ACR AC Portal

Panel

Sex

Age

Body Area

Priority Clinical Areas

Panel	Scenario		Sex	Age	Body Area	Priority Clinical Areas
Breast	3110141	Axillary adenopathy, breast cancer suspected	Male Only	18 - 150	Breast
Breast	3194817	Axillary lump, palpable, new, bilateral, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3194815	Axillary lump, palpable, new, unilateral, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3194837	Axillary node, suspicious on imaging, not mammo or US, next imaging study	Female Only	18 - 150	Breast
Breast	3194835	Axillary node, suspicious on mammo or US, next imaging study	Female Only	18 - 150	Breast
Breast	3199337	Breast abscess suspected, pregnant, initial imaging	Female Only	10 - 60	Breast
Breast	3197142	Breast cancer screening, >=20-25% estimated lifetime risk	Female Only	30 - 150	Breast
Breast	3199408	Breast cancer screening, >=20-25% estimated lifetime risk	Female Only	18 - 29	Breast
Breast	3197137	Breast cancer screening, 15-20% estimated lifetime risk	Female Only	30 - 150	Breast
Breast	3199194	Breast cancer screening, ashkenazi descent	Male Only	25 - 150	Breast
Breast	3199207	Breast cancer screening, ashkenazi descent	Male Only	18 - 24	Breast
Breast	3199202	Breast cancer screening, average risk	Male Only	25 - 150	Breast
Breast	3199204	Breast cancer screening, average risk	Male Only	18 - 24	Breast
Breast	3197134	Breast cancer screening, average risk	Female Only	40 - 150	Breast
Breast	3199208	Breast cancer screening, black race	Male Only	18 - 24	Breast
Breast	3199195	Breast cancer screening, black race	Male Only	25 - 150	Breast
Breast	3185415	Breast cancer screening, cancer hx, mastectomy side, no reconstruction	Female Only	18 - 150	Breast
Breast	3185416	Breast cancer screening, cancer hx, mastectomy, autologous reconstruction side	Female Only	18 - 150	Breast
Breast	3185417	Breast cancer screening, cancer hx, mastectomy, nonautologous reconstruction side	Female Only	18 - 150	Breast
Breast	3199210	Breast cancer screening, chest radiation therapy hx	Male Only	18 - 24	Breast
Breast	3199197	Breast cancer screening, chest radiation therapy hx	Male Only	25 - 150	Breast
Breast	3197138	Breast cancer screening, extremely dense breasts	Female Only	30 - 150	Breast
Breast	3197139	Breast cancer screening, family hx breast cancer	Female Only	30 - 150	Breast
Breast	3199198	Breast cancer screening, family hx breast cancer	Male Only	25 - 150	Breast
Breast	3199211	Breast cancer screening, family hx breast cancer	Male Only	18 - 24	Breast
Breast	3199212	Breast cancer screening, genetic predisposition	Male Only	18 - 24	Breast
Breast	3199199	Breast cancer screening, genetic predisposition	Male Only	25 - 150	Breast
Breast	3199409	Breast cancer screening, high risk	Female Only	18 - 29	Breast
Breast	3197141	Breast cancer screening, high risk	Female Only	30 - 150	Breast
Breast	3185419	Breast cancer screening, high risk, bilateral prophylactic mastectomy, autologous reconstructions	Female Only	18 - 150	Breast
Breast	3185418	Breast cancer screening, high risk, bilateral prophylactic mastectomy, no reconstruction	Female Only	18 - 150	Breast
Breast	3185420	Breast cancer screening, high risk, bilateral prophylactic mastectomy, nonautologous reconstructions	Female Only	18 - 150	Breast
Breast	3199213	Breast cancer screening, higher estrogen hormone levels	Male Only	18 - 24	Breast
Breast	3199196	Breast cancer screening, higher estrogen hormone levels	Male Only	25 - 150	Breast
Breast	3199192	Breast cancer screening, higher than average risk	Male Only	25 - 150	Breast
Breast	3199205	Breast cancer screening, higher than average risk	Male Only	18 - 24	Breast
Breast	3197135	Breast cancer screening, hx of atypical neoplasia prior to 40yo	Female Only	30 - 150	Breast
Breast	3197146	Breast cancer screening, hx of breast cancer	Female Only	30 - 150	Breast
Breast	3199404	Breast cancer screening, hx of breast cancer	Female Only	18 - 29	Breast
Breast	3199206	Breast cancer screening, hx of breast cancer	Male Only	18 - 24	Breast
Breast	3199193	Breast cancer screening, hx of breast cancer	Male Only	25 - 150	Breast
Breast	3197140	Breast cancer screening, hx of lobular neoplasia prior to 40yo	Female Only	30 - 150	Breast
Breast	3197136	Breast cancer screening, intermediate risk	Female Only	30 - 150	Breast
Breast	3141513	Breast cancer screening, lactating, initial exam	Female Only	10 - 60	Breast
Breast	3199200	Breast cancer screening, lower androgen hormone levels	Male Only	25 - 150	Breast
Breast	3199209	Breast cancer screening, lower androgen hormone levels	Male Only	18 - 24	Breast
Breast	3199407	Breast cancer screening, pathogenic mutation	Female Only	18 - 29	Breast
Breast	3197143	Breast cancer screening, pathogenic mutation	Female Only	30 - 150	Breast
Breast	3197144	Breast cancer screening, pathogenic mutation in first degree relative, untested	Female Only	30 - 150	Breast
Breast	3199406	Breast cancer screening, pathogenic mutation in first degree relative, untested	Female Only	18 - 29	Breast
Breast	3199322	Breast cancer screening, pregnant, average risk	Female Only	40 - 60	Breast
Breast	3141514	Breast cancer screening, pregnant, higher than average risk	Female Only	10 - 24	Breast
Breast	3141517	Breast cancer screening, pregnant, higher than average risk	Female Only	25 - 60	Breast
Breast	3199323	Breast cancer screening, pregnant, intermediate risk	Female Only	40 - 60	Breast
Breast	3194277	Breast cancer screening, supplemental, average risk, extremely dense breasts	Female Only	40 - 150	Breast
Breast	3194281	Breast cancer screening, supplemental, average risk, heterogeneously dense breasts	Female Only	40 - 150	Breast
Breast	3194275	Breast cancer screening, supplemental, average risk, nondense breasts	Female Only	40 - 150	Breast
Breast	3198795	Breast cancer screening, supplemental, high risk, dense breasts	Female Only	25 - 150	Breast
Breast	3194279	Breast cancer screening, supplemental, high risk, nondense breasts	Female Only	25 - 150	Breast
Breast	3194285	Breast cancer screening, supplemental, intermediate risk, extremely dense breasts	Female Only	30 - 150	Breast
Breast	3194283	Breast cancer screening, supplemental, intermediate risk, heterogeneously dense breasts	Female Only	30 - 150	Breast
Breast	3198791	Breast cancer screening, supplemental, intermediate risk, nondense breasts	Female Only	30 - 150	Breast
Breast	3197145	Breast cancer screening, thoracic radiation therapy at 10-30yo	Female Only	30 - 150	Breast
Breast	3199405	Breast cancer screening, thoracic radiation therapy at 10-30yo	Female Only	18 - 29	Breast
Breast	3194314	Breast cancer screening, transfeminine, average risk, current hormone use >=5 yrs	All	40 - 150	Breast
Breast	3194330	Breast cancer screening, transfeminine, average risk, hormone use <5 yrs	All	40 - 150	Breast
Breast	3194331	Breast cancer screening, transfeminine, average risk, no hormone use	All	40 - 150	Breast
Breast	3194315	Breast cancer screening, transfeminine, average risk, past hormone use >=5 yrs	All	40 - 150	Breast
Breast	3194321	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, chest irradiation at 10-30 yo	All	25 - 150	Breast
Breast	3194319	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, family hx breast cancer	All	25 - 150	Breast
Breast	3194318	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, family hx ovarian cancer	All	25 - 150	Breast
Breast	3194320	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194322	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, personal hx breast cancer	All	25 - 150	Breast
Breast	3194317	Breast cancer screening, transfeminine, higher than average risk, current hormone use >=5 yrs, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194337	Breast cancer screening, transfeminine, higher than average risk, hormone use <5 yrs, chest irradiation at 10-30yo	All	25 - 150	Breast
Breast	3194335	Breast cancer screening, transfeminine, higher than average risk, hormone use <5 yrs, family hx breast cancer	All	25 - 150	Breast
Breast	3194334	Breast cancer screening, transfeminine, higher than average risk, hormone use <5 yrs, family hx ovarian cancer	All	25 - 150	Breast
Breast	3194336	Breast cancer screening, transfeminine, higher than average risk, hormone use <5 yrs, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194338	Breast cancer screening, transfeminine, higher than average risk, hormone use <5 yrs, personal hx breast cancer	All	25 - 150	Breast
Breast	3194343	Breast cancer screening, transfeminine, higher than average risk, no hormone use, chest irradiation at 10-30 yo	All	25 - 150	Breast
Breast	3194341	Breast cancer screening, transfeminine, higher than average risk, no hormone use, family hx breast cancer	All	25 - 150	Breast
Breast	3194340	Breast cancer screening, transfeminine, higher than average risk, no hormone use, family hx ovarian cancer	All	25 - 150	Breast
Breast	3194342	Breast cancer screening, transfeminine, higher than average risk, no hormone use, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194344	Breast cancer screening, transfeminine, higher than average risk, no hormone use, personal hx breast cancer	All	25 - 150	Breast
Breast	3194339	Breast cancer screening, transfeminine, higher than average risk, no hormone use, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194327	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, chest irradiation at 10-30 yo	All	25 - 150	Breast
Breast	3194325	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, family hx breast cancer	All	25 - 150	Breast
Breast	3194324	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, family hx ovarian cancer	All	25 - 150	Breast
Breast	3194326	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194328	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, personal hx breast cancer	All	25 - 150	Breast
Breast	3194323	Breast cancer screening, transfeminine, higher than average risk, past hormone use >=5 yrs, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194333	Breast cancer screening, transfeminine, higher than average risk,hormone use <5 yrs, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194346	Breast cancer screening, transmasculine, any risk, bilateral mastectomies	All	25 - 150	Breast
Breast	3194348	Breast cancer screening, transmasculine, average risk, <15% lifetime risk, no chest surgery	All	40 - 150	Breast
Breast	3194349	Breast cancer screening, transmasculine, average risk, <15% lifetime risk, reduction mammoplasty	All	40 - 150	Breast
Breast	3194360	Breast cancer screening, transmasculine, high risk, no chest surgery, >=20% lifetime risk	All	25 - 150	Breast
Breast	3194361	Breast cancer screening, transmasculine, high risk, no chest surgery, chest irradiation 10-30 yo	All	25 - 150	Breast
Breast	3194363	Breast cancer screening, transmasculine, high risk, no chest surgery, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194362	Breast cancer screening, transmasculine, high risk, no chest surgery, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194364	Breast cancer screening, transmasculine, high risk, reduction mammoplasty, >=20% lifetime risk	All	25 - 150	Breast
Breast	3194365	Breast cancer screening, transmasculine, high risk, reduction mammoplasty, chest irradiation 10-30 yo	All	25 - 150	Breast
Breast	3194367	Breast cancer screening, transmasculine, high risk, reduction mammoplasty, genetic predisposition to breast cancer	All	25 - 150	Breast
Breast	3194366	Breast cancer screening, transmasculine, high risk, reduction mammoplasty, untested, genetic predisposition to breast cancer in first degree relative	All	25 - 150	Breast
Breast	3194351	Breast cancer screening, transmasculine, intermediate risk, no chest surgery, 15-20% lifetime risk	All	30 - 150	Breast
Breast	3194352	Breast cancer screening, transmasculine, intermediate risk, no chest surgery, personal hx atypical ductal hyperplasia	All	30 - 150	Breast
Breast	3194354	Breast cancer screening, transmasculine, intermediate risk, no chest surgery, personal hx breast cancer	All	30 - 150	Breast
Breast	3194353	Breast cancer screening, transmasculine, intermediate risk, no chest surgery, personal hx lobular neoplasia	All	30 - 150	Breast
Breast	3194355	Breast cancer screening, transmasculine, intermediate risk, reduction mammoplasty, 15-20% lifetime risk	All	30 - 150	Breast
Breast	3194356	Breast cancer screening, transmasculine, intermediate risk, reduction mammoplasty, personal hx atypical ductal hyperplasia	All	30 - 150	Breast
Breast	3194358	Breast cancer screening, transmasculine, intermediate risk, reduction mammoplasty, personal hx breast cancer	All	30 - 150	Breast
Breast	3194357	Breast cancer screening, transmasculine, intermediate risk, reduction mammoplasty, personal hx lobular neoplasia	All	30 - 150	Breast
Breast	3194819	Breast cancer, <=2cm, newly diagnosed, clinical node negative, diagnostic mammo or DBT performed, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3194821	Breast cancer, <=2cm, newly diagnosed, clinical node positive, diagnostic mammo or DBT performed, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3194829	Breast cancer, >2cm, clinical node negative, neoadjuvant chemotherapy completed, axilla imaging	Female Only	18 - 150	Breast
Breast	3194831	Breast cancer, >2cm, clinical node positive, neoadjuvant chemotherapy completed, prior to surgery, axilla imaging	Female Only	18 - 150	Breast
Breast	3194827	Breast cancer, >2cm, mid treatment neoadjuvant chemotherapy, initial clinical node negative, new palpable axillary lump, axilla imaging	Female Only	18 - 150	Breast
Breast	3194823	Breast cancer, >2cm, newly diagnosed, clinical node negative, diagnostic mammo or DBT performed, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3194825	Breast cancer, >2cm, newly diagnosed, clinical node positive, diagnostic mammo or DBT performed before treatment, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3196767	Breast cancer, any clinical stage at original presentation, distant disease surveillance	All	18 - 150	Breast
Breast	3196769	Breast cancer, any clinical stage at original presentation, distant recurrence suspected	All	18 - 150	Breast
Breast	3196759	Breast cancer, any clinical stage at original presentation, treated with breast conservation, local recurrence surveillance	All	18 - 150	Breast
Breast	3196763	Breast cancer, any clinical stage at original presentation, treated with breast conservation, local recurrence suspected	All	18 - 150	Breast
Breast	3196761	Breast cancer, any clinical stage at original presentation, treated with mastectomy, local recurrence surveillance	All	18 - 150	Breast
Breast	3196765	Breast cancer, any clinical stage at original presentation, treated with mastectomy, local recurrence suspected	All	18 - 150	Breast
Breast	3195965	Breast cancer, axillary mets suspected on mammo or US or MRI, next imaging study	All	18 - 150	Breast
Breast	3195963	Breast cancer, axillary node positive on prior mammo or US or MRI, post completion neoadjuvant chemo, next imaging study to evaluate axilla	All	18 - 150	Breast
Breast	3195959	Breast cancer, clinically node negative, evaluate axilla, post completion neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3195955	Breast cancer, clinically node negative, evaluate axilla, prior to neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3195957	Breast cancer, clinically node positive, evaluate axilla, prior to neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3195951	Breast cancer, determine tumor size and extent within the breast, prior to neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3195953	Breast cancer, evaluate breast, post completion neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3195952	Breast cancer, evaluate breast, post initiation neoadjuvant chemo, initial imaging	All	18 - 150	Breast
Breast	3194833	Breast cancer, locally recurrent, newly diagnosed, diagnostic mammo or DBT performed, initial axilla imaging	Female Only	18 - 150	Breast
Breast	3195961	Breast cancer, metastatic disease suspected, post completion neoadjuvant chemo, assess response, initial imaging	All	18 - 150	Breast
Breast	3195960	Breast cancer, metastatic disease suspected, staging, initial imaging	All	18 - 150	Breast
Breast	3196755	Breast cancer, newly diagnosed, clinical stage IIB-III, IDC, ER-/PR-/HER2-, distant disease evaluation	All	18 - 150	Breast
Breast	3196751	Breast cancer, newly diagnosed, clinical stage IIB-III, IDC, ER+/HER2-, distant disease evaluation	All	18 - 150	Breast
Breast	3196754	Breast cancer, newly diagnosed, clinical stage IIB-III, IDC, HER2+, distant disease evaluation	All	18 - 150	Breast
Breast	3196757	Breast cancer, newly diagnosed, clinical stage IIB-III, ILC, ER-/PR-/HER2-, distant disease evaluation	All	18 - 150	Breast
Breast	3196752	Breast cancer, newly diagnosed, clinical stage IIB-III, ILC, ER+/HER2-, distant disease evaluation	All	18 - 150	Breast
Breast	3196756	Breast cancer, newly diagnosed, clinical stage IIB-III, ILC, HER2+, distant disease evaluation	All	18 - 150	Breast
Breast	3196749	Breast cancer, newly diagnosed, clinical stage IIB-III, locoregional disease evaluation	All	18 - 150	Breast
Breast	3196747	Breast cancer, newly diagnosed, clinical stage I-IIA, distant disease evaluation	All	18 - 150	Breast
Breast	3196745	Breast cancer, newly diagnosed, clinical stage I-IIA, locoregional disease evaluation	All	18 - 150	Breast
Breast	3199335	Breast cancer, newly diagnosed, pregnant, locoregional staging	Female Only	10 - 60	Breast
Breast	3195401	Breast conservation surgery for breast cancer, negative margins, no radiation therapy, asymptomatic, surveillance	Female Only	18 - 150	Breast
Breast	3195400	Breast conservation surgery for breast cancer, negative margins, radiation therapy, asymptomatic, surveillance	Female Only	18 - 150	Breast
Breast	3195398	Breast excision, malignant, positive margins, asymptomatic, postsurgical, initial imaging	Female Only	18 - 150	Breast
Breast	3195392	Breast excision, nonmalignant, asymptomatic, postsurgical, initial imaging	Female Only	40 - 150	Breast
Breast	3195394	Breast excision, nonmalignant, asymptomatic, postsurgical, initial imaging	Female Only	30 - 39	Breast
Breast	3195396	Breast excision, nonmalignant, asymptomatic, postsurgical, initial imaging	Female Only	18 - 29	Breast
Breast	3196621	Breast implant associated anaplastic large cell lymphoma suspected, initial imaging	All	18 - 150	Breast
Breast	3141501	Breast implant evaluation, saline, asymptomatic, initial imaging	All	18 - 150	Breast
Breast	3141502	Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging	All	18 - 29	Breast
Breast	3196608	Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging	All	30 - 39	Breast
Breast	3196609	Breast implant evaluation, saline, clinical exam equivocal for implant rupture, initial imaging	All	40 - 150	Breast
Breast	3196611	Breast implant evaluation, silicone, asymptomatic, <5 yrs after implant placement, initial imaging	All	18 - 150	Breast
Breast	3196613	Breast implant evaluation, silicone, asymptomatic, 5 to 6 yrs after implant placement, initial imaging	All	18 - 150	Breast
Breast	3196614	Breast implant evaluation, silicone, asymptomatic, negative imaging 5 to 6 yrs after implant placement, follow-up imaging every 2 to 3 yrs	All	18 - 150	Breast
Breast	3196615	Breast implant evaluation, silicone, complication suspected, initial imaging	All	18 - 29	Breast
Breast	3196616	Breast implant evaluation, silicone, complication suspected, initial imaging	All	30 - 39	Breast
Breast	3196617	Breast implant evaluation, silicone, complication suspected, initial imaging	All	40 - 150	Breast
Breast	3196618	Breast implant, silicone, unexplained axillary adenopathy, initial imaging	All	18 - 29	Breast
Breast	3196619	Breast implant, silicone, unexplained axillary adenopathy, initial imaging	All	30 - 39	Breast
Breast	3196620	Breast implant, silicone, unexplained axillary adenopathy, initial imaging	All	40 - 150	Breast
Breast	3199338	Breast infection suspected, pregnant, initial imaging	Female Only	10 - 60	Breast
Breast	3110139	Breast mass palpable, breast cancer suspected	Male Only	18 - 150	Breast
Breast	3097338	Breast mass palpable, initial exam (male<25y)	Male Only	0 - 24	Breast
Breast	3097339	Breast mass palpable, initial exam (male>=25y)	Male Only	25 - 150	Breast
Breast	3191925	Breast mass palpable, mastectomy side, no reconstruction, initial imaging	Female Only	18 - 150	Breast
Breast	3191927	Breast mass palpable, mastectomy side, reconstruction, initial imaging	Female Only	18 - 150	Breast
Breast	3148151	Breast mass palpable, tomo or mammo indeterminate	Male Only	25 - 150	Breast
Breast	3196052	Breast mass, palpable, diagnostic mammo, DBT and US findings probably benign, BI-RADS 3, next imaging study	Female Only	40 - 150	Breast
Breast	3196055	Breast mass, palpable, initial imaging	Female Only	18 - 29	Breast
Breast	3196062	Breast mass, palpable, initial imaging	Female Only	30 - 39	Breast
Breast	3196047	Breast mass, palpable, initial imaging	Female Only	40 - 150	Breast
Breast	3196053	Breast mass, palpable, mammo findings benign at site of palpable mass, BI-RADS 2, next imaging study	Female Only	40 - 150	Breast
Breast	3196050	Breast mass, palpable, mammo findings highly suggestive of malignancy, BI-RADS 5, next imaging study	Female Only	40 - 150	Breast
Breast	3196054	Breast mass, palpable, mammo findings negative, BI-RADS 1, next imaging study	Female Only	40 - 150	Breast
Breast	3196049	Breast mass, palpable, mammo findings suspicious, BI-RADS 4, next imaging study	Female Only	40 - 150	Breast
Breast	3199340	Breast mass, palpable, pregnant, findings probably benign on US, next imaging study	Female Only	10 - 60	Breast
Breast	3199327	Breast mass, palpable, pregnant, initial imaging	Female Only	10 - 29	Breast
Breast	3141518	Breast mass, palpable, pregnant, initial imaging	Female Only	30 - 60	Breast
Breast	3196060	Breast mass, palpable, US findings benign, BI-RADS 2, next imaging study	Female Only	18 - 29	Breast
Breast	3196057	Breast mass, palpable, US findings highly suggestive of malignancy, BI-RADS 5, next imaging study	Female Only	18 - 29	Breast
Breast	3196061	Breast mass, palpable, US findings negative, BI-RADS 1, next imaging study	Female Only	18 - 29	Breast
Breast	3196059	Breast mass, palpable, US findings probably benign, BI-RADS 3, next imaging study	Female Only	18 - 29	Breast
Breast	3196058	Breast mass, palpable, US findings suspicious of malignancy, BI-RADS 4, next imaging study	Female Only	18 - 29	Breast
Breast	3148605	Breast pain, cyclical	Female Only	18 - 150	Breast
Breast	3148607	Breast pain, diffuse	Female Only	18 - 150	Breast
Breast	3199330	Breast pain, focal, pregnant, initial imaging	Female Only	30 - 60	Breast
Breast	3199328	Breast pain, focal, pregnant, initial imaging	Female Only	10 - 29	Breast
Breast	3191926	Breast pain, mastectomy side, no reconstruction, initial imaging	Female Only	18 - 150	Breast
Breast	3191928	Breast pain, mastectomy side, reconstruction, initial imaging	Female Only	18 - 150	Breast
Breast	3148149	Breast pain, noncyclical, focal	Female Only	30 - 39	Breast
Breast	3148150	Breast pain, noncyclical, focal	Female Only	40 - 150	Breast
Breast	3097333	Breast pain, noncyclical, focal	Female Only	0 - 29	Breast
Breast	3148606	Breast pain, nonfocal	Female Only	18 - 150	Breast
Breast	3198635	DCIS, breast conservation therapy, local recurrence evaluation, routine surveillance	All	18 - 150	Breast
Breast	3198641	DCIS, breast conservation therapy, local recurrence suspected based on labs, initial imaging	All	18 - 150	Breast
Breast	3198640	DCIS, breast conservation therapy, local recurrence suspected based on physical exam, initial imaging	All	18 - 150	Breast
Breast	3198639	DCIS, breast conservation therapy, local recurrence suspected based on symptoms, initial imaging	All	18 - 150	Breast
Breast	3198637	DCIS, mastectomy, ipsilateral local recurrence evaluation, routine surveillance	All	18 - 150	Breast
Breast	3198645	DCIS, mastectomy, local recurrence suspected based on labs, initial imaging	All	18 - 150	Breast
Breast	3198644	DCIS, mastectomy, local recurrence suspected based on physical exam, initial imaging	All	18 - 150	Breast
Breast	3198643	DCIS, mastectomy, local recurrence suspected based on symptoms, initial imaging	All	18 - 150	Breast
Breast	3198631	DCIS, newly diagnosed, initial imaging	All	18 - 150	Breast
Breast	3198633	DCIS, newly diagnosed, no surgical intervention, active surveillance	All	18 - 150	Breast
Breast	3198648	DCIS, with microinvasion on mammo, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3198649	DCIS, with microinvasion on MRI, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3198647	DCIS, with microinvasion on US, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3198653	DCIS, without microinvasion on mammo, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3198651	DCIS, without microinvasion on MRI, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3198652	DCIS, without microinvasion on US, axillary evaluation, next imaging study	All	18 - 150	Breast
Breast	3148583	Gynecomastia	Male Only	18 - 150	Breast
Breast	3110140	Nipple discharge or retraction, breast cancer suspected	Male Only	18 - 150	Breast
Breast	3199332	Nipple discharge, clinically suspicious, pregnant, initial imaging	Female Only	10 - 29	Breast
Breast	3141519	Nipple discharge, clinically suspicious, pregnant, initial imaging	Female Only	30 - 60	Breast
Breast	3195250	Nipple discharge, pathologic, initial imaging	All	40 - 150	Breast
Breast	3195251	Nipple discharge, pathologic, initial imaging	All	30 - 39	Breast
Breast	3195252	Nipple discharge, pathologic, initial imaging	Male Only	18 - 29	Breast
Breast	3195253	Nipple discharge, pathologic, initial imaging	Female Only	18 - 29	Breast
Breast	3195255	Nipple discharge, pathologic, transfeminine, initial imaging	All	30 - 150	Breast
Breast	3195257	Nipple discharge, pathologic, transfeminine, initial imaging	All	18 - 29	Breast
Breast	3195246	Nipple discharge, physiologic, initial imaging	Male Only	18 - 150	Breast
Breast	3195247	Nipple discharge, physiologic, initial imaging	Female Only	18 - 150	Breast
Breast	3195249	Nipple discharge, physiologic, transfeminine, initial imaging	All	18 - 150	Breast
Breast	3195248	Nipple discharge, physiologic, transmasculine, initial imaging	All	18 - 150	Breast
Breast	3199343	Palpable breast mass, pregnant, highly suggestive of malignancy findings on US, next imaging study	Female Only	10 - 60	Breast
Breast	3199342	Palpable breast mass, pregnant, suspicious malignancy findings on US, next imaging study	Female Only	10 - 60	Breast
Breast	3148584	Pseudogynecomastia	Male Only	18 - 150	Breast
Cardiac	3196446	Acquired coronary artery abnormality suspected, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3196445	Acquired coronary artery abnormality, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3196456	Anomalous pulmonary venous return suspected, TTE inadequate, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196457	Anomalous pulmonary venous return, TTE inadequate, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196459	Aortic coarctation suspected, TTE inadequate, next imaging study.	All	0 - 150	Cardiac-chest
Cardiac	3196461	Aortopathy, aorta surveillance, TTE inadequate, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3195891	Arterial occlusion, lower extremity, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen-pelvis
Cardiac	3195887	Arterial occlusion, mesenteric arterial system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Cardiac	3195888	Arterial occlusion, renal arterial system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Cardiac	3195889	Arterial occlusion, renal infarcts, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Cardiac	3195885	Arterial occlusion, upper extremity, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Cardiac	3195893	Arterial occlusions, multi organ system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen-pelvis
Cardiac	3196722	Atrial fibrillation, preprocedural planning, electrical cardioversion	All	18 - 150	Cardiac-chest
Cardiac	3196716	Atrial fibrillation, preprocedural planning, left atrial ablation	All	18 - 150	Cardiac-chest
Cardiac	3196720	Atrial fibrillation, preprocedural planning, left atrial appendage endovascular occlusion	All	18 - 150	Cardiac-chest
Cardiac	3196723	Atrial fibrillation, preprocedural planning, pharmacologic cardioversion	All	18 - 150	Cardiac-chest
Cardiac	3196718	Atrial flutter, atypical, preprocedural planning, left atrial ablation	All	18 - 150	Cardiac-chest
Cardiac	3196717	Atrial tachycardia, preprocedural planning, left atrial ablation	All	18 - 150	Cardiac-chest
Cardiac	3084019	CAD high risk, asymptomatic, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3084020	CAD intermediate risk, asymptomatic, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3084021	CAD low risk, asymptomatic, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3198448	Cardiac function assessment, during oncologic therapy, cardiac symptoms, ischemia not excluded, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3198446	Cardiac risk stratification, prior to initiation of oncologic therapy, no cardiac symptoms, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3194060	Cardiomyopathy dilated suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3084075	Cardiomyopathy hypertrophic suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194018	Cardiomyopathy inflammatory suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3084076	Cardiomyopathy restrictive suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194061	Cardiomyopathy unclassified suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3084074	Cardiomyopathy ventricular arrhythmogenic suspected, not ischemic, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194179	Chest pain, acute aortic syndrome suspected	All	18 - 150	Cardiac-chest
Cardiac	3073871	Chest pain, acute, nonspecific, low probability CAD, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3194883	Chest pain, chronic, high probability of CAD, ischemic heart disease, no prior definitive treatment, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3194881	Chest pain, chronic, high probability of CAD, no ischemic heart disease, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3073531	Chest pain, chronic, low-mod prob of CAD	All	18 - 150	Cardiac	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3164901	Chest pain, high prob acute coronary syndrome, initial imaging	All	18 - 150	Cardiac	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3073873	Chest pain, low to intermed prob acute coronary syndrome, initial imaging	All	18 - 150	Cardiac	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3185411	Chest trauma, blunt, cardiac injury suspected, hemodynamically stable	All	18 - 150	Chest
Cardiac	3185412	Chest trauma, blunt, cardiac injury suspected, hemodynamically unstable	All	18 - 150	Chest
Cardiac	3196448	Congenital coronary artery abnormality suspected, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3196447	Congenital coronary artery abnormality, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3196462	Connective tissue disease, aorta surveillance, TTE inadequate, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3198435	Coronary artery anomaly suspected, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3198437	Coronary artery anomaly, pretreatment planning, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194885	Dyspnea, cardiac arrhythmia suspected, ischemia excluded, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194886	Dyspnea, pericardial disease suspected, ischemia excluded, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194884	Dyspnea, valvular heart disease suspected, ischemia excluded, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3148153	Heart failure suspected, no hx of heart failure, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3198622	Heart failure, etiology unknown, initial imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3198624	Heart failure, follow-up imaging	All	18 - 150	Cardiac-chest	Coronary Artery Disease (suspected or diagnosed)
Cardiac	3194050	Infective endocarditis suspected, additional imaging for management or treatment	All	18 - 150	Cardiac-chest
Cardiac	3073880	Infective endocarditis suspected, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3194051	Infective endocarditis, additional imaging for management or treatment	All	18 - 150	Cardiac-chest
Cardiac	3194040	Presyncope, cardiovascular etiology suspected, initial imaging	All	18 - 150	Cardiac
Cardiac	3194042	Presyncope, low probability of cardiovascular etiology, initial imaging	All	18 - 150	Cardiac
Cardiac	3195265	Pulmonary embolism suspected, high pretest probability, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3195260	Pulmonary embolism suspected, intermediate pretest probability, negative D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3195263	Pulmonary embolism suspected, intermediate pretest probability, positive D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3195259	Pulmonary embolism suspected, low pretest probability, negative D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3195262	Pulmonary embolism suspected, low pretest probability, positive D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3195266	Pulmonary embolism suspected, pregnant, initial imaging	Female Only	10 - 60	Cardiac-chest	Suspected Pulmonary Embolism
Cardiac	3198627	Recurrent embolic disease suspected, hx of acute pulmonary embolism, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3196439	Repaired pulmonary valve stenosis, branch pulmonary artery stenosis suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196438	Repaired pulmonary valve stenosis, pulmonary valve dysfunction suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196437	Repaired tetralogy of Fallot, branch pulmonary artery stenosis suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196436	Repaired tetralogy of Fallot, pulmonary valve dysfunction suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3198626	Residual embolic disease suspected, hx of acute pulmonary embolism, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3196454	Single ventricle physiology, postop eval, stage 3 single ventricle palliation, total cavopulmonary connection, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196450	Single ventricle physiology, preop eval, stage 2 single ventricle palliation, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3196452	Single ventricle physiology, preop eval, stage 3 single ventricle palliation, total cavopulmonary connection, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 17	Cardiac-chest
Cardiac	3194041	Syncope, cardiovascular etiology suspected, initial imaging	All	18 - 150	Cardiac
Cardiac	3194043	Syncope, low probability of cardiovascular etiology, initial imaging	All	18 - 150	Cardiac
Cardiac	3196585	TAVR, preintervention planning, aortic root assessment, initial imaging	All	18 - 150	Cardiac-chest
Cardiac	3196586	TAVR, preintervention planning, supravalvular aorta and vascular access assessment, initial imaging	All	18 - 150	cardiac-chest-pelvis
Cardiac	3198629	Thromboembolic disease, chronic, surveillance	All	18 - 150	Cardiac-chest
Cardiac	3196443	Transposition of the great arteries, post arterial switch, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Cardiac	3196441	Transposition of the great arteries, post atrial switch, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Gastrointestinal	3081311	Abd pain, acute, nonlocalized, fever, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3074175	Abd pain, acute, nonlocalized, fever, post op, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3141529	Abd pain, acute, nonlocalized, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3141528	Abd pain, acute, nonlocalized, neutropenic, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3074207	Abdominal mass, intra-abdominal neoplasm suspected	All	18 - 150	Abdomen
Gastrointestinal	3195278	Abdominal wall hernia suspected, incisional, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195279	Abdominal wall hernia suspected, lumbar, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195280	Abdominal wall hernia suspected, spigelian, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195276	Abdominal wall hernia suspected, umbilical, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195277	Abdominal wall hernia suspected, ventral, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3155927	Abdominal wall mass, suspected	All	18 - 150	Abdomen
Gastrointestinal	3196531	Abnormal liver function tests, cholestatic predominance, elevated alkaline phosphatase with or without elevated gamma-glutamyl transpeptidase, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196526	Abnormal liver function tests, hepatocellular predominance, mild aminotransferase increase , initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196528	Abnormal liver function tests, hepatocellular predominance, moderate aminotransferase increase, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196529	Abnormal liver function tests, hepatocellular predominance, severe aminotransferase increase, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196533	Abnormal liver function tests, hyperbilirubinemia, acute cholestasis, conjugated, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196534	Abnormal liver function tests, hyperbilirubinemia, acute cholestasis, unconjugated, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196535	Abnormal liver function tests, hyperbilirubinemia, subacute cholestasis, conjugated, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196536	Abnormal liver function tests, hyperbilirubinemia, subacute cholestasis, unconjugated, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3411	Abscess, liver	All	18 - 150	Abdomen
