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Louisiana State University
Health Sciences Center
Radiology Education Department
Shreveport, La
(318) 675-6212

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pdf\la medicaid pre certs\MRI and CT - Head and CT Neck.pdfDEPARTMENT	ICD9	EXAM PRE-CERT FORM

CT		Abdomen and Pelvis-Appendicitis
CT		Abdomen and Pelvis -Renal
CT		Abdomen and Pelvis - General
CT		Chest
CT		Chest and Neck
CT	codes	CHEST, ABDOMEN AND PELVIS
CT
CT	codes	CTA HEAD AND NECK
CT	codes	CT HEAD
CT	codes	CT MAXILLOFACIAL
CT	codes	CT MAXILLOFACIAL AND NECK
CT	codes	CT NECK
CT		CT Spine
CT	codes	CT HEAD AND NECK
CT/MRI		MRI and CT Head
CT/MRI	codes	CT/MR HEAD AND MR SPINE
CT/MRI	codes	CTA and MRA HEAD
CTA/MRA	codes	CTA and MRA HEAD and Neck
	ICD9
MRI		MRI Abdomen
MRI		MRI Abdomen and Pelvis
MRI		MRI Breast
MRI	codes	MR HEAD
MRI
MRI	codes	MR KNEE
MRI		MRI Knee
MRI	codes	MR MRA HEAD
MRI		MRI LE and UE Joint
MRI	codes	MR PELVIS
MRI	codes	MR SPINE
MRI		MRI Spine Evaluate back or neck pain
MRI		MRI Spine Multiple Sclerosis
MRI		MRI Spine Trauma
MRI and CT		Head
MRI and CT		Head and CT Neck
MRI and CT		Head and MRI Spine
MRA and CTA		Head and Neck
Oncology Request for CT-MRI		Oncology Request for CT-MRI
	ICD9
NUCLEAR	codes	Post Revascularzation History of CAD without Silent Ischemis
Nuclear		Cardiac Pre Op Cardiac Evaluation
Nuclear		Cardiac Rule Out CAD New LV Dys- pre trans eval
RUM Procedure		NEW
FORMUHC
FORMCHS
FORMLACARE		*LaCare* A Program of AmeriHealth Mercy of Louisiana, Inc.
FORMlousisanahealthcare		Louisiana Healthcare Connections