist
ULTRASOUND
QUS calcaneus
US abdomen
US abdomen (FAST scan)
US abdomen (UGI tract)
US abdomen and pelvis
US abdomen and pelvis transabdominal
US abdomen and pelvis transabdominal and US pelvis transvaginal
US abdomen and retroperitoneum
US abdomen endoscopic
US abdomen intraoperative/laparoscopic
US abdomen RLQ
US abdomen transabdominal graded compression

US adrenal gland
US ankle
US aorta abdomen
US appendicular skeleton area of interest
US area of interest
US arm
US arthrocentesis shoulder
US breast
US breast bilateral
US breast short interval follow-up
US cervical stress test
US cervix transperineal
US cervix transvaginal
US chest
US chest abdomen and pelvis (FAST scan)
US color Doppler kidneys and bladder retroperitoneal
US duplex Doppler adnexa
US duplex Doppler carotid
US duplex Doppler kidney transplant

US duplex Doppler lower extremity


US duplex Doppler pelvis
US duplex Doppler scrotum
US duplex Doppler subclavian artery and vein
US duplex Doppler upper extremity
US duplex Doppler velocimetry
US echocardiography fetal
US echocardiography transesophageal
US echocardiography transesophageal bubble study
US echocardiography transthoracic bubble study
US echocardiography transthoracic resting
US echocardiography transthoracic stress
US elbow
US finger
US foot
US forearm
US hand
US head
US hindfoot/ankle

US hip
US hips
US intravascular aorta
US intravascular aorta and iliofemoral system
US kidney retroperitoneal
US kidney retroperitoneal with duplex Doppler
US kidneys and bladder
US kidneys and bladder retroperitoneal
US knee
US leg
US lower extremity area of interest (not pelvis or hip)
US maxillofacial
US neck
US pelvis
US pelvis (bladder and prostate) transabdominal
US pelvis (bladder and urethra)
US pelvis (bladder)
US pelvis (prostate) transabdominal
US pelvis (prostate) transrectal

US pelvis (urethra)
US pelvis transabdominal
US pelvis transperineal
US pelvis transrectal
US pelvis transrectal (anal sphincter)
US pelvis transvaginal
US pregnant uterus
US pregnant uterus biophysical profile
US pregnant uterus modified biophysical profile
US pregnant uterus repeat transabdominal
US pregnant uterus transabdominal
US pregnant uterus transperineal
US pregnant uterus transvaginal
US sacroiliac joints
US saline infusion sonohysterography
US scrotum
US shoulder
US spine
US thigh

US thigh bilateral
US thumb
US transcranial bubble study
US transcranial with Doppler
US wrist
US kidneys and bladder retroperitoneal with Doppler and KUB
US kidneys and bladder retroperitoneal with KUB
RADIOGRAPHY
Cast and repeat x-ray wrist in 10-14 days
X-ray abdomen
X-ray abdomen and pelvis
X-ray abdomen and pelvis (KUB)
X-ray ankle
X-ray ankle Brodens view
X-ray ankle stress views
X-ray appendicular skeleton
X-ray appendicular skeleton area of interest
X-ray area of interest
X-ray area of interest repeat in 10-14 days

X-ray arm
X-ray axial skeleton
X-ray cervical spine
X-ray cervical spine flexion extension lateral views
X-ray chest
X-ray chest abdomen pelvis
X-ray chest portable
X-ray chest preoperative
X-ray chest routine admission
X-ray chest routine outpatient
X-ray chest routine preoperative
X-ray complete spine
X-ray elbow
X-ray elbow stress views
X-ray femur
x-ray finger
X-ray foot
X-ray foot forced dorsiflexion lateral
X-ray foot with weight bearing

X-ray forearm
X-ray hand
X-ray hindfoot/ankle stress views
X-ray hip
X-ray hip ipsilateral
X-ray hip repeat in 10-14 days
X-ray hips
X-ray knee
x-ray leg
X-ray lower extremity area of interest (not pelvis or hip)
X-ray lower extremity area of interest (not pelvis or hip) repeat in 10-14 days
X-ray lumbar spine
X-ray lumbosacral spine
X-ray orbit
X-ray paranasal sinuses
X-ray pelvis
X-ray pelvis and hips
X-ray pelvis and leg and foot
X-ray pelvis repeat in 10-14 days

X-ray radiostereogrammetry hip


X-ray rib views
X-ray sacroiliac joints
X-ray sacrum repeat in 10-14 days
X-ray sella
X-ray shoulder
X-ray skeletal survey
X-ray skull
X-ray spine
X-ray spine and hip
X-ray spine area of interest
X-ray spine hot area(s)
X-ray sternum
X-ray tenography hindfoot/ankle
X-ray thoracic and lumbar spine
X-ray thoracic or lumbar spine
X-ray thoracic spine
X-ray thumb
X-ray thumb with valgus stress and contralateral comparison

X-ray tibia/fibula
X-ray tomography chest
X-ray tomography head
X-ray wrist
X-ray wrist additional views

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