Gastrointestinal	3198441	Anal cancer, squamous cell, assessment for mets, initial staging	All	18 - 150	Pelvis
Gastrointestinal	3198442	Anal cancer, squamous cell, assessment for mets, surveillance	All	18 - 150	Pelvis
Gastrointestinal	3198444	Anal cancer, squamous cell, locoregional assessment, posttreatment evaluation	All	18 - 150	Pelvis
Gastrointestinal	3198439	Anal cancer, squamous cell, newly diagnosed, locoregional assessment, initial staging	All	18 - 150	Pelvis
Gastrointestinal	3199189	Appendiceal cancer, disease monitoring during treatment	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199190	Appendiceal cancer, posttreatment evaluation	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199181	Bariatric procedure, complication suspected, postprocedure evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199179	Bariatric procedure, less-invasive, complication suspected, postprocedure evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199177	Bariatric procedure, routine immediate postprocedure evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199175	Bariatric procedure, routine preprocedure planning	All	18 - 150	Abdomen
Gastrointestinal	3194195	Colectomy with anastomosis, complication suspected, initial imaging.	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199187	Colon cancer, posttreatment evaluation	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199185	Colon cancer, staging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3194194	Coloproctectomy with anastomosis, complication suspected, initial imaging.	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3198656	Colorectal cancer screening, 5 yr follow-up after initial negative screening, average risk	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198659	Colorectal cancer screening, 5 yr follow-up after initial negative screening, elevated risk	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198664	Colorectal cancer screening, average risk, cannot tolerate colonoscopy	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198665	Colorectal cancer screening, average risk, incomplete colonoscopy	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198666	Colorectal cancer screening, elevated risk, cannot tolerate colonoscopy	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198667	Colorectal cancer screening, elevated risk, incomplete colonoscopy	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198660	Colorectal cancer screening, high risk	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3198662	Colorectal cancer screening, high risk, cannot tolerate colonoscopy	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3198663	Colorectal cancer screening, high risk, incomplete colonoscopy	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3198655	Colorectal cancer screening, initial, average risk	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3198658	Colorectal cancer screening, initial, elevated risk	All	45 - 75	Abdomen-pelvis
Gastrointestinal	3074190	Crohn disease suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3074192	Crohn disease, acute exacerbation suspected	All	18 - 150	Abdomen
Gastrointestinal	3074194	Crohn disease, surveillance and monitoring therapy	All	18 - 150	Abdomen
Gastrointestinal	3195285	Deep pelvic hernia suspected, obturator, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3195287	Deep pelvic hernia suspected, perineal, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3195286	Deep pelvic hernia suspected, sciatic, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3195290	Diaphragmatic hernia suspected, Bochdalek, initial imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195291	Diaphragmatic hernia suspected, Morgagni, initial imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195289	Diaphragmatic hernia suspected, traumatic, initial imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3074196	Dysphagia, oropharyngeal, known cause	All	18 - 150	Neck-chest
Gastrointestinal	3074197	Dysphagia, oropharyngeal, unexplained	All	18 - 150	Neck-chest
Gastrointestinal	3149291	Dysphagia, postop <1 mo	All	18 - 150	Neck-chest
Gastrointestinal	3149292	Dysphagia, postop >1 mo	All	18 - 150	Neck-chest
Gastrointestinal	3074199	Dysphagia, retrosternal, immunocompromised	All	18 - 150	Neck-chest
Gastrointestinal	3074198	Dysphagia, retrosternal, not immunocompromised	All	18 - 150	Neck-chest
Gastrointestinal	3194197	Epigastric pain, acid reflux suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194201	Epigastric pain, duodenal ulcer suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194198	Epigastric pain, esophagitis suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194203	Epigastric pain, gastric cancer suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194199	Epigastric pain, gastritis suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194205	Epigastric pain, hiatal hernia suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3194200	Epigastric pain, peptic ulcer suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195417	Esophageal cancer, recurrence, posttreatment imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195411	Esophageal cancer, imaging during treatment	All	18 - 150	Chest-abdomen
Gastrointestinal	3195409	Esophageal cancer, newly diagnosed, pretreatment clinical staging, initial imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195413	Esophageal cancer, no recurrence suspected, posttreatment imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195414	Esophageal cancer, no recurrence, posttreatment imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195416	Esophageal cancer, recurrence suspected, posttreatment imaging	All	18 - 150	Chest-abdomen
Gastrointestinal	3195283	Groin hernia suspected, femoral, initial imaging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3195282	Groin hernia suspected, inguinal, initial imaging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3149322	Jaundice, biliary obstruction suspected	All	18 - 150	Abdomen
Gastrointestinal	3149321	Jaundice, initial exam	All	18 - 150	Abdomen
Gastrointestinal	3081486	Jaundice, non-obstructive etiology suspected	All	18 - 150	Abdomen
Gastrointestinal	3102641	Liver disease, chronic, fibrosis suspected, diagnosis and staging, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3102661	Liver disease, chronic, hx of HCC, post treatment imaging	All	18 - 150	Abdomen
Gastrointestinal	3102660	Liver disease, chronic, no hx of HCC, screening and surveillance	All	18 - 150	Abdomen
Gastrointestinal	3191942	Liver lesion, <1cm, incidental finding on noncontrast MRI, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191941	Liver lesion, <1cm, incidental finding on noncontrast or single phase CT, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191940	Liver lesion, <1cm, incidental finding on US, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191939	Liver lesion, <1cm, indeterminate on noncontrast MRI, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3191938	Liver lesion, <1cm, indeterminate on noncontrast or single phase CT, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3100710	Liver lesion, <1cm, indeterminate on US, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3191937	Liver lesion, >1cm, incidental finding on noncontrast MRI, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191936	Liver lesion, >1cm, incidental finding on noncontrast or single phase CT, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191935	Liver lesion, >1cm, incidental finding on US, chronic liver disease	All	18 - 150	Abdomen
Gastrointestinal	3191934	Liver lesion, >1cm, indeterminate on noncontrast MRI, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3191932	Liver lesion, >1cm, indeterminate on noncontrast MRI, normal liver, no extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3191933	Liver lesion, >1cm, indeterminate on noncontrast or single phase CT, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3191931	Liver lesion, >1cm, indeterminate on noncontrast or single phase CT, normal liver, no extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3100714	Liver lesion, >1cm, indeterminate on US, hx of extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3100711	Liver lesion, >1cm, indeterminate on US, normal liver, no extrahepatic malignancy	All	18 - 150	Abdomen
Gastrointestinal	3196472	LLQ pain, diverticulitis complications suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196471	LLQ pain, diverticulitis suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196470	LLQ pain, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3199380	LUQ pain, acute, fever, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3199382	LUQ pain, acute, NOS, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3199378	LUQ pain, acute, splenomegaly suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3141499	Mesenteric ischemia, acute, suspected, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3141500	Mesenteric ischemia, chronic, suspected, initial exam	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3164902	Pancreas cyst, <=2.5cm, incidental, initial evaluation	All	18 - 150	Abdomen
Gastrointestinal	3164904	Pancreas cyst, >2.5cm, incidental, high risk features, initial evaluation	All	18 - 150	Abdomen
Gastrointestinal	3164903	Pancreas cyst, >2.5cm, incidental, no high risk features, initial evaluation	All	18 - 150	Abdomen
Gastrointestinal	3164906	Pancreas cyst, follow-up imaging	All	18 - 150	Abdomen
Gastrointestinal	3164905	Pancreas duct dilation, >7mm, IPMN suspected, initial evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199345	Pancreatic ductal adenocarcinoma screening, high risk,	All	18 - 150	Abdomen
Gastrointestinal	3199347	Pancreatic ductal adenocarcinoma suspected, abdominal symptoms, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3199355	Pancreatic ductal adenocarcinoma, distant metastatic evaluation, initial staging	All	18 - 150	Abdomen
Gastrointestinal	3199354	Pancreatic ductal adenocarcinoma, distant metastatic evaluation, postprocedure surveillance	All	18 - 150	Abdomen
Gastrointestinal	3199352	Pancreatic ductal adenocarcinoma, locoregional staging	All	18 - 150	Abdomen
Gastrointestinal	3199350	Pancreatic ductal adenocarcinoma, neoadjuvant therapy, posttreatment evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199351	Pancreatic ductal adenocarcinoma, pretreatment planning	All	18 - 150	Abdomen
Gastrointestinal	3199349	Pancreatic ductal adenocarcinoma, surgical planning, posttreatment evaluation	All	18 - 150	Abdomen
Gastrointestinal	3084081	Pancreatitis necrotizing, significant clinical deterioration	All	18 - 150	Abdomen
Gastrointestinal	3084080	Pancreatitis suspected, atypical presentation	All	18 - 150	Abdomen
Gastrointestinal	3084079	Pancreatitis suspected, typical presentation	All	18 - 150	Abdomen
Gastrointestinal	3084078	Pancreatitis, acute, critically ill, >48 hours	All	18 - 150	Abdomen
Gastrointestinal	3084077	Pancreatitis, acute, severe, > 7 days	All	18 - 150	Abdomen
Gastrointestinal	3155938	Pancreatitis, persistent > 4 weeks	All	18 - 150	Abdomen
Gastrointestinal	3194184	Perianal abscess suspected, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3194185	Perianal fistula suspected, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3194193	Postproctectomy with anastomosis, complication suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3194191	Pouchitis suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199361	Primary liver cancer, liver observation, active surveillance	All	18 - 150	Abdomen
Gastrointestinal	3199363	Primary liver cancer, post liver directed therapy, posttreatment evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199364	Primary liver cancer, post neoadjuvant chemo, posttreatment evaluation	All	18 - 150	Abdomen
Gastrointestinal	3199357	Primary liver cancer, screening	All	18 - 150	Abdomen
Gastrointestinal	3199359	Primary liver cancer, staging	All	18 - 150	Abdomen
Gastrointestinal	3199366	Primary liver cancer, treated, routine surveillance	All	18 - 150	Abdomen
Gastrointestinal	3194190	Proctitis suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Gastrointestinal	3199440	Rectal cancer, locoregional staging	All	18 - 150	Pelvis
Gastrointestinal	3199457	Rectal cancer, post neoadjuvant therapy, locoregional restaging	All	18 - 150	Pelvis
Gastrointestinal	3199442	Rectal cancer, postneoadjuvant chemo, during wait and watch, locoregional staging	All	18 - 150	Pelvis
Gastrointestinal	3199441	Rectal cancer, staging for distant mets	All	18 - 150	Pelvis
Gastrointestinal	3199444	Rectal cancer, systemic disease monitoring, curative resection, follow-up imaging	All	18 - 150	Pelvis
Gastrointestinal	3199446	Rectal cancer, systemic disease monitoring, palliation, follow-up imaging	All	18 - 150	Pelvis
Gastrointestinal	3199445	Rectal cancer, systemic disease monitoring, wait and watch, follow-up imaging	All	18 - 150	Pelvis
Gastrointestinal	3194188	Rectovaginal fistula suspected, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3194187	Rectovesicular fistula suspected, initial imaging	All	18 - 150	Pelvis
Gastrointestinal	3195406	RLQ pain, fever, leukocytosis, appendicitis suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195407	RLQ pain, fever, leukocytosis, appendicitis suspected, pregnant, initial imaging	Female Only	10 - 60	Abdomen
Gastrointestinal	3195405	RLQ pain, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195883	RUQ pain, acalculous cholecystitis suspected, US equivocal, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3195882	RUQ pain, acalculous cholecystitis suspected, US negative, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3195877	RUQ pain, biliary disease suspected, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195876	RUQ pain, etiology unknown, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3195881	RUQ pain, fever, high WBC count , biliary disease suspected, US equivocal, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3195880	RUQ pain, fever, high WBC count , biliary disease suspected, US negative, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3195879	RUQ pain, no fever, no high WBC count, biliary disease suspected, US equivocal, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3195878	RUQ pain, no fever, no high WBC count, biliary disease suspected, US negative, next imaging study	All	18 - 150	Abdomen
Gastrointestinal	3196683	Sepsis suspected, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196684	Sepsis suspected, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196682	Sepsis suspected, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196674	Sepsis suspected, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196689	Sepsis suspected, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196690	Sepsis suspected, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196688	Sepsis suspected, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196679	Sepsis suspected, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Gastrointestinal	3196662	Sepsis suspected, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196663	Sepsis suspected, chest pain, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196661	Sepsis suspected, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196650	Sepsis suspected, chest pain, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196656	Sepsis suspected, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196657	Sepsis suspected, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196655	Sepsis suspected, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196648	Sepsis suspected, cough, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196659	Sepsis suspected, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196660	Sepsis suspected, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196658	Sepsis suspected, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196649	Sepsis suspected, dyspnea, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196677	Sepsis suspected, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Gastrointestinal	3196675	Sepsis, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3196691	Sepsis, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196692	Sepsis, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196693	Sepsis, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196680	Sepsis, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Gastrointestinal	3196672	Sepsis, chest pain, chest radiography , nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196671	Sepsis, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196670	Sepsis, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196653	Sepsis, chest pain, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196665	Sepsis, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196666	Sepsis, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196664	Sepsis, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196651	Sepsis, cough, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196668	Sepsis, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196669	Sepsis, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196667	Sepsis, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196652	Sepsis, dyspnea, initial imaging	All	18 - 150	Chest
Gastrointestinal	3196686	Sepsis, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196687	Sepsis, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196685	Sepsis, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Gastrointestinal	3196678	Sepsis, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Gastrointestinal	3074217	Small bowel obstruction suspected, acute presentation, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3074218	Small bowel obstruction suspected, intermittent or low grade, indolent presentation	All	18 - 150	Abdomen
Gastrointestinal	3102193	Upper GI bleeding suspected, nonvariceal, no endoscopy, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3197481	Upper GI bleeding, nonvariceal, clear source on endoscopy, continued bleeding after treatment, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3102194	Upper GI bleeding, nonvariceal, clear source on endoscopy, treatment not possible, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3102196	Upper GI bleeding, nonvariceal, endoscopy negative, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3102195	Upper GI bleeding, nonvariceal, no clear source on endoscopy, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3197482	Upper GI bleeding, nonvariceal, postsurgical cause, endoscopy contraindicated, initial imaging	All	18 - 150	Abdomen
Gastrointestinal	3197483	Upper GI bleeding, nonvariceal, traumatic cause, endoscopy contraindicated, initial imaging	All	18 - 150	Abdomen
Gyn and OB	3197148	Adnexal mass suspected, no acute symptoms, postmenopausal, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3149744	Adnexal mass suspected, no acute symptoms, pregnant, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074166	Adnexal mass suspected, no acute symptoms, premenopausal, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3082200	Adnexal mass, likely benign, no acute symptoms, postmenopausal, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3074171	Adnexal mass, likely benign, no acute symptoms, premenopausal, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3149341	Adnexal mass, no acute symptoms, postmenopausal, initial pelvic US indeterminate, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3197151	Adnexal mass, no acute symptoms, postmenopausal, initial pelvic US indeterminate, next imaging study for characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3197155	Adnexal mass, no acute symptoms, postmenopausal, pelvic US suspicious for malignancy, next imaging study for characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3197158	Adnexal mass, no acute symptoms, pregnant, initial pelvic US indeterminate, next imaging study for characterization	Female Only	10 - 60	Pelvis
Gyn and OB	3082202	Adnexal mass, no acute symptoms, premenopausal, initial pelvic US indeterminate, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3197150	Adnexal mass, no acute symptoms, premenopausal, initial pelvic US indeterminate, next imaging study for characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3149342	Adnexal mass, no acute symptoms, premenopausal, pelvic US suspicious for malignancy, next imaging study for characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3196732	Cervical cancer, chemoradiation, posttreatment evaluation	Female Only	18 - 150	Pelvis
Gyn and OB	3196735	Cervical cancer, local recurrence suspected, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3196736	Cervical cancer, local recurrence, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3196737	Cervical cancer, mets recurrence suspected, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3196738	Cervical cancer, mets recurrence, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3074148	Cervical cancer, pretreatment, clinically visible lesion, local tumor staging	Female Only	18 - 150	Pelvis
Gyn and OB	3074149	Cervical cancer, pretreatment, systemic staging	Female Only	18 - 150	Pelvis
Gyn and OB	3074150	Cervical cancer, treated, asymptomatic, surveillance	Female Only	18 - 150	Pelvis
Gyn and OB	3194854	Defecatory dysfunction, difficulty initiating defecation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194857	Defecatory dysfunction, digital maneuvers to defecate, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194855	Defecatory dysfunction, incomplete evacuation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194852	Defecatory dysfunction, incontinence of gas, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194851	Defecatory dysfunction, incontinence of liquid, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194850	Defecatory dysfunction, incontinence of stool, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194856	Defecatory dysfunction, splinting, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194853	Defecatory dysfunction, straining during defecation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3185436	Endometrial cancer, pretreatment evaluation, low grade, assess lymph node and mets	Female Only	18 - 150	Pelvis
Gyn and OB	3185435	Endometrial cancer, pretreatment staging, all grades, assess local tumor extension	Female Only	18 - 150	Pelvis
Gyn and OB	3185437	Endometrial cancer, pretreatment staging, high grade, assess lymph node and mets	Female Only	18 - 150	Pelvis
Gyn and OB	3185439	Endometrial cancer, treated, high risk, no sxs, surveillance	Female Only	18 - 150	Pelvis
Gyn and OB	3185438	Endometrial cancer, treated, low to intermediate risk, no sxs, surveillance	Female Only	18 - 150	Pelvis
Gyn and OB	3079768	Endometrial cancer, treated, recurrence suspected	Female Only	18 - 150	Pelvis
Gyn and OB	3197524	Endometriosis suspected, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3197531	Endometriosis suspected, rectosigmoid, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3197526	Endometriosis suspected, US indeterminate, next imaging study, characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3197527	Endometriosis suspected, US indeterminate, next imaging study, treatment planning	Female Only	18 - 150	Pelvis
Gyn and OB	3197528	Endometriosis suspected, US negative, next imaging study, characterization	Female Only	18 - 150	Pelvis
Gyn and OB	3197529	Endometriosis suspected, US negative, next imaging study, treatment planning	Female Only	18 - 150	Pelvis
Gyn and OB	3197534	Endometriosis, postoperative diagnosis, new symptoms, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3197533	Endometriosis, postoperative diagnosis, ongoing symptoms, follow-up imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194006	Fetal anomaly screening, gestation >= 14 weeks, high risk pregnancy, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3194005	Fetal anomaly screening, gestation >= 14 weeks, low risk pregnancy, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3194008	Fetal anomaly screening, gestation >= 14 weeks, major anomalies on US, next imaging study	Female Only	10 - 60	Pelvis
Gyn and OB	3194007	Fetal anomaly screening, gestation >= 14 weeks, soft marker findings on US, next imaging study	Female Only	10 - 60	Pelvis
Gyn and OB	3149273	Fetal growth disturbance, high risk for fetal growth restriction	Female Only	10 - 60	Pelvis
Gyn and OB	3149272	Fetal growth disturbance, low risk for fetal growth restriction	Female Only	10 - 60	Pelvis
Gyn and OB	3149274	Fetal growth restriction, follow up	Female Only	10 - 60	Pelvis
Gyn and OB	3195269	Fibroids suspected, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3195274	Fibroids, posttreatment imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3195273	Fibroids, surveillance	Female Only	18 - 150	Pelvis
Gyn and OB	3195271	Fibroids, treatment planning, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3155923	Gestational trophoblastic disease (GTD) suspected	Female Only	10 - 60	Pelvis
Gyn and OB	3163053	Gestational trophoblastic disease (GTD), assess for complications	Female Only	10 - 60	Pelvis
Gyn and OB	3163051	Gestational trophoblastic neoplasia (GTN) suspected	Female Only	10 - 60	Pelvis
Gyn and OB	3163054	Gestational trophoblastic neoplasia (GTN), assess for complications	Female Only	10 - 60	Pelvis
Gyn and OB	3163052	Gestational trophoblastic neoplasia (GTN), staging	Female Only	10 - 60	Pelvis
Gyn and OB	3155925	Gestational trophoblastic neoplasia (GTN), surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3183774	Gravid cervix assessment, active term labor, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3181230	Gravid cervix assessment, hx of preterm birth, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3183773	Gravid cervix assessment, labor induction, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3183772	Gravid cervix assessment, no hx of preterm birth, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3183771	Gravid cervix assessment, nulliparous, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3181231	Gravid cervix assessment, preterm labor suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180663	Infertility, endometriosis suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180663	Infertility, endometriosis suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180664	Infertility, endometriosis, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180664	Infertility, endometriosis, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3164925	Infertility, evaluate ovulatory function and reserve, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180661	Infertility, polycystic ovary syndrome suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180661	Infertility, polycystic ovary syndrome suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180662	Infertility, polycystic ovary syndrome, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3180662	Infertility, polycystic ovary syndrome, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3097329	Infertility, recurring pregnancy loss, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3164926	Infertility, tubal occlusion suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197485	Multiple gestations suspected, dichorionic, first trimester, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197486	Multiple gestations suspected, monochorionic, first trimester, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197499	Multiple gestations, dichorionic twins, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197494	Multiple gestations, dichorionic twins, second trimester anatomy exam, follow-up imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197507	Multiple gestations, dichorionic, abnormality, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197506	Multiple gestations, dichorionic, discordance between fetuses, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197490	Multiple gestations, dichorionic, first trimester US performed, next imaging study	Female Only	10 - 60	Pelvis
Gyn and OB	3197487	Multiple gestations, dichorionic, first trimester, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197500	Multiple gestations, monochorionic twins, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197496	Multiple gestations, monochorionic twins, second trimester anatomy exam, follow-up imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197505	Multiple gestations, monochorionic, abnormality, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197504	Multiple gestations, monochorionic, discordance between fetuses, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197491	Multiple gestations, monochorionic, first trimester US performed, next imaging study	Female Only	10 - 60	Pelvis
Gyn and OB	3197488	Multiple gestations, monochorionic, first trimester, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3197503	Multiple gestations, multichorionic higher order multiples, abnormality, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197502	Multiple gestations, multichorionic higher order multiples, discordance between fetuses, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197498	Multiple gestations, multichorionic higher order multiples, growth and antepartum surveillance	Female Only	10 - 60	Pelvis
Gyn and OB	3197493	Multiple gestations, multichorionic higher order multiples, second trimester anatomy exam, follow-up imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185425	Nuchal translucency measurement, increased, 11-14 weeks gestation, dichorionic twins	Female Only	10 - 60	Pelvis
Gyn and OB	3185426	Nuchal translucency measurement, increased, 11-14 weeks gestation, monochorionic twins,	Female Only	10 - 60	Pelvis
Gyn and OB	3185424	Nuchal translucency measurement, increased, 11-14 weeks gestation, single gestation	Female Only	10 - 60	Pelvis
Gyn and OB	3185423	Nuchal translucency measurement, routine, 11-14 weeks gestation, single or twins, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3106348	Ovarian cancer screening, postmenopausal, average risk	All	18 - 150	Pelvis
Gyn and OB	3198458	Ovarian cancer screening, postmenopausal, high risk, elevated CA-125	All	18 - 150	Pelvis
Gyn and OB	3198460	Ovarian cancer screening, postmenopausal, high risk, family hx of breast cancer	All	18 - 150	Pelvis
Gyn and OB	3198455	Ovarian cancer screening, postmenopausal, high risk, family hx of ovarian cancer	All	18 - 150	Pelvis
Gyn and OB	3198456	Ovarian cancer screening, postmenopausal, high risk, genetic predisposition	All	18 - 150	Pelvis
Gyn and OB	3198457	Ovarian cancer screening, postmenopausal, high risk, genetic predisposition suspected	All	18 - 150	Pelvis
Gyn and OB	3198459	Ovarian cancer screening, postmenopausal, high risk, personal hx of breast cancer	All	18 - 150	Pelvis
Gyn and OB	3106350	Ovarian cancer screening, postmenopausal, high risk, personal hx of ovarian cancer	All	18 - 150	Pelvis
Gyn and OB	3106347	Ovarian cancer screening, premenopausal, average risk	All	18 - 150	Pelvis
Gyn and OB	3198452	Ovarian cancer screening, premenopausal, high risk, elevated CA-125	All	18 - 150	Pelvis
Gyn and OB	3198454	Ovarian cancer screening, premenopausal, high risk, family hx of breast cancer	All	18 - 150	Pelvis
Gyn and OB	3198449	Ovarian cancer screening, premenopausal, high risk, family hx of ovarian cancer	All	18 - 150	Pelvis
Gyn and OB	3198450	Ovarian cancer screening, premenopausal, high risk, genetic predisposition	All	18 - 150	Pelvis
Gyn and OB	3198451	Ovarian cancer screening, premenopausal, high risk, genetic predisposition suspected	All	18 - 150	Pelvis
Gyn and OB	3198453	Ovarian cancer screening, premenopausal, high risk, personal hx of breast cancer	All	18 - 150	Pelvis
Gyn and OB	3106349	Ovarian cancer screening, premenopausal, high risk, personal hx of ovarian cancer	All	18 - 150	Pelvis
Gyn and OB	3199385	Ovarian cancer, asymptomatic, no recurrence suspected, posttreatment routine surveillance	All	18 - 150	Pelvis
Gyn and OB	3141652	Ovarian cancer, posttreatment response evaluation	All	18 - 150	Pelvis
Gyn and OB	3073731	Ovarian cancer, pretreatment staging	All	18 - 150	Pelvis
Gyn and OB	3199387	Ovarian cancer, recurrence suspected, posttreatment evaluation	All	18 - 150	Pelvis
Gyn and OB	3199388	Ovarian cancer, recurrence, posttreatment evaluation	All	18 - 150	Pelvis
Gyn and OB	3194860	Pelvic floor surgery, postoperative, chronic complications, not recurrent pelvic floor dysfunction, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194859	Pelvic floor surgery, postoperative, subacute complications, not recurrent pelvic floor dysfunction, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194841	Pelvic organ prolapse suspected, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3074377	Pelvic pain, acute, negative beta-hCG, gynecological etiology suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074379	Pelvic pain, acute, negative beta-hCG, non-gynecological etiology suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074376	Pelvic pain, acute, positive beta-hCG, gynecological etiology suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074378	Pelvic pain, acute, positive beta-hCG, non-gynecological etiology suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3193989	Pelvic pain, acute, postmenopausal, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3148178	Pelvic pain, chronic, post-menopausal	Female Only	18 - 150	Pelvis
Gyn and OB	3148585	Perineal pain, chronic, post-menopausal	Female Only	18 - 150	Pelvis
Gyn and OB	3164898	Placenta accreta spectrum disorder screening, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3164899	Placenta accreta spectrum disorder suspected, high risk, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3164900	Placenta accreta spectrum disorder, follow up imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185407	Postpartum hemorrhage, <= 24 hrs after cesarean delivery, initial Imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185408	Postpartum hemorrhage, <= 24 hrs after vaginal delivery, initial Imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185409	Postpartum hemorrhage, >24hrs to <= 6wks hrs after cesarean delivery, initial Imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185410	Postpartum hemorrhage, >24hrs to <= 6wks hrs after vaginal delivery, initial Imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3194848	Urinary dysfunction, digital maneuvers to void, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194843	Urinary dysfunction, frequent urination, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194846	Urinary dysfunction, incomplete voiding, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194842	Urinary dysfunction, involuntary leakage of urine, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194847	Urinary dysfunction, splinting, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194845	Urinary dysfunction, straining to void, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194844	Urinary dysfunction, urgency, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3185427	Uterine bleeding, abnormal, initial imaging	Female Only	12 - 150	Pelvis
Gyn and OB	3191929	Uterine bleeding, abnormal, US inconclusive, follow-up imaging	Female Only	12 - 150	Pelvis
Gyn and OB	3191930	Uterine bleeding, abnormal, US performed, follow-up imaging for further characterization	Female Only	12 - 150	Pelvis
Gyn and OB	3185429	Uterine bleeding, abnormal, US performed, surveillance	Female Only	12 - 150	Pelvis
Gyn and OB	3191945	Vaginal bleeding, after first trimester, low lying placenta suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3191946	Vaginal bleeding, after first trimester, low lying placenta, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3185440	Vaginal bleeding, after first trimester, painful, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074160	Vaginal bleeding, after first trimester, painless, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3191943	Vaginal bleeding, after first trimester, placenta previa suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3191944	Vaginal bleeding, after first trimester, placenta previa, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3191947	Vaginal bleeding, after first trimester, vasa previa suspected, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3191948	Vaginal bleeding, after first trimester, vasa previa, initial imaging	Female Only	10 - 60	Pelvis
Gyn and OB	3074147	Vaginal bleeding, first trimester, initial imaging	All	10 - 60	Pelvis
