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Home Chronic Elbow Pain
Variants
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, initial imaging 3195419
Radiography elbow
<0.1 mSv
☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, mechanical symptoms, osteocartilaginous body suspected, radiography nonspecific, next imaging study 3195422
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, intra-articular pathology suspected, radiography normal, next imaging study 3195427
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, synovial abnormality suspected, radiography normal, next imaging study 3195424
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, osteocartilaginous body suspected, radiography normal, next imaging study 3195426
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, osteochondral lesion suspected, radiography nonspecific, next imaging study 3195421
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, intra-articular pathology suspected, radiography nonspecific, next imaging study 3195423
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, osteochondral lesion suspected, radiography normal, next imaging study 3195425
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, mechanical symptoms, synovial abnormality suspected, radiography nonspecific, next imaging study 3195420
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, occult stress fracture suspected, radiography nonspecific, next imaging study 3195430
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Elbow pain, chronic, bone abnormality suspected, radiography normal, next imaging study 3195429
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Elbow pain, chronic, occult stress fracture suspected, radiography normal, next imaging study 3195431
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Elbow pain, chronic, bone abnormality suspected, radiography nonspecific, next imaging study 3195428
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
May be appropriate
(Disagreement)
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, tendon tear suspected, refractory to empirical treatment, radiography normal, next imaging study 3195436
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, epicondylalgia suspected, refractory to empirical treatment, radiography normal, next imaging study 3195434
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, epicondylalgia suspected, refractory to empirical treatment, radiography nonspecific, next imaging study 3195433
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, tendon tear suspected, refractory to empirical treatment, radiography nonspecific, next imaging study 3195435
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, collateral ligament tear suspected, radiography nonspecific, next imaging study 3195437
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
Radiography elbow stress views
<0.1 mSv
☢
May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, collateral ligament tear suspected, radiography normal, next imaging study 3195438
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually appropriate
Radiography elbow stress views
<0.1 mSv
☢
May be appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Scenario Scenario ID Procedure Adult RRL Peds RRL Appropriateness Category
Elbow pain, chronic, nerve abnormality suspected, radiography normal, next imaging study 3195440
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
Elbow pain, chronic, nerve abnormality suspected, radiography nonspecific, next imaging study 3195439
US elbow
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
MRI elbow without IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually appropriate
CT elbow without IV contrast
0.1-1mSv
☢☢
May be appropriate
MR arthrography elbow
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
MRI elbow without and with IV contrast
0 mSv
O 		0 mSv [ped]
O 		Usually not appropriate
CT arthrography elbow
0.1-1mSv
☢☢
Usually not appropriate
CT elbow with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
CT elbow without and with IV contrast
0.1-1mSv
☢☢
Usually not appropriate
3-phase bone scan elbow
1-10 mSv
☢☢☢
Usually not appropriate
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