Gyn and OB	3194840	Vaginal bulge, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194207	Vaginal cancer, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3194209	Vaginal cancer, no recurrence suspected, post treatment evaluation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194212	Vaginal cancer, recurrence known, extent of disease evaluation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3194211	Vaginal cancer, recurrence suspected, extent of disease evaluation, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3148587	Vaginal pain, chronic, post-menopausal	Female Only	18 - 150	Pelvis
Gyn and OB	3194839	Vaginal protrusion, initial imaging	Female Only	18 - 150	Pelvis
Gyn and OB	3193990	Vulvar cancer, primary tumor <=2cm, confined to vulva or perineum, <=1mm stromal invasion, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3194044	Vulvar cancer, primary tumor <=4cm, >1mm stromal invasion, confined to vulva or perineum, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3194045	Vulvar cancer, primary tumor <=4cm, >1mm stromal invasion, minimal involvement of urethra or vagina or anus, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3194046	Vulvar cancer, primary tumor >4 cm, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3194047	Vulvar cancer, primary tumor any size, more than minimal involvement of urethra or vagina or anus, initial pretreatment staging	Female Only	18 - 150	Pelvis
Gyn and OB	3193993	Vulvar cancer, treated, recurrence suspected	Female Only	18 - 150	Pelvis
Gyn and OB	3148586	Vulvar pain, chronic, post-menopausal	Female Only	18 - 150	Pelvis
Interventional Radiology	3079770	AAA, f/u after repair (open or endovasc)	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3079769	AAA, pre-op planning (open or endovasc)	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3195695	Abdominal pain after meals and CTA showing widely patent origins of SMA and IMA, with compression of the celiac origin by the median arcuate ligament. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3196515	Abnormal skin changes associated with the upper or lower extremity hemodialysis access cannulation site, including marked thinning, ulceration, eschar formation, spontaneous bleeding, pseudoaneurysm formation, superficial or deep infection. Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3199398	Adult. Acute bilateral central pulmonary emboli. Evidence of right heart failure on echocardiogram. Sustained a syncopal event with head trauma and acute intracranial hemorrhage. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3199392	Adult. Acute bilateral pulmonary emboli. RV/LV ratio greater than 0.9 on CTA. Evidence of right heart strain on echocardiogram. Elevated troponin level. No hypotension. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3199394	Adult. Acute bilateral pulmonary emboli. RV/LV ratio less than 0.9 on CTA. No right heart strain on echocardiogram. Normal troponin level. No hypotension. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3199396	Adult. Acute saddle pulmonary embolism. Normal RV/LV ratio on CTA. Normal troponin level. No hypotension. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3199400	Adult. Acute thromboembolism in transit. Thrombus in the right atrium. Sustained hypotension for more than 15 minutes. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3199390	Adult. Extensive acute bilateral central pulmonary emboli. Sustained hypotension for more than 15 minutes. Initial therapy.	All	18 - 150	Cardiac-chest
Interventional Radiology	3198463	Adult. Known atrial fibrillation and spine surgery performed within the past month. Sudden-onset right lower-extremity pain. Diminished pulses in right lower extremity. CTA demonstrates isolated filling defect in right common iliac artery. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198463	Adult. Known atrial fibrillation and spine surgery performed within the past month. Sudden-onset right lower-extremity pain. Diminished pulses in right lower extremity. CTA demonstrates isolated filling defect in right common iliac artery. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198462	Adult. Long history of claudication. Acute-onset left lower-extremity pain. Absent left femoral pulse by palpation, faint audible DP and PT Doppler signals. Initial management.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198462	Adult. Long history of claudication. Acute-onset left lower-extremity pain. Absent left femoral pulse by palpation, faint audible DP and PT Doppler signals. Initial management.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198461	Adult. Nonsmoker, sedentary lifestyle. Left lower-extremity claudication on walking, asymmetrically diminished left femoral pulse. No symptoms at rest. Initial management.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198461	Adult. Nonsmoker, sedentary lifestyle. Left lower-extremity claudication on walking, asymmetrically diminished left femoral pulse. No symptoms at rest. Initial management.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198464	Adult. Past medical history of heavy smoking. Severe claudication without rest pain. CTA demonstrates bilateral common iliac artery stenosis at or greater than 90% (TASC A). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198464	Adult. Past medical history of heavy smoking. Severe claudication without rest pain. CTA demonstrates bilateral common iliac artery stenosis at or greater than 90% (TASC A). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198466	Adult. Past medical history significant for diabetes mellitus, hypertension, and heavy smoking. Gradually increasing claudication of bilateral lower extremities for at least 2 months. CTA pelvis with runoff reveals bilateral common iliac artery occlusion without any involvement of the external or internal iliac artery (TASC C). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198466	Adult. Past medical history significant for diabetes mellitus, hypertension, and heavy smoking. Gradually increasing claudication of bilateral lower extremities for at least 2 months. CTA pelvis with runoff reveals bilateral common iliac artery occlusion without any involvement of the external or internal iliac artery (TASC C). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198465	Adult. Past medical history significant for diabetes mellitus, hypertension, and smoking. Increasing claudication of right lower-extremity involving right buttock for the last 3 months. CTA pelvis with runoff reveals short-segment occlusion of the right common iliac artery (TASC B). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198465	Adult. Past medical history significant for diabetes mellitus, hypertension, and smoking. Increasing claudication of right lower-extremity involving right buttock for the last 3 months. CTA pelvis with runoff reveals short-segment occlusion of the right common iliac artery (TASC B). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198467	Adult. Worsening claudication and small ischemic ulcers on digits of both feet. CTA demonstrates diffuse atherosclerosis involving distal aorta and both common and external iliac arteries with multiple stenoses at or greater than 50%, bilateral mid-superficial femoral artery stenoses at or greater than 70% with 2-vessel tibial runoff bilaterally (TASC D). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3198467	Adult. Worsening claudication and small ischemic ulcers on digits of both feet. CTA demonstrates diffuse atherosclerosis involving distal aorta and both common and external iliac arteries with multiple stenoses at or greater than 50%, bilateral mid-superficial femoral artery stenoses at or greater than 70% with 2-vessel tibial runoff bilaterally (TASC D). Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3196005	Asymptomatic, osteoporotic VCF. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196486	AVF, lower extremity, not mature 2 mos after created, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196487	AVF, upper extremity, not mature 2 mos after created, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196011	Benign VCF with worsening pain, or deformity, or pulmonary dysfunction. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196496	Clinical suspicion of central venous stenosis or occlusion suggested by swelling (ie, soft tissue edema) of the extremity ipsilateral to the upper or lower extremity hemodialysis access, with or without the development of venous collaterals. Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3195968	Device selection: Acutely ill patient requiring infusion of vesicant medication, hemodynamic monitoring, and frequent blood draws for 2 weeks or shorter.	All	18 - 150	Unspecified
Interventional Radiology	3195976	Device selection: Patient requiring continuous or very frequent intravenous administration of intravenous medications (excluding total parenteral nutrition) for more than 2 weeks.	All	18 - 150	Unspecified
Interventional Radiology	3195978	Device selection: Patient requiring long term total parenteral nutrition and another indication for central access.	All	18 - 150	Unspecified
Interventional Radiology	3195970	Device selection: Patient with acute renal failure requiring central venous access for renal replacement therapy, anticipated duration of therapy for 2 weeks or shorter.	All	18 - 150	Unspecified
Interventional Radiology	3195974	Device selection: Patient with cancer diagnosis requiring central venous access for weekly chemotherapy infusion for more than 2 weeks.	All	18 - 150	Unspecified
Interventional Radiology	3195980	Device selection: Patient with Chronic Kidney Disease requiring central venous catheter IV infusions for more than 2 weeks.	All	18 - 150	Unspecified
Interventional Radiology	3195972	Device selection: Patient with renal failure requiring central venous access for renal replacement therapy, anticipated duration of therapy for more than 2 weeks.	All	18 - 150	Unspecified
Interventional Radiology	3195323	Ductal cholangiocarcinoma: Hilar cholangiocarcinoma, greater than 3 cm with poorly defined margins, vascular invasion, and periportal lymphadenopathy.	All	18 - 150	Abdomen
Interventional Radiology	3196489	Failure of an upper or lower extremity arteriovenous fistula to mature within 2 months after creation. Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3196498	Hemodialysis access cannulation site, lower extremity, abnormal skin changes, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196506	Hemodialysis access cannulation site, lower extremity, deep infection, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196502	Hemodialysis access cannulation site, lower extremity, eschar, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196500	Hemodialysis access cannulation site, lower extremity, marked skin thinning, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196504	Hemodialysis access cannulation site, lower extremity, pseudoaneurysm, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196503	Hemodialysis access cannulation site, lower extremity, spontaneous bleeding, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196505	Hemodialysis access cannulation site, lower extremity, superficial infection, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196501	Hemodialysis access cannulation site, lower extremity, ulceration, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196499	Hemodialysis access cannulation site, upper extremity, abnormal skin changes, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196513	Hemodialysis access cannulation site, upper extremity, deep infection, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196509	Hemodialysis access cannulation site, upper extremity, eschar, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196507	Hemodialysis access cannulation site, upper extremity, marked skin thinning, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196511	Hemodialysis access cannulation site, upper extremity, pseudoaneurysm, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196510	Hemodialysis access cannulation site, upper extremity, spontaneous bleeding, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196512	Hemodialysis access cannulation site, upper extremity, superficial infection, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196508	Hemodialysis access cannulation site, upper extremity, ulceration, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196476	Hemodialysis access dysfunction suspected, lower extremity, abnormal clinical indicator, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196477	Hemodialysis access dysfunction suspected, lower extremity, abnormal hemodynamic indicator, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196474	Hemodialysis access dysfunction suspected, upper extremity, abnormal clinical indicator, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196475	Hemodialysis access dysfunction suspected, upper extremity, abnormal hemodynamic indicator, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196481	Hemodialysis access thrombosis suspected, lower extremity, no pulse or thrill on physical exam, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196482	Hemodialysis access thrombosis suspected, upper extremity, no pulse or thrill on physical exam, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196494	Hemodialysis access, lower extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous occlusion suspected, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196492	Hemodialysis access, lower extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous stenosis suspected, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196493	Hemodialysis access, upper extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous occlusion suspected, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196491	Hemodialysis access, upper extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous stenosis suspected, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3195317	Hepatocellular cancer: Multifocal, bilobar disease, at least 1 tumor greater than 5 cm, cirrhotic.	All	18 - 150	Abdomen
Interventional Radiology	3195319	Hepatocellular cancer: Solitary or multifocal disease with vascular invasion, cirrhotic.	All	18 - 150	Abdomen
Interventional Radiology	3195315	Hepatocellular cancer: Solitary tumor 3 to 5 cm, cirrhotic.	All	18 - 150	Abdomen
Interventional Radiology	3195313	Hepatocellular cancer: Solitary tumor less than 3 cm, cirrhotic.	All	18 - 150	Abdomen
Interventional Radiology	3195696	History of abdominal pain after meals for the past few months and weight loss. CTA shows aortic atherosclerotic disease and suggests SMA-origin stenosis with occlusion of celiac origin and an occluded IMA. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3196600	Iliocaval disease suspected, severe post thrombotic changes, initial imaging	All	18 - 150	Abdomen
Interventional Radiology	3196603	Iliocaval disease, severe post thrombotic changes, treatment	All	18 - 150	Abdomen
Interventional Radiology	3195321	Intrahepatic cholangiocarcinoma: Peripheral hepatic lobar cholangiocarcinoma, less than 3 cm; no biliary ductal dilatation, macroscopic vascular invasion, regional lymphadenopathy, or distant metastases.	All	18 - 150	Abdomen
Interventional Radiology	3195998	Low back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195996	Low back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196604	Lower extremity disease, severe post thrombotic changes, treatment	All	18 - 150	Lower extremity
Interventional Radiology	3196601	Lower extremity venous disease suspected, severe post thrombotic changes, initial imaging	All	18 - 150	Lower extremity
Interventional Radiology	3195326	Metastatic liver disease: Multifocal bilobar colorectal carcinoma (liver dominant or isolated).	All	18 - 150	Abdomen
Interventional Radiology	3195324	Metastatic liver disease: Multifocal metastatic neuroendocrine tumor (includes carcinoid tumors as well as islet cell tumors of the pancreas).	All	18 - 150	Abdomen
Interventional Radiology	3195325	Metastatic liver disease: Solitary colorectal liver metastasis.	All	18 - 150	Abdomen
Interventional Radiology	3195999	Mid-back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195995	Mid-back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195994	Neck pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195997	Neck pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196009	New, symptomatic VCF. History of prior vertebroplasty or surgery. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196013	Pathological VCF with ongoing or increasing mechanical pain. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195692	Patient with cardiac disease causing low cardiac output who developed abdominal pain but without peritoneal signs. CTA shows patent origins and proximal portions of celiac artery, SMA, and IMA, with diffuse irregular narrowing of SMA branches. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3196898	Postmenopausal female with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms). Negative endometrial biopsy. Next step.	Female Only	18 - 150	Pelvis
Interventional Radiology	3195698	Previously healthy with worsening diffuse abdominal pain for 2 weeks. CTA shows occlusion of the superior mesenteric vein and its major tributaries. Bowel appears normal. Serum lactate level is normal. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3195691	Recent onset abdominal pain, no peritoneal signs, and known atrial fibrillation. CTA shows calcified atherosclerotic plaque involving the aorta and its major branches, as well as proximal short-segment occlusion of the proximal SMA. No intramural or extra-luminal air. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3195689	Recent onset abdominal pain, no peritoneal signs, and known atrial fibrillation. CTA shows filling defect in proximal SMA consistent with embolus. No intramural or extra-luminal air. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3195694	Recent onset abdominal pain, peritoneal signs, and known atrial fibrillation. CTA shows filling defect in the proximal SMA consistent with embolus and evidence of bowel infarction. Initial therapy.	All	18 - 150	Abdomen-pelvis
Interventional Radiology	3196896	Reproductive age female with pedunculated submucosal uterine fibroids, symptomatic with heavy uterine bleeding. Initial therapy.	Female Only	10 - 60	Pelvis
Interventional Radiology	3196890	Reproductive age female with uterine fibroids (leiomyomas), symptomatic with heavy uterine bleeding or bulk symptoms (e.g., pressure, pain, fullness, bladder or bowel symptoms), and a desire to preserve fertility. Initial therapy.	Female Only	10 - 60	Pelvis
Interventional Radiology	3196894	Reproductive age female with uterine fibroids and concurrent adenomyosis, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms), and no desire for future fertility. Initial therapy.	Female Only	10 - 60	Pelvis
Interventional Radiology	3196900	Reproductive age female with uterine fibroids desiring pregnancy and experiencing reproductive dysfunction. Initial therapy.	Female Only	10 - 60	Pelvis
Interventional Radiology	3196892	Reproductive age female with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bowel, or bladder symptoms), and no desire for future fertility. Initial therapy.	Female Only	10 - 60	Pelvis
Interventional Radiology	3195982	Site selection: Patient with acute illness requiring central venous catheter for anticipated therapy for 2 weeks or shorter.	All	18 - 150	Unspecified
Interventional Radiology	3195984	Site selection: Patient with chronic kidney disease or end-stage renal disease requiring central venous catheter.	All	18 - 150	Unspecified
Interventional Radiology	3196479	Suspected dysfunction of the upper or lower extremity hemodialysis access (ie, arteriovenous fistula or graft) suggested by an abnormal clinical indicator or hemodynamic indicator (ie, reduction in dialysis vascular access blood flow rate or kinetics). Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3196484	Suspected thrombosis of the upper or lower extremity hemodialysis access, marked by absent pulse and thrill on physical examination. Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3196522	Suspected vascular steal syndrome (upper or lower extremity), suggested by cardiac failure or ischemic symptoms. Treatment and procedures.	All	18 - 150	Extremities
Interventional Radiology	3196007	Symptomatic osteoporotic VCF with bone marrow edema or intravertebral cleft. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3198778	Thoracic aortic aneurysm, open repair, surveillance	All	18 - 150	Chest
Interventional Radiology	3198771	Thoracic aortic aneurysm, preprocedure planning, open repair	All	18 - 150	Chest
Interventional Radiology	3106346	Thoracic aortic aneurysm, preprocedure planning, TEVAR	All	18 - 150	Chest
Interventional Radiology	3198775	Thoracic aortic aneurysm, TEVAR, surveillance	All	18 - 150	Chest
Interventional Radiology	3106345	Thoracic aortic aneurysm, without repair, with or without symptoms, follow-up imaging	All	18 - 150	Chest
Interventional Radiology	3198779	Thoracic aortic dissection, open repair, surveillance	All	18 - 150	Chest
Interventional Radiology	3198773	Thoracic aortic dissection, preprocedure planning, open repair	All	18 - 150	Chest
Interventional Radiology	3198772	Thoracic aortic dissection, preprocedure planning, TEVAR	All	18 - 150	Chest
Interventional Radiology	3198776	Thoracic aortic dissection, TEVAR, surveillance	All	18 - 150	Chest
Interventional Radiology	3198769	Thoracic aortic dissection, without repair, with or without symptoms, follow-up imaging	All	18 - 150	Chest
Interventional Radiology	3196095	Thoracoabdominal aortic aneurysm, post open repair, follow-up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196092	Thoracoabdominal aortic aneurysm, post TEVAR, follow-up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196088	Thoracoabdominal aortic aneurysm, preop planning, open repair	All	18 - 150	Chest-abdomen
Interventional Radiology	3196087	Thoracoabdominal aortic aneurysm, preop planning, TEVAR	All	18 - 150	Chest-abdomen
Interventional Radiology	3196084	Thoracoabdominal aortic aneurysm, without repair, without or with new symptoms, follow-up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196094	Thoracoabdominal aortic dissection, post open repair, follow up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196091	Thoracoabdominal aortic dissection, post TEVAR, follow-up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196086	Thoracoabdominal aortic dissection, preop planning, open repair	All	18 - 150	Chest-abdomen
Interventional Radiology	3196089	Thoracoabdominal aortic dissection, preop planning, TEVAR	All	18 - 150	Chest-abdomen
Interventional Radiology	3196083	Thoracoabdominal aortic dissection, without repair, without or with new symptoms, follow-up imaging	All	18 - 150	Chest-abdomen
Interventional Radiology	3196588	Varicose veins, lower extremity, initial imaging	All	18 - 150	Lower extremity
Interventional Radiology	3196596	Varicose veins, lower extremity, pelvic origin suspected, initial imaging	Female Only	18 - 150	Lower extremity
Interventional Radiology	3196598	Varicose veins, lower extremity, pelvic origin suspected, treatment	Female Only	18 - 150	Lower extremity
Interventional Radiology	3196590	Varicose veins, lower extremity, treatment	All	18 - 150	Lower extremity
Interventional Radiology	3196517	Vascular steal syndrome suspected, lower extremity, cardiac failure, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196518	Vascular steal syndrome suspected, lower extremity, ischemic symptoms, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Interventional Radiology	3196519	Vascular steal syndrome suspected, upper extremity, cardiac failure, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Interventional Radiology	3196520	Vascular steal syndrome suspected, upper extremity, ischemic symptoms, initial imaging, guide IR therapy options	All	18 - 150	Upper extremity
Interventional Radiology	3196592	Venous leg ulcer, lower extremity, initial imaging	All	18 - 150	Lower extremity
Interventional Radiology	3196594	Venous leg ulcer, lower extremity, treatment	All	18 - 150	Lower extremity
Interventional Radiology	3196001	Vertebral compression fracture on radiography, cervical, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195990	Vertebral compression fracture on radiography, cervical, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196003	Vertebral compression fracture on radiography, lumbar, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195992	Vertebral compression fracture on radiography, lumbar, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3196002	Vertebral compression fracture on radiography, thoracic, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195991	Vertebral compression fracture on radiography, thoracic, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195986	Vertebral compression fracture on xray, cervical, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195988	Vertebral compression fracture on xray, lumbar, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Interventional Radiology	3195987	Vertebral compression fracture on xray, thoracic, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3196119	Ankle pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196118	Ankle pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196117	Ankle pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196210	Ankle pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108754	Ankle pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196176	Ankle pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196184	Ankle pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196201	Ankle pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196193	Ankle pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196120	Ankle pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196159	Ankle pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196144	Ankle pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196121	Ankle pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196160	Ankle pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196143	Ankle pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3073924	Ankle pain, djd multi-site on radiography	All	18 - 150	Lower extremity
Musculoskeletal	3073922	Ankle pain, impingement syndrome suspected, neg radiography	All	18 - 150	Lower extremity
Musculoskeletal	3073925	Ankle pain, initial exam	All	18 - 150	Lower extremity
Musculoskeletal	3073927	Ankle pain, instability suspected, neg radiography	All	18 - 150	Lower extremity
Musculoskeletal	3073921	Ankle pain, osteochondral lesion suspected, neg radiography	All	18 - 150	Lower extremity
Musculoskeletal	3073926	Ankle pain, tendon abnormality suspected, neg radiography	All	18 - 150	Lower extremity
Musculoskeletal	3073923	Ankle pain, uncertain etiol, neg radiography	All	18 - 150	Lower extremity
Musculoskeletal	3197420	Ankle stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197419	Ankle stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3191910	Ankle trauma, altered sensorium or cannot communicate, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3084087	Ankle trauma, continued pain >1wk and <3wks, no exclusionary criteria, radiography negative	All	5 - 150	Lower extremity
Musculoskeletal	3191911	Ankle trauma, does not meet requirements for Ottawa rules evaluation, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191908	Ankle trauma, neurologic disorder lower leg, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191909	Ankle trauma, neuropathy, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191921	Ankle trauma, no exclusionary criteria, fracture on radiography, next imaging study	All	5 - 150	Lower extremity
Musculoskeletal	3191922	Ankle trauma, no exclusionary criteria, osteochondral injury suspected on radiography, next imaging study	All	5 - 150	Lower extremity
Musculoskeletal	3191898	Ankle trauma, no point tenderness over the malleoli or talus or calcaneus, able to walk, no exclusionary criteria, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191924	Ankle trauma, osseous injury negative on radiography, alignment abnormality on radiography or physical exam, dislocation suspected, next imaging study	All	5 - 150	Lower extremity
Musculoskeletal	3191923	Ankle trauma, osseous injury negative on radiography, alignment abnormality on radiography or physical exam, syndesmotic injury suspected, next imaging study	All	5 - 150	Lower extremity
Musculoskeletal	3191899	Ankle trauma, Ottawa rules negative, no exclusionary criteria, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191903	Ankle trauma, up to 3 weeks after injury, no exclusionary criteria, Ottawa rules positive, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191901	Ankle trauma, up to 3 weeks after injury, no exclusionary criteria, point tenderness over malleolus or talus or calcaneus, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191900	Ankle trauma, up to 3 weeks after injury, no exclusionary criteria, unable to bear weight immediately after injury, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3191902	Ankle trauma, up to 3 weeks after injury, no exclusionary criteria, unable to take 4 steps, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3196005	Asymptomatic, osteoporotic VCF. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194645	Axial spondyloarthritis, cervical and lumbar spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194646	Axial spondyloarthritis, cervical and lumbar spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194649	Axial spondyloarthritis, cervical and thoracic spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194650	Axial spondyloarthritis, cervical and thoracic spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194655	Axial spondyloarthritis, cervical spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194656	Axial spondyloarthritis, cervical spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194643	Axial spondyloarthritis, complete spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194644	Axial spondyloarthritis, complete spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194651	Axial spondyloarthritis, lumbar spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194652	Axial spondyloarthritis, lumbar spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194641	Axial spondyloarthritis, sacroiliac joints, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194642	Axial spondyloarthritis, sacroiliac joints, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194658	Axial spondyloarthritis, spine ankylosis, cervical and lumbar spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194660	Axial spondyloarthritis, spine ankylosis, cervical and thoracic spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194663	Axial spondyloarthritis, spine ankylosis, cervical spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194657	Axial spondyloarthritis, spine ankylosis, complete spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194661	Axial spondyloarthritis, spine ankylosis, lumbar spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194659	Axial spondyloarthritis, spine ankylosis, thoracic and lumbar spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194662	Axial spondyloarthritis, spine ankylosis, thoracic spine fracture suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194647	Axial spondyloarthritis, thoracic and lumbar spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194648	Axial spondyloarthritis, thoracic and lumbar spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194653	Axial spondyloarthritis, thoracic spine, disease progression, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194654	Axial spondyloarthritis, thoracic spine, treatment response, follow up imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3196011	Benign VCF with worsening pain, or deformity, or pulmonary dysfunction. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195374	Bone mineral density assess, bone loss risk factors, initial imaging	Male Only	18 - 49	Unspecified
Musculoskeletal	3195373	Bone mineral density assess, bone loss risk factors, premenopausal, initial imaging	Female Only	18 - 150	Unspecified
Musculoskeletal	3195366	Bone mineral density assess, increased fracture risk on prior imaging, follow up imaging	All	18 - 150	Unspecified
Musculoskeletal	3149682	Cervical spine trauma, acute, blunt, altered level of consciousness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198850	Cervical spine trauma, acute, blunt, bicycle collision, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149685	Cervical spine trauma, acute, blunt, focal neuro deficit, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149686	Cervical spine trauma, acute, blunt, intoxication, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198857	Cervical spine blunt trauma, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198844	Cervical spine trauma, acute, blunt, age>65 years, initial imaging	All	66 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149317	Cervical spine trauma, acute, blunt, arterial injury suspected, with or without positive cervical spine CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198848	Cervical spine trauma, acute, blunt, axial load to head, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198846	Cervical spine trauma, acute, blunt, dangerous mechanism, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149683	Cervical spine trauma, acute, blunt, distracting injury, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198847	Cervical spine trauma, acute, blunt, falls from ≥3 feet or 5 stairs, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149687	Cervical spine trauma, acute, blunt, imaging indicated by CCR or NEXUS, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198843	Cervical spine trauma, acute, blunt, imaging not indicated by CCR or Nexus, low-risk criteria, initial imaging	All	16 - 64	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198853	Cervical spine trauma, acute, blunt, ligamentous injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198854	Cervical spine trauma, acute, blunt, ligamentous injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149684	Cervical spine trauma, acute, blunt, midline spinal tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198849	Cervical spine trauma, acute, blunt, motor vehicle crash with high speed, rollover, or ejection, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198851	Cervical spine trauma, acute, blunt, motorized recreational vehicle accident, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198858	Cervical spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149319	Cervical spine trauma, acute, blunt, no unstable injury initially, collar for neck pain, no new neuro symptoms, follow-up imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149316	Cervical spine trauma, acute, blunt, obtunded, no trauma on cervical spine CT without IV contrast, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198845	Cervical spine trauma, acute, blunt, paresthesia in extremities, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198855	Cervical spine trauma, acute, blunt, spinal cord injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198856	Cervical spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3197541	Elbow pain, acute, fracture suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197542	Elbow pain, acute, fracture suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197539	Elbow pain, acute, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3197553	Elbow pain, acute, ligament injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197556	Elbow pain, acute, ligament injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197552	Elbow pain, acute, muscle injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197555	Elbow pain, acute, muscle injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197554	Elbow pain, acute, tendon injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197557	Elbow pain, acute, tendon injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195428	Elbow pain, chronic, bone abnormality suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195429	Elbow pain, chronic, bone abnormality suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195437	Elbow pain, chronic, collateral ligament tear suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195438	Elbow pain, chronic, collateral ligament tear suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196114	Elbow pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196113	Elbow pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195433	Elbow pain, chronic, epicondylalgia suspected, refractory to empirical treatment, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195434	Elbow pain, chronic, epicondylalgia suspected, refractory to empirical treatment, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196112	Elbow pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196211	Elbow pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108755	Elbow pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196177	Elbow pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196185	Elbow pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195419	Elbow pain, chronic, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3195423	Elbow pain, chronic, mechanical symptoms, intra-articular pathology suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195427	Elbow pain, chronic, mechanical symptoms, intra-articular pathology suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195422	Elbow pain, chronic, mechanical symptoms, osteocartilaginous body suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195426	Elbow pain, chronic, mechanical symptoms, osteocartilaginous body suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195421	Elbow pain, chronic, mechanical symptoms, osteochondral lesion suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195425	Elbow pain, chronic, mechanical symptoms, osteochondral lesion suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195420	Elbow pain, chronic, mechanical symptoms, synovial abnormality suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195424	Elbow pain, chronic, mechanical symptoms, synovial abnormality suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195439	Elbow pain, chronic, nerve abnormality suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195440	Elbow pain, chronic, nerve abnormality suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195430	Elbow pain, chronic, occult stress fracture suspected, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195431	Elbow pain, chronic, occult stress fracture suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196202	Elbow pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196194	Elbow pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196115	Elbow pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196161	Elbow pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196157	Elbow pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196116	Elbow pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196162	Elbow pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196158	Elbow pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195435	Elbow pain, chronic, tendon tear suspected, refractory to empirical treatment, radiography nonspecific, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3195436	Elbow pain, chronic, tendon tear suspected, refractory to empirical treatment, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197418	Elbow stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197417	Elbow stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197416	Femur stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197415	Femur stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196109	Foot pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196108	Foot pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3185445	Foot pain, chronic, entrapment syndrome, negative or equivocal radiography, baxters neuropathy suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196107	Foot pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196212	Foot pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108756	Foot pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3084044	Foot pain, chronic, etiology unknown, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196178	Foot pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196186	Foot pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3073938	Foot pain, chronic, posttraumatic, negative or equivocal radiography, complex regional pain syndrome type 1 suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196203	Foot pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196195	Foot pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196110	Foot pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196163	Foot pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196155	Foot pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196111	Foot pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196164	Foot pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196156	Foot pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197414	Foot stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197413	Foot stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3097325	Foot trauma penetrating, foreign body suspected, radiography negative, next imaging study	All	6 - 150	Lower extremity
Musculoskeletal	3180651	Foot trauma, dislocation suspected, radiography nondiagnostic, next imaging study	All	6 - 150	Lower extremity
Musculoskeletal	3180648	Foot trauma, lisfranc injury suspected, radiography nondiagnostic, next imaging study	All	6 - 150	Lower extremity
Musculoskeletal	3180650	Foot trauma, occult fracture suspected, radiography nondiagnostic, next imaging study	All	6 - 150	Lower extremity
Musculoskeletal	3079752	Foot trauma, Ottawa rules negative, initial imaging	All	6 - 150	Lower extremity
Musculoskeletal	3079755	Foot trauma, Ottawa rules negative, injury suspected in area not addressed by Ottawa, initial imaging	All	6 - 150	Lower extremity
Musculoskeletal	3079753	Foot trauma, Ottawa rules not applicable, initial imaging	All	6 - 150	Lower extremity
Musculoskeletal	3164907	Foot trauma, Ottawa rules positive, initial imaging	All	6 - 150	Lower extremity
Musculoskeletal	3180649	Foot trauma, tendon injury suspected, radiography nondiagnostic, next imaging study	All	6 - 150	Lower extremity
Musculoskeletal	3197543	Forearm pain, acute, fracture suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197544	Forearm pain, acute, fracture suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197538	Forearm pain, acute, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3197547	Forearm pain, acute, ligament injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197550	Forearm pain, acute, ligament injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197546	Forearm pain, acute, muscle injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197549	Forearm pain, acute, muscle injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197548	Forearm pain, acute, tendon injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197551	Forearm pain, acute, tendon injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3149337	Hand fracture, tendon or ligament trauma suspected, radiography done	All	18 - 150	Upper extremity
Musculoskeletal	3196873	Hand pain, chronic, carpal tunnel syndrome suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3128528	Hand pain, chronic, carpal tunnel syndrome suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196104	Hand pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196103	Hand pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196102	Hand pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196213	Hand pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108757	Hand pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196179	Hand pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196187	Hand pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196863	Hand pain, chronic, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3073967	Hand pain, chronic, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196204	Hand pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196196	Hand pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196867	Hand pain, chronic, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196105	Hand pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196165	Hand pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196153	Hand pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196106	Hand pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196166	Hand pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196154	Hand pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196886	Hand pain, chronic, tendon injury suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196877	Hand pain, chronic, tendon injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196884	Hand pain, chronic, tendon pathology suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196881	Hand pain, chronic, tendon pathology suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196888	Hand pain, chronic, tenosynovitis suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196882	Hand pain, chronic, tenosynovitis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197410	Hand stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197409	Hand stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3148781	Hand trauma, fracture suspected, equivocal radiography	All	18 - 150	Upper extremity
Musculoskeletal	3148780	Hand trauma, fracture suspected, neg or equivocal radiography	All	18 - 150	Upper extremity
Musculoskeletal	3148778	Hand trauma, initial exam	All	18 - 150	Upper extremity
Musculoskeletal	3148784	Hand trauma, penetrating, foreign body suspected, neg radiography	All	18 - 150	Upper extremity
Musculoskeletal	3149338	Hand trauma, subluxation on radiography	All	18 - 150	Upper extremity
Musculoskeletal	3191955	Heel pain, chronic, negative or equivocal radiography, plantar fascia tear suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191954	Heel pain, chronic, negative or equivocal radiography, plantar fasciitis suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196140	Hip chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196141	Hip chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198674	Hip pain, acute, traumatic, fracture on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198671	Hip pain, acute, traumatic, fracture suspected, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198672	Hip pain, acute, traumatic, fracture suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198669	Hip pain, acute, traumatic, initial imaging	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198678	Hip pain, acute, traumatic, ligament injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198679	Hip pain, acute, traumatic, ligament injury suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198680	Hip pain, acute, traumatic, muscle injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198681	Hip pain, acute, traumatic, muscle injury suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198676	Hip pain, acute, traumatic, post reduction of hip dislocation, follow-up imaging	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198682	Hip pain, acute, traumatic, tendon injury suspected, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3198683	Hip pain, acute, traumatic, tendon injury suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195902	Hip pain, chronic, bursitis suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195899	Hip pain, chronic, bursitis suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196139	Hip pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196138	Hip pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195907	Hip pain, chronic, dysplasia suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195906	Hip pain, chronic, dysplasia suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196137	Hip pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196214	Hip pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108758	Hip pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196180	Hip pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196188	Hip pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195909	Hip pain, chronic, impingement suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195908	Hip pain, chronic, impingement suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195898	Hip pain, chronic, initial imaging	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195920	Hip pain, chronic, knee pain, hip osteoarthritis on radiography, next imaging study, quantify pain from hip pathology	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195922	Hip pain, chronic, knee pathology, hip osteoarthritis on radiography, next imaging study, quantify pain from hip pathology	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195911	Hip pain, chronic, labral tear suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195910	Hip pain, chronic, labral tear suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195921	Hip pain, chronic, low back pain, hip osteoarthritis on radiography, next imaging study, quantify pain from hip pathology	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195923	Hip pain, chronic, low back pathology, hip osteoarthritis on radiography, next imaging study, quantify pain from hip pathology	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195913	Hip pain, chronic, mild osteoarthritis on radiography, next imaging study, evaluate articular cartilage integrity	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195904	Hip pain, chronic, noninfectious extraarticular abnormality suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195901	Hip pain, chronic, noninfectious extraarticular abnormality suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196205	Hip pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196197	Hip pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195914	Hip pain, chronic, radiography equivocal for osteoarthritis, next imaging study, evaluate articular cartilage integrity	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195918	Hip pain, chronic, radiography suspicious for intraarticular synovial hyperplasia, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195917	Hip pain, chronic, radiography suspicious for intraarticular synovial neoplasia, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195916	Hip pain, chronic, radiography suspicious for synovial neoplasm, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196167	Hip pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196151	Hip pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196168	Hip pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196152	Hip pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195903	Hip pain, chronic, tendonitis suspected, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3195900	Hip pain, chronic, tendonitis suspected, radiography nondiagnostic, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196545	Hip replaced, asymptomatic, follow-up imaging	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196549	Hip replaced, symptomatic, hx of acute injury, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196553	Hip replaced, symptomatic, infection excluded, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196551	Hip replaced, symptomatic, infection not excluded, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196547	Hip replaced, symptomatic, initial imaging	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196555	Hip replaced, symptomatic, metal-on-metal prosthesis, adverse reaction to metal debris suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196556	Hip replaced, symptomatic, trunnionosis suspected, adverse reaction to metal debris suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196560	Hip replaced, trochanteric pain, abductor injury suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196558	Hip replaced, trochanteric pain, soft tissue abnormality suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3196559	Hip replaced, trochanteric pain, trochanteric bursitis suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity	Hip Pain
Musculoskeletal	3197408	Hip stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197407	Hip stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197272	Hip stress fracture suspected, pregnant, radiography indeterminate, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197273	Hip stress fracture suspected, pregnant, radiography negative, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197406	Humerus stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197405	Humerus stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194616	Inflammatory back pain, buttock symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194640	Inflammatory back pain, buttock symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194625	Inflammatory back pain, buttock symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194618	Inflammatory back pain, cervical and lumbar spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194634	Inflammatory back pain, cervical and lumbar spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194627	Inflammatory back pain, cervical and lumbar spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194620	Inflammatory back pain, cervical and thoracic spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194636	Inflammatory back pain, cervical and thoracic spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194629	Inflammatory back pain, cervical and thoracic spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194623	Inflammatory back pain, cervical spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194639	Inflammatory back pain, cervical spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194632	Inflammatory back pain, cervical spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194617	Inflammatory back pain, complete spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194633	Inflammatory back pain, complete spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194626	Inflammatory back pain, complete spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194621	Inflammatory back pain, lumbar spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194637	Inflammatory back pain, lumbar spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194630	Inflammatory back pain, lumbar spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194619	Inflammatory back pain, thoracic and lumbar spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194635	Inflammatory back pain, thoracic and lumbar spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194628	Inflammatory back pain, thoracic and lumbar spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194622	Inflammatory back pain, thoracic spine symptoms, axial spondyloarthritis suspected, initial imaging	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194638	Inflammatory back pain, thoracic spine symptoms, axial spondyloarthritis suspected, radiography and mri sacroiliac joints negative, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3194631	Inflammatory back pain, thoracic spine symptoms, axial spondyloarthritis suspected, radiography performed, next imaging study	All	18 - 150	Spine-pelvis	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3148159	Knee pain, chronic, calcinosis or degenerative disease on radiography	All	5 - 150	Lower extremity
Musculoskeletal	3196134	Knee pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196133	Knee pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196132	Knee pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196215	Knee pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108759	Knee pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196181	Knee pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196189	Knee pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3148156	Knee pain, chronic, initial exam	All	5 - 150	Lower extremity
Musculoskeletal	3148609	Knee pain, chronic, joint effusion on radiography	All	5 - 150	Lower extremity
Musculoskeletal	3148608	Knee pain, chronic, negative radiography	All	5 - 150	Lower extremity
Musculoskeletal	3148158	Knee pain, chronic, osteochondritis or loose bodies or prev surgery on radiography	All	5 - 150	Lower extremity
Musculoskeletal	3148160	Knee pain, chronic, prior injury on radiography	All	5 - 150	Lower extremity
Musculoskeletal	3196206	Knee pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196198	Knee pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196135	Knee pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196169	Knee pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196149	Knee pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196136	Knee pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196170	Knee pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196150	Knee pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196563	Knee replaced, follow-up, asymptomatic, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196562	Knee replaced, follow-up, symptomatic, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196565	Knee replaced, infection suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196569	Knee replaced, pain, aseptic loosening suspected, no infection, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196571	Knee replaced, pain, hardware fracture suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196567	Knee replaced, pain, instability suspected, no infection, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196574	Knee replaced, pain, measure component rotation, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196580	Knee replaced, pain, nerve impingement suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196568	Knee replaced, pain, osteolysis suspected, no infection, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196581	Knee replaced, pain, patellar clunk syndrome suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196577	Knee replaced, pain, patellar tendinopathy suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196583	Knee replaced, pain, patellar tendon tears suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196572	Knee replaced, pain, periprosthetic fracture suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196576	Knee replaced, pain, periprosthetic soft tissue abnormality suspected, no infection, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196582	Knee replaced, pain, postoperative arthrofibrosis suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196578	Knee replaced, pain, quadriceps tendinopathy suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196584	Knee replaced, pain, quadriceps tendon tears suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196579	Knee replaced, pain, soft tissue impingement suspected, radiography performed, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3197404	Knee stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197403	Knee stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3183749	Knee trauma, fall or twisting, cannot bear weight, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3183748	Knee trauma, fall or twisting, effusion, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3183747	Knee trauma, fall or twisting, focal tenderness, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3183751	Knee trauma, fall or twisting, internal derangement suspected, no fracture on radiography, next imaging study	All	10 - 150	Lower extremity
Musculoskeletal	3183788	Knee trauma, fall or twisting, internal derangement suspected, no fracture on radiography, next imaging study	All	0 - 9	Lower extremity
Musculoskeletal	3073907	Knee trauma, fall or twisting, no tenderness, no effusion, can walk, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3183787	Knee trauma, fall or twisting, occult fracture suspected, no fracture on radiography, next imaging study	All	0 - 9	Lower extremity
Musculoskeletal	3183750	Knee trauma, fall or twisting, occult fracture suspected, no fracture on radiography, next imaging study	All	10 - 150	Lower extremity
Musculoskeletal	3073910	Knee trauma, fall or twisting, tibial plateau fracture on radiography, additional bone or soft tissue injury suspected, next imaging study	All	5 - 150	Lower extremity
Musculoskeletal	3079750	Knee trauma, significant, possible dislocation, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3079749	Knee trauma, unknown mechanism, patellar tenderness, effusion, can walk, initial imaging	All	5 - 150	Lower extremity
Musculoskeletal	3195998	Low back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195996	Low back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195363	Low bone mineral density suspected, initial imaging	All	18 - 150	Unspecified
Musculoskeletal	3195376	Low bone mineral density, bone loss risk factors, follow up imaging	Male Only	18 - 49	Unspecified
Musculoskeletal	3195375	Low bone mineral density, bone loss risk factors, premenopausal, follow up imaging	Female Only	18 - 150	Unspecified
Musculoskeletal	3195365	Low bone mineral density, surveillance	All	18 - 150	Unspecified
Musculoskeletal	3198871	Lumbar spine trauma, acute, blunt, unexaminable, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198879	Lumbar spine trauma, acute, blunt, >60yo, complaints consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198880	Lumbar spine trauma, acute, blunt, >60yo, mechanism consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198878	Lumbar spine trauma, acute, blunt, high-energy injury mechanisms, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198876	Lumbar spine trauma, acute, blunt, high-risk, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198865	Lumbar spine trauma, acute, blunt, ligamentous injury suspected, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198866	Lumbar spine trauma, acute, blunt, ligamentous injury, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198877	Lumbar spine trauma, acute, blunt, midline thoracolumbar tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198869	Lumbar spine trauma, acute, blunt, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3149314	Lumbar spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198867	Lumbar spine trauma, acute, blunt, spinal cord injury suspected, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198868	Lumbar spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3191952	Metatarsalgia, chronic, negative or equivocal radiography, chronic plantar plate injury suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191953	Metatarsalgia, chronic, negative or equivocal radiography, freiberg’s infraction suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191951	Metatarsalgia, chronic, negative or equivocal radiography, intermetatarsal bursitis suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191950	Metatarsalgia, chronic, negative or equivocal radiography, mortons neuroma suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191949	Metatarsalgia, chronic, negative or equivocal radiography, sesamoiditis suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3195999	Mid-back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195995	Mid-back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3191957	Midfoot pain, chronic, negative or equivocal radiography, accessory ossicles suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3191956	Midfoot pain, chronic, negative or equivocal radiography, occult fracture suspected, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3195994	Neck pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195997	Neck pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3196009	New, symptomatic VCF. History of prior vertebroplasty or surgery. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195585	Osteomyelitis suspected, ankle, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195605	Osteomyelitis suspected, ankle, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195580	Osteomyelitis suspected, ankle, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195443	Osteomyelitis suspected, ankle, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195547	Osteomyelitis suspected, ankle, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195560	Osteomyelitis suspected, ankle, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195444	Osteomyelitis suspected, chest, initial imaging	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195548	Osteomyelitis suspected, chest, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195561	Osteomyelitis suspected, chest, radiography normal, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195586	Osteomyelitis suspected, elbow, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195606	Osteomyelitis suspected, elbow, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195581	Osteomyelitis suspected, elbow, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195445	Osteomyelitis suspected, elbow, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195549	Osteomyelitis suspected, elbow, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195562	Osteomyelitis suspected, elbow, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195446	Osteomyelitis suspected, femur, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195550	Osteomyelitis suspected, femur, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195563	Osteomyelitis suspected, femur, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3155930	Osteomyelitis suspected, foot, diabetic, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3199374	Osteomyelitis suspected, foot, diabetic, metal instrumentation in the foot, radiography indeterminate for osteomyelitis, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3199373	Osteomyelitis suspected, foot, diabetic, metal instrumentation in the foot, radiography negative for osteomyelitis, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3199368	Osteomyelitis suspected, foot, diabetic, radiography indeterminate for osteomyelitis, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3199369	Osteomyelitis suspected, foot, diabetic, radiography negative for osteomyelitis, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3195474	Osteomyelitis suspected, foot, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195551	Osteomyelitis suspected, foot, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195564	Osteomyelitis suspected, foot, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195447	Osteomyelitis suspected, forearm, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195552	Osteomyelitis suspected, forearm, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195565	Osteomyelitis suspected, forearm, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195448	Osteomyelitis suspected, hand, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195553	Osteomyelitis suspected, hand, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195566	Osteomyelitis suspected, hand, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195587	Osteomyelitis suspected, hip, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195607	Osteomyelitis suspected, hip, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195582	Osteomyelitis suspected, hip, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195449	Osteomyelitis suspected, hip, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195554	Osteomyelitis suspected, hip, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195567	Osteomyelitis suspected, hip, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195450	Osteomyelitis suspected, humerus, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195555	Osteomyelitis suspected, humerus, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195568	Osteomyelitis suspected, humerus, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195588	Osteomyelitis suspected, knee, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195608	Osteomyelitis suspected, knee, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195583	Osteomyelitis suspected, knee, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195451	Osteomyelitis suspected, knee, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195556	Osteomyelitis suspected, knee, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195569	Osteomyelitis suspected, knee, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195452	Osteomyelitis suspected, pelvis, initial imaging	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195557	Osteomyelitis suspected, pelvis, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195570	Osteomyelitis suspected, pelvis, radiography normal, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195589	Osteomyelitis suspected, shoulder, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195609	Osteomyelitis suspected, shoulder, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195584	Osteomyelitis suspected, shoulder, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195453	Osteomyelitis suspected, shoulder, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195558	Osteomyelitis suspected, shoulder, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195571	Osteomyelitis suspected, shoulder, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195454	Osteomyelitis suspected, tibia fibula, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195559	Osteomyelitis suspected, tibia fibula, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195572	Osteomyelitis suspected, tibia fibula, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195575	Osteomyelitis suspected, wrist, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195579	Osteomyelitis suspected, wrist, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195574	Osteomyelitis suspected, wrist, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195476	Osteomyelitis suspected, wrist, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195545	Osteomyelitis suspected, wrist, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195546	Osteomyelitis suspected, wrist, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195703	Osteonecrosis suspected, ankle, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195719	Osteonecrosis suspected, ankle, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195732	Osteonecrosis suspected, ankle, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195704	Osteonecrosis suspected, chest, initial imaging	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195717	Osteonecrosis suspected, chest, radiography normal, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195730	Osteonecrosis suspected, chest, suspicious findings on radiography, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195705	Osteonecrosis suspected, elbow, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195720	Osteonecrosis suspected, elbow, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195733	Osteonecrosis suspected, elbow, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195714	Osteonecrosis suspected, femur, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195721	Osteonecrosis suspected, femur, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195734	Osteonecrosis suspected, femur, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195713	Osteonecrosis suspected, foot, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195722	Osteonecrosis suspected, foot, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195735	Osteonecrosis suspected, foot, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195712	Osteonecrosis suspected, forearm, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195723	Osteonecrosis suspected, forearm, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195736	Osteonecrosis suspected, forearm, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195711	Osteonecrosis suspected, hand, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195724	Osteonecrosis suspected, hand, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195737	Osteonecrosis suspected, hand, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195715	Osteonecrosis suspected, hip, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195744	Osteonecrosis suspected, hip, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195743	Osteonecrosis suspected, hip, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195710	Osteonecrosis suspected, humerus, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195725	Osteonecrosis suspected, humerus, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195738	Osteonecrosis suspected, humerus, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195709	Osteonecrosis suspected, knee, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195726	Osteonecrosis suspected, knee, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195739	Osteonecrosis suspected, knee, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195702	Osteonecrosis suspected, pelvis, initial imaging	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195718	Osteonecrosis suspected, pelvis, radiography normal, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195731	Osteonecrosis suspected, pelvis, suspicious findings on radiography, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195708	Osteonecrosis suspected, shoulder, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195727	Osteonecrosis suspected, shoulder, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195740	Osteonecrosis suspected, shoulder, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195707	Osteonecrosis suspected, tibia fibula, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195728	Osteonecrosis suspected, tibia fibula, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195741	Osteonecrosis suspected, tibia fibula, suspicious findings on radiography, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195706	Osteonecrosis suspected, wrist, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195729	Osteonecrosis suspected, wrist, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195742	Osteonecrosis suspected, wrist, suspicious findings on radiography, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195750	Osteonecrosis, ankle, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195749	Osteonecrosis, elbow, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195751	Osteonecrosis, hip, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195748	Osteonecrosis, knee, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195747	Osteonecrosis, shoulder, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195746	Osteonecrosis, wrist, articular collapse on radiography, surgery planned, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195379	Osteoporosis suspected, advanced degenerative spine changes, no scoliosis, initial imaging	All	50 - 150	Unspecified
Musculoskeletal	3195378	Osteoporosis suspected, advanced degenerative spine changes, scoliosis, initial imaging	All	50 - 150	Unspecified
Musculoskeletal	3195380	Osteoporosis suspected, condition that may spuriously elevate bone mineral density, initial imaging	All	50 - 150	Unspecified
Musculoskeletal	3195364	Osteoporosis, screening	Female Only	65 - 150	Unspecified
Musculoskeletal	3195362	Osteoporosis, screening	Male Only	70 - 150	Unspecified
Musculoskeletal	3196013	Pathological VCF with ongoing or increasing mechanical pain. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3197394	Pelvis stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197393	Pelvis stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197268	Pelvis stress fracture suspected, pregnant, radiography indeterminate, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197269	Pelvis stress fracture suspected, pregnant, radiography negative, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109060	Primary bone tumor suspected, ankle, initial imaging	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198834	Primary bone tumor suspected, ankle, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109102	Primary bone tumor suspected, ankle, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165323	Primary bone tumor suspected, ankle, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109200	Primary bone tumor suspected, ankle, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198806	Primary bone tumor suspected, ankle, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109116	Primary bone tumor suspected, ankle, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109048	Primary bone tumor suspected, cervical spine, initial imaging	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198828	Primary bone tumor suspected, cervical spine, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109090	Primary bone tumor suspected, cervical spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165309	Primary bone tumor suspected, cervical spine, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109188	Primary bone tumor suspected, cervical spine, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198818	Primary bone tumor suspected, cervical spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109104	Primary bone tumor suspected, cervical spine, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109055	Primary bone tumor suspected, elbow, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198830	Primary bone tumor suspected, elbow, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109095	Primary bone tumor suspected, elbow, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165317	Primary bone tumor suspected, elbow, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109193	Primary bone tumor suspected, elbow, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198813	Primary bone tumor suspected, elbow, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109109	Primary bone tumor suspected, elbow, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109049	Primary bone tumor suspected, femur, initial imaging	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198837	Primary bone tumor suspected, femur, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109091	Primary bone tumor suspected, femur, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165320	Primary bone tumor suspected, femur, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109189	Primary bone tumor suspected, femur, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198817	Primary bone tumor suspected, femur, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109105	Primary bone tumor suspected, femur, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109061	Primary bone tumor suspected, foot, initial imaging	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198833	Primary bone tumor suspected, foot, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109103	Primary bone tumor suspected, foot, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165324	Primary bone tumor suspected, foot, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109201	Primary bone tumor suspected, foot, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198805	Primary bone tumor suspected, foot, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109117	Primary bone tumor suspected, foot, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109058	Primary bone tumor suspected, hand, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198838	Primary bone tumor suspected, hand, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109100	Primary bone tumor suspected, hand, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165319	Primary bone tumor suspected, hand, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109198	Primary bone tumor suspected, hand, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198808	Primary bone tumor suspected, hand, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109114	Primary bone tumor suspected, hand, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198798	Primary bone tumor suspected, hip, initial imaging	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198840	Primary bone tumor suspected, hip, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198802	Primary bone tumor suspected, hip, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198842	Primary bone tumor suspected, hip, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198800	Primary bone tumor suspected, hip, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198822	Primary bone tumor suspected, hip, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198821	Primary bone tumor suspected, hip, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109050	Primary bone tumor suspected, humerus, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198832	Primary bone tumor suspected, humerus, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109092	Primary bone tumor suspected, humerus, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165315	Primary bone tumor suspected, humerus, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109190	Primary bone tumor suspected, humerus, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198816	Primary bone tumor suspected, humerus, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109106	Primary bone tumor suspected, humerus, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109059	Primary bone tumor suspected, knee, initial imaging	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198836	Primary bone tumor suspected, knee, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109101	Primary bone tumor suspected, knee, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165321	Primary bone tumor suspected, knee, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109199	Primary bone tumor suspected, knee, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198807	Primary bone tumor suspected, knee, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109115	Primary bone tumor suspected, knee, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109051	Primary bone tumor suspected, lumbosacral spine, initial imaging	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198826	Primary bone tumor suspected, lumbosacral spine, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109093	Primary bone tumor suspected, lumbosacral spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165311	Primary bone tumor suspected, lumbosacral spine, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109191	Primary bone tumor suspected, lumbosacral spine, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198815	Primary bone tumor suspected, lumbosacral spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109107	Primary bone tumor suspected, lumbosacral spine, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109052	Primary bone tumor suspected, pelvis, initial imaging	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198823	Primary bone tumor suspected, pelvis, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109094	Primary bone tumor suspected, pelvis, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165314	Primary bone tumor suspected, pelvis, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109192	Primary bone tumor suspected, pelvis, no lesions on radiography, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198814	Primary bone tumor suspected, pelvis, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109108	Primary bone tumor suspected, pelvis, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Pelvis	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109056	Primary bone tumor suspected, radius and ulna, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198831	Primary bone tumor suspected, radius and ulna, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109098	Primary bone tumor suspected, radius and ulna, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165316	Primary bone tumor suspected, radius and ulna, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109196	Primary bone tumor suspected, radius and ulna, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198810	Primary bone tumor suspected, radius and ulna, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109112	Primary bone tumor suspected, radius and ulna, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165301	Primary bone tumor suspected, ribs, initial imaging	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198824	Primary bone tumor suspected, ribs, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165305	Primary bone tumor suspected, ribs, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165313	Primary bone tumor suspected, ribs, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165303	Primary bone tumor suspected, ribs, no lesions on radiography, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198804	Primary bone tumor suspected, ribs, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165307	Primary bone tumor suspected, ribs, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Chest	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198797	Primary bone tumor suspected, shoulder, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198839	Primary bone tumor suspected, shoulder, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198801	Primary bone tumor suspected, shoulder, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198841	Primary bone tumor suspected, shoulder, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198799	Primary bone tumor suspected, shoulder, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198820	Primary bone tumor suspected, shoulder, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198819	Primary bone tumor suspected, shoulder, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165302	Primary bone tumor suspected, skull, initial imaging	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198825	Primary bone tumor suspected, skull, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165306	Primary bone tumor suspected, skull, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165312	Primary bone tumor suspected, skull, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165304	Primary bone tumor suspected, skull, no lesions on radiography, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198803	Primary bone tumor suspected, skull, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165308	Primary bone tumor suspected, skull, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Head	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109053	Primary bone tumor suspected, thoracic spine, initial imaging	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198827	Primary bone tumor suspected, thoracic spine, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109096	Primary bone tumor suspected, thoracic spine, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165310	Primary bone tumor suspected, thoracic spine, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109195	Primary bone tumor suspected, thoracic spine, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198812	Primary bone tumor suspected, thoracic spine, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109110	Primary bone tumor suspected, thoracic spine, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Spine	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109054	Primary bone tumor suspected, tibia and fibula, initial imaging	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198835	Primary bone tumor suspected, tibia and fibula, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109097	Primary bone tumor suspected, tibia and fibula, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165322	Primary bone tumor suspected, tibia and fibula, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109194	Primary bone tumor suspected, tibia and fibula, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198811	Primary bone tumor suspected, tibia and fibula, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109111	Primary bone tumor suspected, tibia and fibula, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Lower extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109057	Primary bone tumor suspected, wrist, initial imaging	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198829	Primary bone tumor suspected, wrist, lesion on radiography, aggressive appearance for malignancy, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109099	Primary bone tumor suspected, wrist, lesion on radiography, benign appearance, not osteoid osteoma, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3165318	Primary bone tumor suspected, wrist, lesion on radiography, indeterminate, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109197	Primary bone tumor suspected, wrist, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198809	Primary bone tumor suspected, wrist, osteoid osteoma suspected based on clinical presentation, no lesions on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3109113	Primary bone tumor suspected, wrist, osteoid osteoma suspected on radiography, next imaging study	All	0 - 150	Upper extremity	Cervical or Neck Pain, Hip Pain, Low Back Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195770	Primary bone tumor, aggressive, ankle, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195768	Primary bone tumor, aggressive, chest, local recurrence surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195771	Primary bone tumor, aggressive, elbow, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195772	Primary bone tumor, aggressive, femur, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195773	Primary bone tumor, aggressive, foot, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195774	Primary bone tumor, aggressive, forearm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195775	Primary bone tumor, aggressive, hand, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195776	Primary bone tumor, aggressive, humerus, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195777	Primary bone tumor, aggressive, knee, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195769	Primary bone tumor, aggressive, pelvis, local recurrence surveillance	All	18 - 150	Pelvis	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195790	Primary bone tumor, aggressive, shoulder, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195778	Primary bone tumor, aggressive, tibia/fibula, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195766	Primary bone tumor, aggressive, wrist, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195781	Primary bone tumor, malignant, ankle, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195779	Primary bone tumor, malignant, chest, local recurrence surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195782	Primary bone tumor, malignant, elbow, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195783	Primary bone tumor, malignant, femur, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195784	Primary bone tumor, malignant, foot, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195785	Primary bone tumor, malignant, forearm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195786	Primary bone tumor, malignant, hand, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195787	Primary bone tumor, malignant, humerus, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195788	Primary bone tumor, malignant, knee, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195780	Primary bone tumor, malignant, pelvis, local recurrence surveillance	All	18 - 150	Pelvis	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195791	Primary bone tumor, malignant, shoulder, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195789	Primary bone tumor, malignant, tibia/fibula, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195767	Primary bone tumor, malignant, wrist, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195758	Primary musculoskeletal tumor, aggressive, extrapulmonary metastasis evaluation, initial staging	All	18 - 150	Unspecified	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195761	Primary musculoskeletal tumor, aggressive, no recurrence suspected, pulmonary metastasis surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195762	Primary musculoskeletal tumor, aggressive, no recurrence, pulmonary metastasis surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195755	Primary musculoskeletal tumor, aggressive, pulmonary metastasis evaluation, initial staging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195759	Primary musculoskeletal tumor, malignant, extrapulmonary metastasis evaluation, initial staging	All	18 - 150	Unspecified	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195763	Primary musculoskeletal tumor, malignant, no recurrence suspected, pulmonary metastasis surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195764	Primary musculoskeletal tumor, malignant, no recurrence, pulmonary metastasis surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195756	Primary musculoskeletal tumor, malignant, pulmonary metastasis evaluation, initial staging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195794	Primary soft tissue tumor, aggressive, abdomen, local recurrence surveillance	All	18 - 150	Abdomen	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195796	Primary soft tissue tumor, aggressive, ankle, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195803	Primary soft tissue tumor, aggressive, arm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195797	Primary soft tissue tumor, aggressive, chest, local recurrence surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195798	Primary soft tissue tumor, aggressive, elbow, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195800	Primary soft tissue tumor, aggressive, foot, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195801	Primary soft tissue tumor, aggressive, forearm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195802	Primary soft tissue tumor, aggressive, hand, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195804	Primary soft tissue tumor, aggressive, knee, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195806	Primary soft tissue tumor, aggressive, leg, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195805	Primary soft tissue tumor, aggressive, pelvis, local recurrence surveillance	All	18 - 150	Pelvis	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195819	Primary soft tissue tumor, aggressive, shoulder, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195799	Primary soft tissue tumor, aggressive, thigh, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195818	Primary soft tissue tumor, aggressive, wrist, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195795	Primary soft tissue tumor, malignant, abdomen, local recurrence surveillance	All	18 - 150	Abdomen	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195809	Primary soft tissue tumor, malignant, ankle, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195810	Primary soft tissue tumor, malignant, arm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195807	Primary soft tissue tumor, malignant, chest, local recurrence surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195811	Primary soft tissue tumor, malignant, elbow, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195812	Primary soft tissue tumor, malignant, foot, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195813	Primary soft tissue tumor, malignant, forearm, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195814	Primary soft tissue tumor, malignant, hand, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195815	Primary soft tissue tumor, malignant, knee, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195816	Primary soft tissue tumor, malignant, leg, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195808	Primary soft tissue tumor, malignant, pelvis, local recurrence surveillance	All	18 - 150	Pelvis	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195820	Primary soft tissue tumor, malignant, shoulder, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195817	Primary soft tissue tumor, malignant, thigh, local recurrence surveillance	All	18 - 150	Lower extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195793	Primary soft tissue tumor, malignant, wrist, local recurrence surveillance	All	18 - 150	Upper extremity	Cancer of the Lung (primary or metastatic, suspected or diagnosed), Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3199376	Radiography positive for osteomyelitis of the foot, diabetic, metal instrumentation in the foot, next imaging study, pre-treatment planning	All	18 - 150	Lower extremity
Musculoskeletal	3199371	Radiography positive for osteomyelitis of the foot, diabetic, next imaging study, pretreatment planning	All	18 - 150	Lower extremity
Musculoskeletal	3197412	Radius and ulna stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197411	Radius and ulna stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197400	Ribs stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197399	Ribs stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197422	Sacrum stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197421	Sacrum stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197270	Sacrum stress fracture suspected, pregnant, radiography indeterminate, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197271	Sacrum stress fracture suspected, pregnant, radiography negative, next imaging study.	Female Only	10 - 60	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195620	Septic arthritis suspected, ankle, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195625	Septic arthritis suspected, ankle, arthroplasty, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195630	Septic arthritis suspected, ankle, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195615	Septic arthritis suspected, ankle, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195455	Septic arthritis suspected, ankle, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195528	Septic arthritis suspected, ankle, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195482	Septic arthritis suspected, ankle, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195539	Septic arthritis suspected, ankle, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195621	Septic arthritis suspected, elbow, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195626	Septic arthritis suspected, elbow, arthroplasty, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195631	Septic arthritis suspected, elbow, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195616	Septic arthritis suspected, elbow, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195456	Septic arthritis suspected, elbow, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195529	Septic arthritis suspected, elbow, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195533	Septic arthritis suspected, elbow, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195540	Septic arthritis suspected, elbow, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195622	Septic arthritis suspected, hip, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195627	Septic arthritis suspected, hip, arthroplasty, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195632	Septic arthritis suspected, hip, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195617	Septic arthritis suspected, hip, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195457	Septic arthritis suspected, hip, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195530	Septic arthritis suspected, hip, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195534	Septic arthritis suspected, hip, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195541	Septic arthritis suspected, hip, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195623	Septic arthritis suspected, knee, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195628	Septic arthritis suspected, knee, arthroplasty, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195633	Septic arthritis suspected, knee, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195618	Septic arthritis suspected, knee, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195458	Septic arthritis suspected, knee, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195531	Septic arthritis suspected, knee, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195535	Septic arthritis suspected, knee, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195542	Septic arthritis suspected, knee, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195624	Septic arthritis suspected, shoulder, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195629	Septic arthritis suspected, shoulder, arthroplasty, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195634	Septic arthritis suspected, shoulder, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195619	Septic arthritis suspected, shoulder, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195459	Septic arthritis suspected, shoulder, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195532	Septic arthritis suspected, shoulder, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195536	Septic arthritis suspected, shoulder, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195543	Septic arthritis suspected, shoulder, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195613	Septic arthritis suspected, wrist, arthroplasty, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195612	Septic arthritis suspected, wrist, arthroplasty, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195611	Septic arthritis suspected, wrist, implanted intra articular surgical hardware, radiography findings suggest septic arthritis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195614	Septic arthritis suspected, wrist, implanted intra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195442	Septic arthritis suspected, wrist, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195481	Septic arthritis suspected, wrist, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195537	Septic arthritis suspected, wrist, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195483	Septic arthritis suspected, wrist, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198468	Shoulder pain, acute, any etiology, initial imaging	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198473	Shoulder pain, acute, clavicle fracture on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198479	Shoulder pain, acute, hx or physical exam consistent with dislocation, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198480	Shoulder pain, acute, hx or physical exam consistent with dislocation, radiography negative, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198482	Shoulder pain, acute, hx or physical exam consistent with dislocation, radiography positive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198477	Shoulder pain, acute, hx or physical exam consistent with instability, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198478	Shoulder pain, acute, hx or physical exam consistent with instability, radiography negative, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198481	Shoulder pain, acute, hx or physical exam consistent with instability, radiography positive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198470	Shoulder pain, acute, occult fracture suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198471	Shoulder pain, acute, occult fracture suspected, radiography negative, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198484	Shoulder pain, acute, physical exam consistent with labral tear, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198485	Shoulder pain, acute, physical exam consistent with labral tear, radiography negative, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198487	Shoulder pain, acute, physical exam consistent with rotator cuff tear, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198488	Shoulder pain, acute, physical exam consistent with rotator cuff tear, radiography negative, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198475	Shoulder pain, acute, proximal humerus fracture on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3198474	Shoulder pain, acute, scapular fracture on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195935	Shoulder pain, chronic, adhesive capsulitis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141524	Shoulder pain, chronic, adhesive capsulitis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141654	Shoulder pain, chronic, biceps tendon abnormality suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141653	Shoulder pain, chronic, biceps tendon abnormality suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195931	Shoulder pain, chronic, calcific bursitis on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141522	Shoulder pain, chronic, calcific tendinopathy on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196129	Shoulder pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196128	Shoulder pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196127	Shoulder pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196216	Shoulder pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108760	Shoulder pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196182	Shoulder pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196190	Shoulder pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195924	Shoulder pain, chronic, initial imaging	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195934	Shoulder pain, chronic, labral pathology suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141523	Shoulder pain, chronic, labral pathology suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3141527	Shoulder pain, chronic, osteoarthritis on radiography, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196207	Shoulder pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196199	Shoulder pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195940	Shoulder pain, chronic, rotator cuff disorders suspected, hx of rotator cuff repair, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195941	Shoulder pain, chronic, rotator cuff disorders suspected, hx of rotator cuff repair, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195927	Shoulder pain, chronic, rotator cuff disorders suspected, no hx of surgery, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195926	Shoulder pain, chronic, rotator cuff disorders suspected, no hx of surgery, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196130	Shoulder pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196171	Shoulder pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196147	Shoulder pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196131	Shoulder pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196172	Shoulder pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196148	Shoulder pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195932	Shoulder pain, chronic, shoulder instability suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195933	Shoulder pain, chronic, shoulder instability suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195939	Shoulder pain, chronic, subacromial subdeltoid bursitis suspected, hx of rotator cuff repair, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195938	Shoulder pain, chronic, subacromial subdeltoid bursitis suspected, hx of rotator cuff repair, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195928	Shoulder pain, chronic, subacromial subdeltoid bursitis suspected, no hx of surgery, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195929	Shoulder pain, chronic, subacromial subdeltoid bursitis suspected, no hx of surgery, radiography normal, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194892	Shoulder replaced, asymptomatic, routine follow up imaging	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194893	Shoulder replaced, symptomatic, Initial imaging	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194895	Shoulder replaced, symptomatic, loosening suspected, no infection, radiographs performed, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194897	Shoulder replaced, symptomatic, rotator cuff tear suspected, no infection, radiographs performed, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194894	Shoulder replaced, symptomatic, rule out infection, radiographs performed, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3194898	Shoulder replaced, symptomatic, soft tissue abnormality suspected, no infection, radiographs performed, next imaging study	All	18 - 150	Upper extremity	Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197398	Shoulder stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197397	Shoulder stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195637	Soft tissue infection suspected, abdomen, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195460	Soft tissue infection suspected, abdomen, initial imaging	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195484	Soft tissue infection suspected, abdomen, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195513	Soft tissue infection suspected, abdomen, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195655	Soft tissue infection suspected, abdomen, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195498	Soft tissue infection suspected, abdomen, radiography normal, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195670	Soft tissue infection suspected, abdomen, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Abdomen	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195636	Soft tissue infection suspected, ankle, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195595	Soft tissue infection suspected, ankle, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195600	Soft tissue infection suspected, ankle, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195590	Soft tissue infection suspected, ankle, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195461	Soft tissue infection suspected, ankle, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195486	Soft tissue infection suspected, ankle, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195515	Soft tissue infection suspected, ankle, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195657	Soft tissue infection suspected, ankle, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195500	Soft tissue infection suspected, ankle, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195672	Soft tissue infection suspected, ankle, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195639	Soft tissue infection suspected, chest, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195462	Soft tissue infection suspected, chest, initial imaging	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195538	Soft tissue infection suspected, chest, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195516	Soft tissue infection suspected, chest, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195658	Soft tissue infection suspected, chest, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195501	Soft tissue infection suspected, chest, radiography normal, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195673	Soft tissue infection suspected, chest, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195640	Soft tissue infection suspected, elbow, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195596	Soft tissue infection suspected, elbow, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195601	Soft tissue infection suspected, elbow, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195591	Soft tissue infection suspected, elbow, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195463	Soft tissue infection suspected, elbow, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195487	Soft tissue infection suspected, elbow, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195517	Soft tissue infection suspected, elbow, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195659	Soft tissue infection suspected, elbow, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195502	Soft tissue infection suspected, elbow, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195674	Soft tissue infection suspected, elbow, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195642	Soft tissue infection suspected, foot, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195475	Soft tissue infection suspected, foot, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195489	Soft tissue infection suspected, foot, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195519	Soft tissue infection suspected, foot, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195661	Soft tissue infection suspected, foot, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195504	Soft tissue infection suspected, foot, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195676	Soft tissue infection suspected, foot, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195643	Soft tissue infection suspected, forearm, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195465	Soft tissue infection suspected, forearm, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195490	Soft tissue infection suspected, forearm, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195520	Soft tissue infection suspected, forearm, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195662	Soft tissue infection suspected, forearm, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195505	Soft tissue infection suspected, forearm, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195677	Soft tissue infection suspected, forearm, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195644	Soft tissue infection suspected, hand, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195466	Soft tissue infection suspected, hand, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195491	Soft tissue infection suspected, hand, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195521	Soft tissue infection suspected, hand, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195663	Soft tissue infection suspected, hand, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195506	Soft tissue infection suspected, hand, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195678	Soft tissue infection suspected, hand, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195645	Soft tissue infection suspected, hip, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195597	Soft tissue infection suspected, hip, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195602	Soft tissue infection suspected, hip, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195592	Soft tissue infection suspected, hip, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195467	Soft tissue infection suspected, hip, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195492	Soft tissue infection suspected, hip, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195522	Soft tissue infection suspected, hip, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195664	Soft tissue infection suspected, hip, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195507	Soft tissue infection suspected, hip, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195679	Soft tissue infection suspected, hip, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195647	Soft tissue infection suspected, knee, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195598	Soft tissue infection suspected, knee, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195603	Soft tissue infection suspected, knee, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195593	Soft tissue infection suspected, knee, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195470	Soft tissue infection suspected, knee, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195494	Soft tissue infection suspected, knee, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195524	Soft tissue infection suspected, knee, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195666	Soft tissue infection suspected, knee, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195509	Soft tissue infection suspected, knee, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195681	Soft tissue infection suspected, knee, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195650	Soft tissue infection suspected, lower leg, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195473	Soft tissue infection suspected, lower leg, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195497	Soft tissue infection suspected, lower leg, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195527	Soft tissue infection suspected, lower leg, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195669	Soft tissue infection suspected, lower leg, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195512	Soft tissue infection suspected, lower leg, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195684	Soft tissue infection suspected, lower leg, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195638	Soft tissue infection suspected, neck, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195469	Soft tissue infection suspected, neck, initial imaging	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195485	Soft tissue infection suspected, neck, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195514	Soft tissue infection suspected, neck, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195656	Soft tissue infection suspected, neck, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195499	Soft tissue infection suspected, neck, radiography normal, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195671	Soft tissue infection suspected, neck, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Neck	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195648	Soft tissue infection suspected, pelvis, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195471	Soft tissue infection suspected, pelvis, initial imaging	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195495	Soft tissue infection suspected, pelvis, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195525	Soft tissue infection suspected, pelvis, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195667	Soft tissue infection suspected, pelvis, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195510	Soft tissue infection suspected, pelvis, radiography normal, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195682	Soft tissue infection suspected, pelvis, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195649	Soft tissue infection suspected, shoulder, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195599	Soft tissue infection suspected, shoulder, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195604	Soft tissue infection suspected, shoulder, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195594	Soft tissue infection suspected, shoulder, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195472	Soft tissue infection suspected, shoulder, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195496	Soft tissue infection suspected, shoulder, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195526	Soft tissue infection suspected, shoulder, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195668	Soft tissue infection suspected, shoulder, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195511	Soft tissue infection suspected, shoulder, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195683	Soft tissue infection suspected, shoulder, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195641	Soft tissue infection suspected, thigh, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195464	Soft tissue infection suspected, thigh, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195488	Soft tissue infection suspected, thigh, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195518	Soft tissue infection suspected, thigh, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195660	Soft tissue infection suspected, thigh, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195503	Soft tissue infection suspected, thigh, radiography normal, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195675	Soft tissue infection suspected, thigh, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195646	Soft tissue infection suspected, upper arm, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195468	Soft tissue infection suspected, upper arm, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195493	Soft tissue infection suspected, upper arm, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195523	Soft tissue infection suspected, upper arm, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195665	Soft tissue infection suspected, upper arm, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195508	Soft tissue infection suspected, upper arm, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195680	Soft tissue infection suspected, upper arm, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195651	Soft tissue infection suspected, wrist, hx of puncture wound, possible foreign body retained, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195577	Soft tissue infection suspected, wrist, implanted extra articular surgical hardware, radiography findings suggest osteomyelitis, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195578	Soft tissue infection suspected, wrist, implanted extra articular surgical hardware, radiography findings suggest soft tissue infection, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195576	Soft tissue infection suspected, wrist, implanted extra articular surgical hardware, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195441	Soft tissue infection suspected, wrist, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195478	Soft tissue infection suspected, wrist, radiography findings suggest joint effusion, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195480	Soft tissue infection suspected, wrist, radiography findings suggest soft tissue swelling, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195653	Soft tissue infection suspected, wrist, radiography normal, necrotizing fasciitis highly suspected, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195479	Soft tissue infection suspected, wrist, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3195654	Soft tissue infection suspected, wrist, soft tissue gas on radiography, no puncture wound, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196235	Soft tissue mass, abdomen, nonsuperficial, initial imaging	All	18 - 150	Abdomen
Musculoskeletal	3196267	Soft tissue mass, abdomen, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Abdomen
Musculoskeletal	3196251	Soft tissue mass, abdomen, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Abdomen
Musculoskeletal	3196231	Soft tissue mass, abdomen, superficial, initial imaging	All	18 - 150	Abdomen
Musculoskeletal	3196239	Soft tissue mass, ankle, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196271	Soft tissue mass, ankle, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196255	Soft tissue mass, ankle, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196227	Soft tissue mass, ankle, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196236	Soft tissue mass, chest, nonsuperficial, initial imaging	All	18 - 150	Chest
Musculoskeletal	3196268	Soft tissue mass, chest, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Chest
Musculoskeletal	3196252	Soft tissue mass, chest, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Chest
Musculoskeletal	3196230	Soft tissue mass, chest, superficial, initial imaging	All	18 - 150	Chest
Musculoskeletal	3196241	Soft tissue mass, elbow, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196273	Soft tissue mass, elbow, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196257	Soft tissue mass, elbow, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196225	Soft tissue mass, elbow, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196242	Soft tissue mass, foot, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196274	Soft tissue mass, foot, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196258	Soft tissue mass, foot, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196224	Soft tissue mass, foot, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196243	Soft tissue mass, forearm, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196275	Soft tissue mass, forearm, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196259	Soft tissue mass, forearm, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196223	Soft tissue mass, forearm, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196244	Soft tissue mass, hand, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196276	Soft tissue mass, hand, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196260	Soft tissue mass, hand, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196222	Soft tissue mass, hand, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196250	Soft tissue mass, hip, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196282	Soft tissue mass, hip, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196266	Soft tissue mass, hip, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196233	Soft tissue mass, hip, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196245	Soft tissue mass, knee, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196277	Soft tissue mass, knee, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196262	Soft tissue mass, knee, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196221	Soft tissue mass, knee, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196246	Soft tissue mass, lower leg, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196278	Soft tissue mass, lower leg, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196264	Soft tissue mass, lower leg, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196220	Soft tissue mass, lower leg, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196237	Soft tissue mass, neck, nonsuperficial, initial imaging	All	18 - 150	Neck
Musculoskeletal	3196269	Soft tissue mass, neck, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Neck
Musculoskeletal	3196253	Soft tissue mass, neck, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Neck
Musculoskeletal	3196229	Soft tissue mass, neck, superficial, initial imaging	All	18 - 150	Neck
Musculoskeletal	3196238	Soft tissue mass, pelvis, nonsuperficial, initial imaging	All	18 - 150	Pelvis
Musculoskeletal	3196270	Soft tissue mass, pelvis, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Pelvis
Musculoskeletal	3196254	Soft tissue mass, pelvis, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Pelvis
Musculoskeletal	3196228	Soft tissue mass, pelvis, superficial, initial imaging	All	18 - 150	Pelvis
Musculoskeletal	3196249	Soft tissue mass, shoulder, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196281	Soft tissue mass, shoulder, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196265	Soft tissue mass, shoulder, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196232	Soft tissue mass, shoulder, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196247	Soft tissue mass, thigh, nonsuperficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196279	Soft tissue mass, thigh, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196263	Soft tissue mass, thigh, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Lower extremity
Musculoskeletal	3196219	Soft tissue mass, thigh, superficial, initial imaging	All	18 - 150	Lower extremity
Musculoskeletal	3196240	Soft tissue mass, upper arm, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196272	Soft tissue mass, upper arm, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196256	Soft tissue mass, upper arm, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196226	Soft tissue mass, upper arm, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196248	Soft tissue mass, wrist, nonsuperficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196280	Soft tissue mass, wrist, radiography and noncontrast US nondiagnostic, MRI contraindicated, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196261	Soft tissue mass, wrist, radiography and noncontrast US nondiagnostic, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196218	Soft tissue mass, wrist, superficial, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3197283	Stress fracture suspected, ankle, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197284	Stress fracture suspected, ankle, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197281	Stress fracture suspected, ankle, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197282	Stress fracture suspected, ankle, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197234	Stress fracture suspected, ankle, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197285	Stress fracture suspected, ankle, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197286	Stress fracture suspected, ankle, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197263	Stress fracture suspected, ankle, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197245	Stress fracture suspected, ankle, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197289	Stress fracture suspected, elbow, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197290	Stress fracture suspected, elbow, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197287	Stress fracture suspected, elbow, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197288	Stress fracture suspected, elbow, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197232	Stress fracture suspected, elbow, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197291	Stress fracture suspected, elbow, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197292	Stress fracture suspected, elbow, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197262	Stress fracture suspected, elbow, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197244	Stress fracture suspected, elbow, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197295	Stress fracture suspected, femur, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197296	Stress fracture suspected, femur, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197293	Stress fracture suspected, femur, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197294	Stress fracture suspected, femur, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197231	Stress fracture suspected, femur, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197297	Stress fracture suspected, femur, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197298	Stress fracture suspected, femur, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197261	Stress fracture suspected, femur, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197243	Stress fracture suspected, femur, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197301	Stress fracture suspected, foot, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197302	Stress fracture suspected, foot, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197299	Stress fracture suspected, foot, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197300	Stress fracture suspected, foot, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197230	Stress fracture suspected, foot, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197303	Stress fracture suspected, foot, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197304	Stress fracture suspected, foot, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197260	Stress fracture suspected, foot, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197242	Stress fracture suspected, foot, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197313	Stress fracture suspected, hand, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197314	Stress fracture suspected, hand, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197311	Stress fracture suspected, hand, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197312	Stress fracture suspected, hand, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197228	Stress fracture suspected, hand, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197315	Stress fracture suspected, hand, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197316	Stress fracture suspected, hand, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197258	Stress fracture suspected, hand, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197240	Stress fracture suspected, hand, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197319	Stress fracture suspected, hip, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197320	Stress fracture suspected, hip, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197317	Stress fracture suspected, hip, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197318	Stress fracture suspected, hip, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197227	Stress fracture suspected, hip, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197321	Stress fracture suspected, hip, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197322	Stress fracture suspected, hip, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197257	Stress fracture suspected, hip, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197239	Stress fracture suspected, hip, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197325	Stress fracture suspected, humerus, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197326	Stress fracture suspected, humerus, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197323	Stress fracture suspected, humerus, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197324	Stress fracture suspected, humerus, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197226	Stress fracture suspected, humerus, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197327	Stress fracture suspected, humerus, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197328	Stress fracture suspected, humerus, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197256	Stress fracture suspected, humerus, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197238	Stress fracture suspected, humerus, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197331	Stress fracture suspected, knee, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197332	Stress fracture suspected, knee, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197329	Stress fracture suspected, knee, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197330	Stress fracture suspected, knee, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197225	Stress fracture suspected, knee, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197333	Stress fracture suspected, knee, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197334	Stress fracture suspected, knee, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197255	Stress fracture suspected, knee, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197250	Stress fracture suspected, knee, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197277	Stress fracture suspected, pelvis, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197278	Stress fracture suspected, pelvis, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197275	Stress fracture suspected, pelvis, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197276	Stress fracture suspected, pelvis, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197233	Stress fracture suspected, pelvis, initial imaging	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197279	Stress fracture suspected, pelvis, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197280	Stress fracture suspected, pelvis, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197264	Stress fracture suspected, pelvis, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197237	Stress fracture suspected, pelvis, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197307	Stress fracture suspected, radius and ulna, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197308	Stress fracture suspected, radius and ulna, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197305	Stress fracture suspected, radius and ulna, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197306	Stress fracture suspected, radius and ulna, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197229	Stress fracture suspected, radius and ulna, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197309	Stress fracture suspected, radius and ulna, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197310	Stress fracture suspected, radius and ulna, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197259	Stress fracture suspected, radius and ulna, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197241	Stress fracture suspected, radius and ulna, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197343	Stress fracture suspected, ribs, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197344	Stress fracture suspected, ribs, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197341	Stress fracture suspected, ribs, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197342	Stress fracture suspected, ribs, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197223	Stress fracture suspected, ribs, initial imaging	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197345	Stress fracture suspected, ribs, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197346	Stress fracture suspected, ribs, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197253	Stress fracture suspected, ribs, radiography indeterminate, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197248	Stress fracture suspected, ribs, radiography negative, next imaging study	All	18 - 150	Chest	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197361	Stress fracture suspected, sacrum, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197362	Stress fracture suspected, sacrum, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197359	Stress fracture suspected, sacrum, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197360	Stress fracture suspected, sacrum, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197235	Stress fracture suspected, sacrum, initial imaging	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197363	Stress fracture suspected, sacrum, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197364	Stress fracture suspected, sacrum, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197265	Stress fracture suspected, sacrum, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197266	Stress fracture suspected, sacrum, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197349	Stress fracture suspected, shoulder, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197350	Stress fracture suspected, shoulder, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197347	Stress fracture suspected, shoulder, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197348	Stress fracture suspected, shoulder, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197222	Stress fracture suspected, shoulder, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197351	Stress fracture suspected, shoulder, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197352	Stress fracture suspected, shoulder, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197252	Stress fracture suspected, shoulder, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197247	Stress fracture suspected, shoulder, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197337	Stress fracture suspected, tibia and fibula, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197338	Stress fracture suspected, tibia and fibula, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197335	Stress fracture suspected, tibia and fibula, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197336	Stress fracture suspected, tibia and fibula, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197224	Stress fracture suspected, tibia and fibula, initial imaging	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197339	Stress fracture suspected, tibia and fibula, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197340	Stress fracture suspected, tibia and fibula, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197254	Stress fracture suspected, tibia and fibula, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197249	Stress fracture suspected, tibia and fibula, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197355	Stress fracture suspected, wrist, fracture completion risk, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197356	Stress fracture suspected, wrist, fracture completion risk, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197353	Stress fracture suspected, wrist, immediate need-to-know, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197354	Stress fracture suspected, wrist, immediate need-to-know, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197221	Stress fracture suspected, wrist, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197357	Stress fracture suspected, wrist, osteoporosis or bisphosphonate therapy, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197358	Stress fracture suspected, wrist, osteoporosis or bisphosphonate therapy, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197251	Stress fracture suspected, wrist, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197246	Stress fracture suspected, wrist, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197368	Subchondral stress fracture suspected, ankle, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197369	Subchondral stress fracture suspected, ankle, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197370	Subchondral stress fracture suspected, elbow, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197371	Subchondral stress fracture suspected, elbow, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197372	Subchondral stress fracture suspected, femur, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197373	Subchondral stress fracture suspected, femur, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197374	Subchondral stress fracture suspected, foot, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197375	Subchondral stress fracture suspected, foot, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197378	Subchondral stress fracture suspected, hand, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197379	Subchondral stress fracture suspected, hand, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197380	Subchondral stress fracture suspected, hip, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197381	Subchondral stress fracture suspected, hip, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197382	Subchondral stress fracture suspected, humerus, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197383	Subchondral stress fracture suspected, humerus, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197384	Subchondral stress fracture suspected, knee, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197385	Subchondral stress fracture suspected, knee, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197366	Subchondral stress fracture suspected, pelvis, radiography indeterminate, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197367	Subchondral stress fracture suspected, pelvis, radiography negative, next imaging study	All	18 - 150	Pelvis	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197376	Subchondral stress fracture suspected, radius and ulna, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197377	Subchondral stress fracture suspected, radius and ulna, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197388	Subchondral stress fracture suspected, shoulder, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197389	Subchondral stress fracture suspected, shoulder, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197386	Subchondral stress fracture suspected, tibia and fibula, radiography indeterminate, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197387	Subchondral stress fracture suspected, tibia and fibula, radiography negative, next imaging study	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197390	Subchondral stress fracture suspected, wrist, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197391	Subchondral stress fracture suspected, wrist, radiography negative, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196007	Symptomatic osteoporotic VCF with bone marrow edema or intravertebral cleft. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3111290	Thoracic spine trauma, acute, blunt, high-risk, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198862	Thoracic spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198860	Thoracic spine blunt trauma, ligamentous injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198861	Thoracic spine blunt trauma, spinal cord injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198874	Thoracic spine trauma, acute, blunt, >60yo, complaints consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198875	Thoracic spine trauma, acute, blunt, >60yo, mechanism consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198873	Thoracic spine trauma, acute, blunt, high-energy injury mechanisms, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198859	Thoracic spine trauma, acute, blunt, ligamentous injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198872	Thoracic spine trauma, acute, blunt, midline thoracolumbar tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198863	Thoracic spine trauma, acute, blunt, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198864	Thoracic spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3198870	Thoracic spine trauma, acute, blunt, unexaminable, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3197402	Tibia and fibula stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197401	Tibia and fibula stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196001	Vertebral compression fracture on radiography, cervical, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195990	Vertebral compression fracture on radiography, cervical, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3196003	Vertebral compression fracture on radiography, lumbar, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195992	Vertebral compression fracture on radiography, lumbar, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3196002	Vertebral compression fracture on radiography, thoracic, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195991	Vertebral compression fracture on radiography, thoracic, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195986	Vertebral compression fracture on xray, cervical, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195988	Vertebral compression fracture on xray, lumbar, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195987	Vertebral compression fracture on xray, thoracic, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Musculoskeletal	3195370	Vertebral fracture risk, T scores <−1.0, height loss >4cm, follow up imaging	All	18 - 150	Spine
Musculoskeletal	3195369	Vertebral fracture risk, T scores <−1.0, self reported prior vertebral fracture, follow up imaging	All	18 - 150	Spine
Musculoskeletal	3195367	Vertebral fracture risk, T scores <−1.0, follow up imaging	Female Only	70 - 150	Spine
Musculoskeletal	3195371	Vertebral fracture risk, T scores <−1.0, follow up imaging	Male Only	80 - 150	Spine
Musculoskeletal	3195368	Vertebral fracture risk, T scores <−1.0, glucocorticoid therapy equivalent to >= 5mg of prednisone >=3 months, follow up imaging	All	18 - 150	Spine
Musculoskeletal	3149335	Wrist fracture, tendon or ligament trauma suspected, radiography done	All	18 - 150	Upper extremity
Musculoskeletal	3196875	Wrist pain, chronic, carpal tunnel syndrome suspected, radiography indeterminate, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196874	Wrist pain, chronic, carpal tunnel syndrome suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196124	Wrist pain, chronic, crystalline arthritis suspected, gout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196123	Wrist pain, chronic, crystalline arthritis suspected, pseudogout, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196122	Wrist pain, chronic, erosive osteoarthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196217	Wrist pain, chronic, erosive osteoarthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3108761	Wrist pain, chronic, erosive osteoarthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196183	Wrist pain, chronic, gout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196191	Wrist pain, chronic, gout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3073965	Wrist pain, chronic, initial imaging	All	18 - 150	Upper extremity
Musculoskeletal	3196865	Wrist pain, chronic, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196871	Wrist pain, chronic, old scaphoid fracture on radiography, next imaging study, evaluate for malunion	All	18 - 150	Upper extremity
Musculoskeletal	3082506	Wrist pain, chronic, old scaphoid fracture on radiography, next imaging study, evaluate for nonunion	All	18 - 150	Upper extremity
Musculoskeletal	3196870	Wrist pain, chronic, old scaphoid fracture on radiography, next imaging study, evaluate for osteonecrosis	All	18 - 150	Upper extremity
Musculoskeletal	3196869	Wrist pain, chronic, old scaphoid fracture on radiography, next imaging study, evaluate for post traumatic osteoarthritis	All	18 - 150	Upper extremity
Musculoskeletal	3196208	Wrist pain, chronic, pseudogout suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196200	Wrist pain, chronic, pseudogout suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3081994	Wrist pain, chronic, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196125	Wrist pain, chronic, seronegative inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196173	Wrist pain, chronic, seronegative inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196145	Wrist pain, chronic, seronegative inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196126	Wrist pain, chronic, seropositive inflammatory arthritis suspected, initial imaging	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196174	Wrist pain, chronic, seropositive inflammatory arthritis suspected, radiography inconclusive, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196146	Wrist pain, chronic, seropositive inflammatory arthritis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3196885	Wrist pain, chronic, tendon injury suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196880	Wrist pain, chronic, tendon injury suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196883	Wrist pain, chronic, tendon pathology suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196878	Wrist pain, chronic, tendon pathology suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3196879	Wrist pain, chronic, tenosynovitis suspected, radiography normal, next imaging study	All	18 - 150	Upper extremity
Musculoskeletal	3197396	Wrist stress fracture on radiography, next imaging study, associated complication	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3197395	Wrist stress fracture on radiography, next imaging study, determining extent	All	18 - 150	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Musculoskeletal	3148783	Wrist trauma, fracture suspected, equivocal radiography	All	18 - 150	Upper extremity
Musculoskeletal	3148782	Wrist trauma, fracture suspected, neg or equivocal radiography	All	18 - 150	Upper extremity
Musculoskeletal	3148779	Wrist trauma, initial exam	All	18 - 150	Upper extremity
Musculoskeletal	3148785	Wrist trauma, penetrating, foreign body suspected, neg radiography	All	18 - 150	Upper extremity
Musculoskeletal	3149336	Wrist trauma, subluxation on radiography	All	18 - 150	Upper extremity
Musculoskeletal	3196887	Wrist, chronic, tenosynovitis suspected, nonspecific arthritis findings on radiography, next imaging study	All	18 - 150	Upper extremity
Neurologic	3149724	Altered mental status, focal neuro deficit suspected, initial imaging	All	18 - 150	Head
Neurologic	3149728	Altered mental status, hx of intracranial pathology, initial imaging	All	18 - 150	Head
Neurologic	3149725	Altered mental status, intracranial pathology suspected, initial imaging	All	18 - 150	Head
Neurologic	3149734	Altered mental status, medical illness clinically managed, initial imaging	All	18 - 150	Head
Neurologic	3149731	Altered mental status, medical illness suspected, initial imaging	All	18 - 150	Head
Neurologic	3149735	Altered mental status, toxic-metabolic cause clinically managed, initial imaging	All	18 - 150	Head
Neurologic	3149733	Altered mental status, toxic-metabolic cause suspected, initial imaging	All	18 - 150	Head
Neurologic	3198693	Alzheimer disease, antiamyloid monoclonal antibodies therapy, posttreatment imaging.	All	18 - 150	Head
Neurologic	3198691	Alzheimer disease, antiamyloid monoclonal antibodies therapy, pretreatment imaging.	All	18 - 150	Head
Neurologic	3195207	Anosmia, initial imaging	All	18 - 150	Head-neck
Neurologic	3196005	Asymptomatic, osteoporotic VCF. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194676	AVF, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194677	AVM, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3195219	Bell palsy, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3196011	Benign VCF with worsening pain, or deformity, or pulmonary dysfunction. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3199308	Bitemporal hemianopia, parasellar mass suspected, initial imaging	All	18 - 150	Head
Neurologic	3199310	Bitemporal hemianopia, sellar mass suspected, initial imaging	All	18 - 150	Head
Neurologic	3198610	Brain tumor metastatic, screening, extracranial malignancy	All	18 - 150	Head
Neurologic	3198614	Brain tumor on prior imaging, extra-axial suspected, pretreatment evaluation	All	18 - 150	Head
Neurologic	3198612	Brain tumor on prior imaging, intra-axial suspected, pretreatment evaluation	All	18 - 150	Head
Neurologic	3198608	Brain tumor primary, screening, genetic risk factors	All	18 - 150	Head
Neurologic	3198619	Brain tumor, treated, enlarging lesion on surveillance, next imaging study	All	18 - 150	Head
Neurologic	3198618	Brain tumor, treated, new lesion on surveillance, next imaging study	All	18 - 150	Head
Neurologic	3198616	Brain tumor, treated, surveillance	All	18 - 150	Head
Neurologic	3196954	Carotid stenosis, asymptomatic, surveillance	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3196974	Cerebellar ataxia suspected, chronic disequilibrium, initial imaging	All	18 - 150	Head
Neurologic	3194674	Cerebral aneurysm screening, high risk	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194672	Cerebral aneurysm, treated, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194670	Cerebral aneurysm, untreated, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194668	Cerebral vasospasm suspected, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196952	Cervical bruit, asymptomatic, initial imaging	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3149682	Cervical spine trauma, acute, blunt, altered level of consciousness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198850	Cervical spine trauma, acute, blunt, bicycle collision, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149685	Cervical spine trauma, acute, blunt, focal neuro deficit, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149686	Cervical spine trauma, acute, blunt, intoxication, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198857	Cervical spine blunt trauma, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149708	Cervical spine mechanical pain, acute, no trauma, no red flags, prior cervical spine surgery, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149707	Cervical spine mechanical pain, increasing, no trauma, no red flags, prior cervical spine surgery, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198709	Cervical spine pain, acute, no trauma, infection, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149324	Cervical spine pain, acute, no radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149709	Cervical spine pain, acute, no trauma, infection suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149712	Cervical spine pain, acute, no trauma, malignancy, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149325	Cervical spine pain, acute, radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3073955	Cervical spine pain, chronic, no radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3073960	Cervical spine pain, chronic, radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198703	Cervical spine pain, increasing, no radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149710	Cervical spine pain, increasing, no trauma, infection suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198710	Cervical spine pain, increasing, no trauma, infection, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3149711	Cervical spine pain, increasing, no trauma, malignancy, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198704	Cervical spine pain, increasing, radiculopathy, no trauma, no red flags, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198711	Cervical spine radiculopathy, acute, no trauma, infection suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198713	Cervical spine radiculopathy, acute, no trauma, infection, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198715	Cervical spine radiculopathy, acute, no trauma, malignancy, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198706	Cervical spine radiculopathy, acute, no trauma, no red flags, prior cervical spine surgery, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198716	Cervical spine radiculopathy, increasing, no trauma, malignancy, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198712	Cervical spine radiculopathy, increasing, no trauma, infection suspected, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198714	Cervical spine radiculopathy, increasing, no trauma, infection, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198707	Cervical spine radiculopathy, increasing, no trauma, no red flags, prior cervical spine surgery, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3198844	Cervical spine trauma, acute, blunt, age>65 years, initial imaging	All	66 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149317	Cervical spine trauma, acute, blunt, arterial injury suspected, with or without positive cervical spine CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198848	Cervical spine trauma, acute, blunt, axial load to head, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198846	Cervical spine trauma, acute, blunt, dangerous mechanism, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149683	Cervical spine trauma, acute, blunt, distracting injury, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198847	Cervical spine trauma, acute, blunt, falls from ≥3 feet or 5 stairs, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149687	Cervical spine trauma, acute, blunt, imaging indicated by CCR or NEXUS, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198843	Cervical spine trauma, acute, blunt, imaging not indicated by CCR or Nexus, low-risk criteria, initial imaging	All	16 - 64	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198853	Cervical spine trauma, acute, blunt, ligamentous injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198854	Cervical spine trauma, acute, blunt, ligamentous injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149684	Cervical spine trauma, acute, blunt, midline spinal tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198849	Cervical spine trauma, acute, blunt, motor vehicle crash with high speed, rollover, or ejection, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198851	Cervical spine trauma, acute, blunt, motorized recreational vehicle accident, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198858	Cervical spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149319	Cervical spine trauma, acute, blunt, no unstable injury initially, collar for neck pain, no new neuro symptoms, follow-up imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149316	Cervical spine trauma, acute, blunt, obtunded, no trauma on cervical spine CT without IV contrast, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198845	Cervical spine trauma, acute, blunt, paresthesia in extremities, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198855	Cervical spine trauma, acute, blunt, spinal cord injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198856	Cervical spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196956	Cervical vascular dissection suspected, initial imaging	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3196959	Cervical vascular dissection, surveillance	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3196957	Cervical vascular Injury suspected, initial imaging	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3196960	Cervical vascular injury, surveillance	All	18 - 150	Neck	Headache (traumatic and nontraumatic)
Neurologic	3198606	Cholesteatoma, postoperative, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3141662	Cholesteatoma, surgical planning	All	18 - 150	Head
Neurologic	3073680	Chorea, Huntington disease suspected, initial imaging	All	18 - 150	Head
Neurologic	3194679	CNS vasculitis suspected, initial imaging	All	18 - 150	Head-neck	Headache (traumatic and nontraumatic)
Neurologic	3074305	Cochlear implant candidate, surgical planning	All	18 - 150	Head
Neurologic	3198694	Cognitive impairment, behavioral abnormalities, frontotemporal dementia suspected, initial imaging.	All	18 - 150	Head
Neurologic	3198700	Cognitive impairment, gait disturbance, normal pressure hydrocephalus suspected, initial imaging	All	18 - 150	Head
Neurologic	3198689	Cognitive impairment, memory deficits, Alzheimer disease suspected, atypical clinical presentation, initial imaging	All	18 - 64	Head
Neurologic	3198687	Cognitive impairment, memory deficits, Alzheimer disease suspected, typical clinical presentation, initial imaging	All	65 - 150	Head
Neurologic	3198685	Cognitive impairment, mild, dementia criteria not met, initial imaging	All	18 - 150	Head
Neurologic	3198697	Cognitive impairment, parkinsonian symptoms, dementia with Lewy bodies suspected, initial imaging.	All	18 - 150	Head
Neurologic	3198695	Cognitive impairment, progressive aphasia, frontotemporal dementia suspected, initial imaging	All	18 - 150	Head
Neurologic	3198698	Cognitive impairment, recent stroke, vascular dementia suspected, initial imaging	All	18 - 150	Head
Neurologic	3198699	Cognitive impairment, stepwise decline, vascular dementia suspected, initial imaging	All	18 - 150	Head
Neurologic	3073679	Cognitive impairment, urinary incontinence, normal pressure hydrocephalus suspected, initial imaging	All	18 - 150	Head
Neurologic	3198696	Cognitive impairment, visual hallucinations, dementia with Lewy bodies suspected, initial imaging	All	18 - 150	Head
Neurologic	3194916	CSF leak suspected, initial imaging	All	18 - 150	Maxface
Neurologic	3073678	Dementia, rapidly progressive, Creutzfeld-Jakob disease suspected, initial imaging	All	18 - 150	Head
Neurologic	3198702	Dementia, rapidly progressive, initial imaging	All	18 - 150	Head
Neurologic	3194909	Deviated nasal septum, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	2986	Diabetes insipidus	All	18 - 150	Head
Neurologic	3131587	Diplopia, initial exam	All	18 - 150	Head
Neurologic	3194956	Displaced teeth, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3196978	Dizziness, nonspecific, without vertigo, ataxia, or other neuro deficits, initial imaging	All	18 - 150	Head
Neurologic	3131577	Enophthalmos, nontraumatic, initial exam	All	18 - 150	Head
Neurologic	3194948	Epistaxis, nasal fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3131576	Exophthalmos, nontraumatic, initial exam	All	18 - 150	Head
Neurologic	3194941	Facial elongation, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3195217	Facial expression paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195213	Facial numbness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195216	Facial weakness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3194955	Fractured teeth, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194935	Frontal bone contusion, frontal bone fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194936	Frontal bone edema, frontal bone fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194934	Frontal bone tenderness, frontal bone fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194952	Gingival hemorrhage, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3149294	Goiter suspected	All	18 - 150	Neck
Neurologic	3195212	Head and face sensory abnormalities, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195239	Head and neck cancer, perineural tumor spread suspected, initial imaging	All	18 - 150	Head-neck
Neurologic	3195240	Head and neck cancer, perineural tumor spread, initial imaging	All	18 - 150	Head-neck
Neurologic	3100795	Head trauma, acute, mild, GCS 13-15, imaging indicated per clinical decision rule, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3100796	Head trauma, acute, mild, GCS 13-15, imaging not indicated per clinical decision rule, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194062	Head trauma, acute, moderate, GCS 9-12, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194020	Head trauma, acute, neuro decline since last imaging, short-term follow up imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194024	Head trauma, acute, no neuro decline, initial imaging normal, short term follow up imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194025	Head trauma, acute, no neuro decline, positive findings on initial imaging, short term follow up imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194064	Head trauma, acute, penetrating, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194063	Head trauma, acute, severe, GCS 3-8, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3100803	Head trauma, chronic, unexplained cognitive or neuro deficit, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3100806	Head trauma, CSF leak suspected, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194037	Head trauma, intracranial arterial injury suspected, positive findings on prior imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194036	Head trauma, intracranial arterial injury suspected, risk factors	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194039	Head trauma, intracranial venous injury suspected, positive findings on prior imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3194038	Head trauma, intracranial venous injury suspected, risk factors	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3100802	Head trauma, subacute, unexplained cognitive or neuro deficit, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196297	Headache, cancer hx, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3149329	Headache, cervicogenic suspected, no neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain
Neurologic	3197439	Headache, chronic, daily, intracranial hypotension suspected, initial imaging negative, hx and clinical exam suggesting CSF leakage, next imaging study	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3196295	Headache, fever, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196298	Headache, immunocompromised, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3163049	Headache, increasing frequency, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3163050	Headache, increasing severity, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3084057	Headache, intracranial hypertension features, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3074252	Headache, intracranial hypotension features, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196296	Headache, neuro deficit, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196291	Headache, new onset, peripartum period, initial imaging	Female Only	10 - 60	Head	Headache (traumatic and nontraumatic)
Neurologic	3155935	Headache, new onset, pregnant, initial imaging	Female Only	10 - 60	Head	Headache (traumatic and nontraumatic)
Neurologic	3196293	Headache, new pattern, peripartum period, initial imaging	Female Only	10 - 60	Head	Headache (traumatic and nontraumatic)
Neurologic	3196292	Headache, new pattern, pregnant, initial imaging	Female Only	10 - 60	Head	Headache (traumatic and nontraumatic)
Neurologic	3196302	Headache, no red flags, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196299	Headache, older age of onset, initial imaging	All	51 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3197434	Headache, orthostatic, intracranial hypotension suspected, no improvement post 72 hrs of dural puncture that could cause CSF leakage, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3197435	Headache, orthostatic, intracranial hypotension suspected, no improvement post 72 hrs of spinal intervention that could cause CSF leakage, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3197429	Headache, orthostatic, intracranial hypotension suspected, no recent spinal intervention that could cause CSF leakage, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3197431	Headache, orthostatic, intracranial hypotension suspected, within 72 hrs of dural puncture that could cause CSF leakage, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3197432	Headache, orthostatic, within 72 hrs of spinal intervention that could cause CSF leakage, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3196300	Headache, post traumatic onset, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3084082	Headache, primary migraine, neuro exam normal, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3158447	Headache, primary trigeminal autonomic cephalalgias, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3197441	Headache, rebound, post epidural blood patch treatment, intracranial hypotension suspected, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3197442	Headache, rebound, post fibrin glue patch treatment, intracranial hypotension suspected, initial imaging	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3196284	Headache, severe, sudden onset, maximal severity within an hour, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196286	Headache, tension type, neuro exam normal, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3141492	Hearing loss, conductive, no mass in ear, initial exam	All	18 - 150	Head
Neurologic	3074301	Hearing loss, mixed conductive and sensorineural, initial exam	All	18 - 150	Head
Neurologic	3074300	Hearing loss, sensorineural, initial exam	All	18 - 150	Head
Neurologic	3195218	Hemifacial spasm, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3199284	Horner syndrome, acute onset, neuro signs and symptoms localizing to spinal cord, no trauma hx, initial imaging	All	18 - 150	Spine
Neurologic	3199281	Horner syndrome, acute onset, neuro signs or symptoms localizing to brain, no trauma hx, initial imaging	All	18 - 150	Head-neck
Neurologic	3199282	Horner syndrome, acute onset, neuro signs or symptoms localizing to cranial nerve, no trauma hx, initial imaging	All	18 - 150	Head-neck
Neurologic	3199279	Horner syndrome, acute onset, painful, with or without localizing neuro signs or symptoms, initial imaging	All	18 - 150	Head-neck
Neurologic	3199278	Horner syndrome, acute onset, recent trauma, with or without localizing neuro signs or symptoms, initial imaging	All	18 - 150	Head-neck
Neurologic	3199287	Horner syndrome, nonacute onset, neuro signs and symptoms localizing to brain, initial imaging	All	18 - 150	Head
Neurologic	3199288	Horner syndrome, nonacute onset, neuro signs and symptoms localizing to cranial nerve, initial imaging	All	18 - 150	Head
Neurologic	3199285	Horner syndrome, nonacute onset, neuro signs and symptoms localizing to spinal cord, no trauma hx, initial imaging	All	18 - 150	Spine
Neurologic	3199290	Horner syndrome, nonacute onset, nonlocalizable, NOS, initial imaging	All	18 - 150	Head-neck
Neurologic	3194214	Hyperparathyroidism, primary, initial imaging	All	0 - 150	Neck
Neurologic	3194217	Hyperparathyroidism, primary, persistent after parathyroid surgery, initial imaging	All	0 - 150	Neck
Neurologic	3194216	Hyperparathyroidism, primary, recurrent after parathyroid surgery, initial imaging	All	0 - 150	Neck
Neurologic	3194219	Hyperparathyroidism, secondary, initial imaging	All	0 - 150	Neck
Neurologic	3194221	Hyperparathyroidism, tertiary, initial imaging	All	0 - 150	Neck
Neurologic	3196319	Hypopharynx cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196324	Hypopharynx cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196354	Hypopharynx cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196359	Hypopharynx cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196349	Hypopharynx cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3149679	Hypopituitarism known	All	18 - 150	Head
Neurologic	3149678	Hypopituitarism suspected	All	18 - 150	Head
Neurologic	3149296	Hypothyroidism, primary	All	18 - 150	Neck
Neurologic	3194943	Infraorbital nerve paresthesia, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3196946	Intraparenchymal hemorrhage, no hx of trauma, follow-up imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196940	Ischemic infarct, <24 hrs, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196944	Ischemic infarct, prior, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196942	Ischemic infarct, recent, >24 hrs, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196938	Ischemic stroke suspected, acute, focal neuro deficit, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3199307	Junctional scotoma, parasellar mass suspected, initial imaging	All	18 - 150	Head
Neurologic	3199309	Junctional scotoma, sellar mass suspected, initial imaging	All	18 - 150	Head
Neurologic	3196321	Larynx cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196325	Larynx cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196355	Larynx cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196360	Larynx cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196350	Larynx cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3194954	Loose teeth, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194291	Low back pain, acute, no red flags, no prior management, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194299	Low back pain, cauda equina syndrome suspected, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194304	Low back pain, chronic steroid use, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194296	Low back pain, chronic, intervention candidate, persistent symptoms after 6 wks medical management, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194293	Low back pain, chronic, no red flags, no prior management, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194305	Low back pain, elderly, initial imaging	All	65 - 150	Spine	Low Back Pain
Neurologic	3194302	Low back pain, hx of prior lumbar surgery, new symptoms, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194301	Low back pain, hx of prior lumbar surgery, progressive symptoms, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194307	Low back pain, low velocity trauma, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3195998	Low back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195996	Low back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194306	Low back pain, osteoporosis, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194297	Low back pain, subacute, intervention candidate, persistent symptoms after 6 wks medical management, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194294	Low back pain, subacute, no red flags, no prior management, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194309	Low pack pain, immunosuppression, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194310	Low pack pain, infection suspected, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3194311	Low pack pain, spinal mets suspected, initial imaging	All	18 - 150	Spine	Low Back Pain
Neurologic	3195237	Lower cranial nerve syndromes cranial nerve IX–XII, initial imaging	All	18 - 150	Head-neck
Neurologic	3198871	Lumbar spine trauma, acute, blunt, unexaminable, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198879	Lumbar spine trauma, acute, blunt, >60yo, complaints consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198880	Lumbar spine trauma, acute, blunt, >60yo, mechanism consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198878	Lumbar spine trauma, acute, blunt, high-energy injury mechanisms, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198876	Lumbar spine trauma, acute, blunt, high-risk, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198865	Lumbar spine trauma, acute, blunt, ligamentous injury suspected, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198866	Lumbar spine trauma, acute, blunt, ligamentous injury, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198877	Lumbar spine trauma, acute, blunt, midline thoracolumbar tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198869	Lumbar spine trauma, acute, blunt, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149314	Lumbar spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198867	Lumbar spine trauma, acute, blunt, spinal cord injury suspected, with or without traumatic injury on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198868	Lumbar spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196340	Major salivary gland cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196341	Major salivary gland cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196384	Major salivary gland cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196388	Major salivary gland cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196380	Major salivary gland cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3194951	Malocclusion, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194942	Malocclusion, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3195211	Mastication muscles paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195210	Mastication muscles weakness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195999	Mid-back pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195995	Mid-back pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3073684	Motor neuron disease suspected, initial imaging	All	18 - 150	Head
Neurologic	3194908	Mucocele suspected, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194953	Mucosal hemorrhage, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3195236	Multiple lower cranial nerve palsies, initial imaging	All	18 - 150	Head-neck
Neurologic	3195221	Multiple middle cranial nerve palsies, cranial nerve V–VII, initial imaging	All	18 - 150	Head-neck
Neurologic	3193978	Myelopathy, acute, cervical and thoracic spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193975	Myelopathy, acute, cervical spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193980	Myelopathy, acute, complete spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193977	Myelopathy, acute, lumbar spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193979	Myelopathy, acute, thoracic and lumbar spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193976	Myelopathy, acute, thoracic spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193984	Myelopathy, chronic, cervical and thoracic spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193981	Myelopathy, chronic, cervical spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193986	Myelopathy, chronic, complete spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193983	Myelopathy, chronic, lumbar spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193985	Myelopathy, chronic, thoracic and lumbar spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3193982	Myelopathy, chronic, thoracic spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196336	Nasal cavity cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196333	Nasal cavity cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196373	Nasal cavity cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196375	Nasal cavity cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196371	Nasal cavity cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3194946	Nasal deformity, palpable, nasal fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194945	Nasal deformity, visible, nasal fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194947	Nasal tenderness, nasal fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3196329	Nasopharynx cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196330	Nasopharynx cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196365	Nasopharynx cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196367	Nasopharynx cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196363	Nasopharynx cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3149271	Neck mass	All	0 - 17	Neck
Neurologic	3149268	Neck mass, nonpulsatile	All	18 - 150	Neck
Neurologic	3149269	Neck mass, pulsatile	All	18 - 150	Neck
Neurologic	3195994	Neck pain, new, previously treated vertebral compression fracture, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195997	Neck pain, new, hx of multiple vertebral compression fractures, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3106344	Neck trauma, penetrating, CTA neg or equivocal, aerodigestive injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Neurologic	3106343	Neck trauma, penetrating, CTA neg or equivocal, vascular injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Neurologic	3106342	Neck trauma, penetrating, soft tissue injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Neurologic	3141663	Neoplasm with suspected intracranial or inner ear extension, surgical planning	All	18 - 150	Head
Neurologic	3073681	Neurodegeneration with brain iron accumulation suspected, initial imaging	All	18 - 150	Head
Neurologic	3196009	New, symptomatic VCF. History of prior vertebroplasty or surgery. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3197437	Obtundation, intracranial hypotension suspected on initial brain imaging, next imaging study	All	18 - 150	Head-spine	Headache (traumatic and nontraumatic)
Neurologic	3195208	Olfaction abnormal, initial imaging	All	18 - 150	Head-neck
Neurologic	3131586	Ophthalmoplegia, initial exam	All	18 - 150	Head
Neurologic	3128559	Optic neuritis suspected, initial exam	All	18 - 150	Head
Neurologic	3196317	Oral cavity cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196322	Oral cavity cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196352	Oral cavity cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196357	Oral cavity cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196347	Oral cavity cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3131575	Orbital asymmetry, nontraumatic, initial exam	All	18 - 150	Head
Neurologic	3131578	Orbital cellulitis suspected, initial exam	All	18 - 150	Head
Neurologic	3128556	Orbital trauma, visual defect, initial exam	All	18 - 150	Head
Neurologic	3195225	Oropharnygeal neurogenic dysphagia, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195224	Oropharyngeal pain, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3196318	Oropharynx cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196323	Oropharynx cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196353	Oropharynx cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196358	Oropharynx cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196348	Oropharynx cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3198579	Otitis externa, complicated, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198584	Otitis externa, immunosuppressed, cranial nerve deficits, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198586	Otitis externa, immunosuppressed, headache, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198585	Otitis externa, immunosuppressed, neuro symptoms, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198580	Otitis externa, immunosuppressed, seizures, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198581	Otitis externa, poorly controlled diabetes, cranial nerve deficits, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198587	Otitis externa, poorly controlled diabetes, headache, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198582	Otitis externa, poorly controlled diabetes, neuro symptoms, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198583	Otitis externa, poorly controlled diabetes, seizures, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198577	Otitis externa, uncomplicated, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198589	Otitis media, acute, uncomplicated, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198604	Otitis media, chronic, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198591	Otitis media, complicated, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198597	Otitis media, headache, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198596	Otitis media, mastoid tenderness, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198599	Otitis media, meningismus, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198600	Otitis media, neck rigidity, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198602	Otitis media, neuro symptoms, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198594	Otitis media, new symptoms, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198595	Otitis media, posterior auricular swelling, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198601	Otitis media, seizures, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198593	Otitis media, symptoms worsen, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198592	Otitis media, treatment failure, persistent infection, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3198598	Otitis media, vertigo, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3195228	Palatal paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195223	Palate weakness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3196334	Paranasal sinuses cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196335	Paranasal sinuses cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196372	Paranasal sinuses cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196374	Paranasal sinuses cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196370	Paranasal sinuses cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3164908	Parkinsonian syndromes, initial imaging	All	18 - 150	Head
Neurologic	3196344	Parotid gland cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196345	Parotid gland cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196381	Parotid gland cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196385	Parotid gland cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196377	Parotid gland cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3149270	Parotid region mass	All	18 - 150	Head-neck
Neurologic	3196013	Pathological VCF with ongoing or increasing mechanical pain. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149681	Pituitary adenoma	All	18 - 150	Head
Neurologic	3149680	Pituitary adenoma suspected	All	18 - 150	Head
Neurologic	3074282	Pituitary apoplexy	All	18 - 150	Head
Neurologic	3074283	Pituitary or sellar mass resection, monitor	All	18 - 150	Head
Neurologic	3194222	Plexopathy brachial, acute, nontraumatic, no malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194223	Plexopathy brachial, chronic, nontraumatic, no malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194228	Plexopathy brachial, malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194229	Plexopathy brachial, post treatment syndrome, initial imaging	All	18 - 150	Spine
Neurologic	3194226	Plexopathy brachial, traumatic, not perinatal, initial imaging	All	18 - 150	Spine
Neurologic	3194224	Plexopathy lumbosacral, acute, nontraumatic, no malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194225	Plexopathy lumbosacral, chronic, nontraumatic, no malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194230	Plexopathy lumbosacral, malignancy, initial imaging	All	18 - 150	Spine
Neurologic	3194231	Plexopathy lumbosacral, post treatment syndrome, initial imaging	All	18 - 150	Spine
Neurologic	3194227	Plexopathy lumbosacral, traumatic, initial imaging	All	18 - 150	Spine
Neurologic	3149676	Precocious puberty	Female Only	0 - 7	Head
Neurologic	3149677	Precocious puberty	Male Only	0 - 8	Head
Neurologic	3194040	Presyncope, cardiovascular etiology suspected, initial imaging	All	18 - 150	Cardiac
Neurologic	3194042	Presyncope, low probability of cardiovascular etiology, initial imaging	All	18 - 150	Cardiac
Neurologic	3149284	Psychosis, new onset, initial imaging	All	18 - 150	Head
Neurologic	3194899	Rhinosinusitis, acute, <4 wks, uncomplicated, initial imaging	All	18 - 150	Maxface
Neurologic	3194901	Rhinosinusitis, acute, intracranial complication suspected, initial imaging	All	18 - 150	Maxface
Neurologic	3194900	Rhinosinusitis, acute, orbital complication suspected, initial imaging	All	18 - 150	Maxface
Neurologic	3194904	Rhinosinusitis, chronic, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194666	SAH on CT, acute, next imaging study	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3131580	Scleritis suspected, initial exam	All	18 - 150	Head
Neurologic	3183753	Seizure disorder, change in clinical symptoms	All	18 - 150	Head
Neurologic	3183752	Seizure disorder, change in seizure pattern	All	18 - 150	Head
Neurologic	3074237	Seizure disorder, hx of tumor	All	18 - 150	Head
Neurologic	3074235	Seizure disorder, stable seizure pattern	All	18 - 150	Head
Neurologic	3074234	Seizure disorder, surgical planning	All	18 - 150	Head
Neurologic	3079783	Seizure, new, hx of trauma, initial imaging	All	18 - 150	Head
Neurologic	3074236	Seizure, new, no trauma, initial imaging	All	18 - 150	Head
Neurologic	3196976	Sensory or proprioceptive ataxia suspected, chronic equilibrium, initial imaging	All	18 - 150	Head
Neurologic	3194907	Silent sinus syndrome suspected, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194914	Sinonasal mass suspected, initial imaging	All	18 - 150	Maxface
Neurologic	3194906	Sinonasal polyposis, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194911	Sinusitis, acute, rapid progression, initial imaging	All	18 - 150	Maxface
Neurologic	3194903	Sinusitis, acute, recurring, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194912	Sinusitis, invasive fungal suspected, initial imaging	All	18 - 150	Maxface
Neurologic	3194905	Sinusitis, noninvasive fungal, surgical candidate, initial imaging	All	18 - 150	Maxface
Neurologic	3194614	Spine infection suspected, cervical and lumbar, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194590	Spine infection suspected, cervical and lumbar, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194555	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194534	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194520	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194548	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194541	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194562	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194527	Spine infection suspected, cervical and lumbar, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194578	Spine infection suspected, cervical and lumbar, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194607	Spine infection suspected, cervical and lumbar, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194570	Spine infection suspected, cervical and lumbar, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194599	Spine infection suspected, cervical and lumbar, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194612	Spine infection suspected, cervical and thoracic, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194587	Spine infection suspected, cervical and thoracic, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194553	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194532	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194518	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194546	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194539	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194560	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194525	Spine infection suspected, cervical and thoracic, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194576	Spine infection suspected, cervical and thoracic, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194605	Spine infection suspected, cervical and thoracic, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194568	Spine infection suspected, cervical and thoracic, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194596	Spine infection suspected, cervical and thoracic, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194609	Spine infection suspected, cervical, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194583	Spine infection suspected, cervical, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194550	Spine infection suspected, cervical, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194529	Spine infection suspected, cervical, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194515	Spine infection suspected, cervical, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194543	Spine infection suspected, cervical, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194536	Spine infection suspected, cervical, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194557	Spine infection suspected, cervical, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194522	Spine infection suspected, cervical, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194573	Spine infection suspected, cervical, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194602	Spine infection suspected, cervical, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194565	Spine infection suspected, cervical, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194592	Spine infection suspected, cervical, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194615	Spine infection suspected, complete spine, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194591	Spine infection suspected, complete spine, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194556	Spine infection suspected, complete spine, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194535	Spine infection suspected, complete spine, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194521	Spine infection suspected, complete spine, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194549	Spine infection suspected, complete spine, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194542	Spine infection suspected, complete spine, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194563	Spine infection suspected, complete spine, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194528	Spine infection suspected, complete spine, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194579	Spine infection suspected, complete spine, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194608	Spine infection suspected, complete spine, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194571	Spine infection suspected, complete spine, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194600	Spine infection suspected, complete spine, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194589	Spine infection suspected, lumbar and sacrum, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194598	Spine infection suspected, lumbar and sacrum, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194581	Spine infection suspected, lumbar, cauda equina syndrome, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194611	Spine infection suspected, lumbar, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194585	Spine infection suspected, lumbar, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194551	Spine infection suspected, lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194531	Spine infection suspected, lumbar, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194517	Spine infection suspected, lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194545	Spine infection suspected, lumbar, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194538	Spine infection suspected, lumbar, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194558	Spine infection suspected, lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194524	Spine infection suspected, lumbar, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194575	Spine infection suspected, lumbar, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194604	Spine infection suspected, lumbar, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194567	Spine infection suspected, lumbar, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194594	Spine infection suspected, lumbar, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194586	Spine infection suspected, sacrum, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194595	Spine infection suspected, sacrum, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194580	Spine infection suspected, thoracic and lumbar, cauda equina syndrome, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194613	Spine infection suspected, thoracic and lumbar, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194588	Spine infection suspected, thoracic and lumbar, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194554	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194533	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194519	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194547	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194540	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194561	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194526	Spine infection suspected, thoracic and lumbar, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194577	Spine infection suspected, thoracic and lumbar, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194606	Spine infection suspected, thoracic and lumbar, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194569	Spine infection suspected, thoracic and lumbar, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194597	Spine infection suspected, thoracic and lumbar, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194610	Spine infection suspected, thoracic, CT abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194584	Spine infection suspected, thoracic, decubitus ulcer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194552	Spine infection suspected, thoracic, neck or back pain, with or without fever, abnormal labs, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194530	Spine infection suspected, thoracic, neck or back pain, with or without fever, cancer, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194516	Spine infection suspected, thoracic, neck or back pain, with or without fever, diabetes mellitus, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194544	Spine infection suspected, thoracic, neck or back pain, with or without fever, dialysis, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194537	Spine infection suspected, thoracic, neck or back pain, with or without fever, HIV, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194559	Spine infection suspected, thoracic, neck or back pain, with or without fever, immunocompromised, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194523	Spine infection suspected, thoracic, neck or back pain, with or without fever, IV drug use, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194574	Spine infection suspected, thoracic, new neuro deficit, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194603	Spine infection suspected, thoracic, radiography abnormal, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194566	Spine infection suspected, thoracic, recent intervention, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194593	Spine infection suspected, thoracic, wound overlying spine, initial imaging	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196343	Sublingual gland cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196339	Sublingual gland cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196383	Sublingual gland cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196387	Sublingual gland cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196379	Sublingual gland cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3196342	Submandibular gland cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196338	Submandibular gland cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196382	Submandibular gland cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196386	Submandibular gland cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196378	Submandibular gland cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3196007	Symptomatic osteoporotic VCF with bone marrow edema or intravertebral cleft. Initial treatment.	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3194041	Syncope, cardiovascular etiology suspected, initial imaging	All	18 - 150	Cardiac
Neurologic	3194043	Syncope, low probability of cardiovascular etiology, initial imaging	All	18 - 150	Cardiac
Neurologic	3197560	Thoracic back pain, acute, no myelopathy, no red flags, no prior management, initial imaging	All	18 - 150	Spine
Neurologic	3197559	Thoracic back pain, acute, no radiculopathy, no red flags, no prior management, initial imaging	All	18 - 150	Spine
Neurologic	3197562	Thoracic back pain, chronic, no myelopathy, no red flags, failed conservative management, initial imaging	All	18 - 150	Spine
Neurologic	3197563	Thoracic back pain, chronic, no radiculopathy, no red flags, failed conservative management, initial imaging	All	18 - 150	Spine
Neurologic	3197567	Thoracic back pain, myelopathy, initial imaging	All	18 - 150	Spine
Neurologic	3197568	Thoracic back pain, radiculopathy, initial imaging	All	18 - 150	Spine
Neurologic	3197564	Thoracic back pain, subacute, no myelopathy, no red flags, failed conservative management, initial imaging	All	18 - 150	Spine
Neurologic	3197565	Thoracic back pain, subacute, no radiculopathy, no red flags, failed conservative management, initial imaging	All	18 - 150	Spine
Neurologic	3197591	Thoracic back pain, with or without myelopathy, bone destruction on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3197582	Thoracic back pain, with or without myelopathy, cancer suspected, initial imaging	All	18 - 150	Spine
Neurologic	3197577	Thoracic back pain, with or without myelopathy, chronic steroid use, initial imaging	All	18 - 150	Spine
Neurologic	3197576	Thoracic back pain, with or without myelopathy, elderly, initial imaging	All	66 - 150	Spine
Neurologic	3197589	Thoracic back pain, with or without myelopathy, fracture on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3197584	Thoracic back pain, with or without myelopathy, immunosuppressed, initial imaging	All	18 - 150	Spine
Neurologic	3197583	Thoracic back pain, with or without myelopathy, infection suspected, initial imaging	All	18 - 150	Spine
Neurologic	3197574	Thoracic back pain, with or without myelopathy, low-velocity trauma, initial imaging	All	18 - 150	Spine
Neurologic	3197575	Thoracic back pain, with or without myelopathy, osteoporosis, initial imaging	All	18 - 150	Spine
Neurologic	3197594	Thoracic back pain, with or without myelopathy, post thoracic spine surgery, follow-up imaging	All	18 - 150	Spine
Neurologic	3197590	Thoracic back pain, with or without myelopathy, spinal deformity on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3197588	Thoracic back pain, with or without radiculopathy, bone destruction on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3197579	Thoracic back pain, with or without radiculopathy, cancer suspected, initial imaging	All	18 - 150	Spine
Neurologic	3197573	Thoracic back pain, with or without radiculopathy, chronic steroid use, initial imaging	All	18 - 150	Spine
Neurologic	3197572	Thoracic back pain, with or without radiculopathy, elderly, initial imaging	All	66 - 150	Spine
Neurologic	3197586	Thoracic back pain, with or without radiculopathy, fracture on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3197581	Thoracic back pain, with or without radiculopathy, immunosuppressed, initial imaging	All	18 - 150	Spine
Neurologic	3197580	Thoracic back pain, with or without radiculopathy, infection suspected, initial imaging	All	18 - 150	Spine
Neurologic	3197570	Thoracic back pain, with or without radiculopathy, low-velocity trauma, initial imaging	All	18 - 150	Spine
Neurologic	3197571	Thoracic back pain, with or without radiculopathy, osteoporosis, initial imaging	All	18 - 150	Spine
Neurologic	3197593	Thoracic back pain, with or without radiculopathy, post thoracic spine surgery, follow-up imaging	All	18 - 150	Spine
Neurologic	3197587	Thoracic back pain, with or without radiculopathy, spinal deformity on radiography, next imaging study	All	18 - 150	Spine
Neurologic	3180670	Thoracic outlet syndrome, arterial, imaging after surgery or intervention	All	18 - 150	Chest
Neurologic	3180669	Thoracic outlet syndrome, arterial, initial imaging	All	18 - 150	Chest
Neurologic	3180666	Thoracic outlet syndrome, neurogenic, imaging after surgery or intervention	All	18 - 150	Chest
Neurologic	3180665	Thoracic outlet syndrome, neurogenic, initial imaging	All	18 - 150	Chest
Neurologic	3180668	Thoracic outlet syndrome, venous, imaging after surgery or intervention	All	18 - 150	Chest
Neurologic	3180667	Thoracic outlet syndrome, venous, initial imaging	All	18 - 150	Chest
Neurologic	3111290	Thoracic spine trauma, acute, blunt, high-risk, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198862	Thoracic spine trauma, acute, blunt, spinal cord injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198860	Thoracic spine blunt trauma, ligamentous injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198861	Thoracic spine blunt trauma, spinal cord injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198874	Thoracic spine trauma, acute, blunt, >60yo, complaints consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198875	Thoracic spine trauma, acute, blunt, >60yo, mechanism consistent with thoracolumbar spine injury, initial imaging	All	61 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198873	Thoracic spine trauma, acute, blunt, high-energy injury mechanisms, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198859	Thoracic spine trauma, acute, blunt, ligamentous injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198872	Thoracic spine trauma, acute, blunt, midline thoracolumbar tenderness, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198863	Thoracic spine trauma, acute, blunt, nerve root injury suspected, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198864	Thoracic spine trauma, acute, blunt, nerve root injury, with or without trauma on CT, next imaging study	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3198870	Thoracic spine trauma, acute, blunt, unexaminable, initial imaging	All	16 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3149297	Thyroid cancer, differentiated, preop eval	All	18 - 150	Neck
Neurologic	3149299	Thyroid cancer, differentiated, recurrence suspected	All	18 - 150	Neck
Neurologic	3149298	Thyroid cancer, differentiated, treatment assessment	All	18 - 150	Neck
Neurologic	3149300	Thyroid cancer, medullary, recurrence suspected	All	18 - 150	Neck
Neurologic	3149293	Thyroid nodule, palpable, euthyroid	All	18 - 150	Neck
Neurologic	3149295	Thyrotoxicosis	All	18 - 150	Neck
Neurologic	3196936	TIA, symptoms resolved, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3131489	Tinnitus, nonpulsatile, bilateral, no hearing loss, no neurologic deficit, no trauma, initial imaging	All	18 - 150	Head
Neurologic	3131488	Tinnitus, nonpulsatile, unilateral, no hearing loss, no neurologic deficit, no trauma, initial imaging	All	18 - 150	Head
Neurologic	3196634	Tinnitus, pulsatile, bilateral, no retrotympanic lesion on otoscopy, initial imaging	All	18 - 150	Head
Neurologic	3196636	Tinnitus, pulsatile, bilateral, suspected retrotympanic lesion on otoscopy, initial imaging	All	18 - 150	Head
Neurologic	3128529	Tinnitus, pulsatile, unilateral, no retrotympanic lesion on otoscopy, initial imaging	All	18 - 150	Head
Neurologic	3196637	Tinnitus, pulsatile, unilateral, suspected, retrotympanic lesion on otoscopy, initial imaging	All	18 - 150	Head
Neurologic	3195234	Tongue paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195233	Tongue weakness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195231	Trapezius and sternocleidomastoid muscle paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195230	Trapezius and sternocleidomastoid muscle weakness, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3195214	Trigeminal neuralgia, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3194950	Trismus, mandibular fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3196331	Unknown primary head and neck cancer suspected, EBV-associated, initial staging	All	18 - 150	Head-neck
Neurologic	3196320	Unknown primary head and neck cancer suspected, initial staging	All	18 - 150	Head-neck
Neurologic	3196328	Unknown primary head and neck cancer, EBV-associated, initial staging	All	18 - 150	Head-neck
Neurologic	3196326	Unknown primary head and neck cancer, initial staging	All	18 - 150	Head-neck
Neurologic	3196366	Unknown primary of the head and neck cancer, treated, EBV-associated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196368	Unknown primary of the head and neck cancer, treated, EBV-associated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196364	Unknown primary of the head and neck cancer, treated, EBV-associated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3196356	Unknown primary of the head and neck cancer, treated, recurrence suspected, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196361	Unknown primary of the head and neck cancer, treated, recurrence, follow-up imaging	All	18 - 150	Head-neck
Neurologic	3196351	Unknown primary of the head and neck cancer, treated, surveillance imaging	All	18 - 150	Head-neck
Neurologic	3194938	Upper jaw pain, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3131579	Uveitis suspected, initial exam	All	18 - 150	Head
Neurologic	3196948	Venous sinus thrombosis suspected, initial imaging	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196950	Venous sinus thrombosis, surveillance	All	18 - 150	Head	Headache (traumatic and nontraumatic)
Neurologic	3196001	Vertebral compression fracture on radiography, cervical, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195990	Vertebral compression fracture on radiography, cervical, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196003	Vertebral compression fracture on radiography, lumbar, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195992	Vertebral compression fracture on radiography, lumbar, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196002	Vertebral compression fracture on radiography, thoracic, asymptomatic, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195991	Vertebral compression fracture on radiography, thoracic, symptomatic, new, hx of malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195986	Vertebral compression fracture on xray, cervical, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195988	Vertebral compression fracture on xray, lumbar, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3195987	Vertebral compression fracture on xray, thoracic, symptomatic, new, no malignancy, next imaging study	All	18 - 150	Spine	Cervical or Neck Pain, Low Back Pain
Neurologic	3196967	Vertigo, acute, persistent, abnormal neuro exam, initial imaging	All	18 - 150	Head
Neurologic	3196966	Vertigo, acute, persistent, HINTS exam, consistent with central vertigo, initial imaging	All	18 - 150	Head
Neurologic	3196964	Vertigo, acute, persistent, normal neuro exam, HINTS exam, consistent with peripheral vertigo, initial imaging	All	18 - 150	Head
Neurologic	3196972	Vertigo, chronic, recurrent, brainstem neuro deficits, initial imaging	All	18 - 150	Head
Neurologic	3196969	Vertigo, chronic, recurrent, tinnitus, initial imaging	All	18 - 150	Head
Neurologic	3196970	Vertigo, chronic, recurrent, unilateral hearing loss, initial imaging	All	18 - 150	Head
Neurologic	3196962	Vertigo, episodic, brief, triggered by specific head movements, initial imaging	All	18 - 150	Head
Neurologic	3074303	Vertigo, episodic, peripheral, initial exam	All	18 - 150	Head
Neurologic	3074304	Vertigo, persistent, central, initial exam	All	18 - 150	Head
Neurologic	3199295	Vision loss, acute, infection suspected, initial imaging	All	18 - 150	Head
Neurologic	3199294	Vision loss, acute, inflammatory disorder suspected, initial imaging	All	18 - 150	Head
Neurologic	3199305	Vision loss, acute, optic nerve abnormality suspected, initial imaging	All	18 - 150	Head
Neurologic	3199302	Vision loss, acute, retinal structural abnormality suspected, initial imaging	All	18 - 150	Head
Neurologic	3199304	Vision loss, chronic, optic nerve abnormality suspected, initial imaging	All	18 - 150	Head
Neurologic	3199298	Vision loss, chronic, unilateral, intraorbital mass-like lesion suspected, initial imaging	All	18 - 150	Head
Neurologic	3128560	Vision loss, known etiology from exam or labs	All	18 - 150	Head
Neurologic	3199300	Vision loss, progressive, unilateral, vascular lesion suspected, initial imaging	All	18 - 150	Head
Neurologic	3199299	Vison loss, chronic, unilateral, vascular lesion suspected, initial imaging	All	18 - 150	Head
Neurologic	3199297	Vison loss, progressive, unilateral, intraorbital mass-like lesion suspected, initial imaging	All	18 - 150	Head
Neurologic	3199292	Visual defect, acute, posttraumatic, orbital injury suspected, initial imaging	All	18 - 150	Head
Neurologic	3131584	Visual loss, chiasm symptoms, non-ischemic, initial exam	All	18 - 150	Head
Neurologic	3131581	Visual loss, intraocular mass, initial exam	All	18 - 150	Head
Neurologic	3131582	Visual loss, optic nerve symptoms, initial exam	All	18 - 150	Head
Neurologic	3131585	Visual loss, post-chiasm symptoms, non-ischemic, initial exam	All	18 - 150	Head
Neurologic	3131583	Visual loss, pre-chiasm symptoms, initial exam	All	18 - 150	Head
Neurologic	3195227	Vocal cord paralysis, unilateral, isolated, initial imaging	All	18 - 150	Head-neck
Neurologic	3194939	Zygoma pain, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Neurologic	3194940	Zygomatic deformity, midface fracture suspected, initial imaging following primary survey	All	18 - 150	Maxface
Pediatric	3196446	Acquired coronary artery abnormality suspected, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3196445	Acquired coronary artery abnormality, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3196456	Anomalous pulmonary venous return suspected, TTE inadequate, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196457	Anomalous pulmonary venous return, TTE inadequate, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196459	Aortic coarctation suspected, TTE inadequate, next imaging study.	All	0 - 150	Cardiac-chest
Pediatric	3196461	Aortopathy, aorta surveillance, TTE inadequate, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3149305	Appendicitis suspected, complication suspected on imaging	All	0 - 17	Abdomen-pelvis
Pediatric	3149303	Appendicitis suspected, high clinical risk, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3149302	Appendicitis suspected, intermediate clinical risk, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3149301	Appendicitis suspected, low clinical risk, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3149304	Appendicitis suspected, US equivocal or nondiagnostic	All	0 - 17	Abdomen-pelvis
Pediatric	3195352	Ataxia, acute, no recent trauma, initial imaging	All	0 - 17	Head-spine
Pediatric	3195360	Ataxia, chronic, nonprogressive, initial imaging	All	0 - 17	Head-spine
Pediatric	3195358	Ataxia, chronic, progressive, initial imaging	All	0 - 17	Head-spine
Pediatric	3195354	Ataxia, recent trauma, initial imaging	All	0 - 17	Head-spine
Pediatric	3195356	Ataxia, recurrent, interval normal neuro exam, initial imaging	All	0 - 17	Head-spine
Pediatric	3149309	Back trauma	All	0 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198918	Cervical spine pain, abnormal spinal curvature, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198955	Cervical spine pain, abnormal spinal curvature, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198993	Cervical spine pain, abnormal spinal curvature, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199004	Cervical spine pain, abnormal spinal curvature, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199015	Cervical spine pain, abnormal spinal curvature, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199093	Cervical spine pain, chronic, mechanical, overuse, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199096	Cervical spine pain, chronic, mechanical, repetitive activity, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199104	Cervical spine pain, draining sinus, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198913	Cervical spine pain, fever, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198950	Cervical spine pain, fever, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198988	Cervical spine pain, fever, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198999	Cervical spine pain, fever, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199010	Cervical spine pain, fever, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198910	Cervical spine pain, gait abnormality, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198947	Cervical spine pain, gait abnormality, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198984	Cervical spine pain, gait abnormality, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198995	Cervical spine pain, gait abnormality, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199006	Cervical spine pain, gait abnormality, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199107	Cervical spine pain, hairy patch, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198964	Cervical spine pain, infection suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198973	Cervical spine pain, infection, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198979	Cervical spine pain, inflammation suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198970	Cervical spine pain, inflammation, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198990	Cervical spine pain, lasting >4 wks, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199001	Cervical spine pain, lasting >4 wks, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198915	Cervical spine pain, lasting >4wks, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198952	Cervical spine pain, lasting >4wks, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198917	Cervical spine pain, lymphadenopathy, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198954	Cervical spine pain, lymphadenopathy, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198992	Cervical spine pain, lymphadenopathy, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199003	Cervical spine pain, lymphadenopathy, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199014	Cervical spine pain, lymphadenopathy, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198919	Cervical spine pain, morning stiffness, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198956	Cervical spine pain, morning stiffness, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198983	Cervical spine pain, morning stiffness, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198994	Cervical spine pain, morning stiffness, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199005	Cervical spine pain, morning stiffness, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198967	Cervical spine pain, neoplasm suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198976	Cervical spine pain, neoplasm, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198912	Cervical spine pain, neuro deficit, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198949	Cervical spine pain, neuro deficit, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198986	Cervical spine pain, neuro deficit, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198997	Cervical spine pain, neuro deficit, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199008	Cervical spine pain, neuro deficit, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198911	Cervical spine pain, night pain, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198948	Cervical spine pain, night pain, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198985	Cervical spine pain, night pain, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198996	Cervical spine pain, night pain, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199007	Cervical spine pain, night pain, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198886	Cervical spine pain, no red flags, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199012	Cervical spine pain, pain lasting >4 wks, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199101	Cervical spine pain, palpable lump, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198922	Cervical spine pain, radiating, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198957	Cervical spine pain, radiating, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198987	Cervical spine pain, radiating, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198998	Cervical spine pain, radiating, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199009	Cervical spine pain, radiating, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198923	Cervical spine pain, red flag, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198960	Cervical spine pain, red flag, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199077	Cervical spine pain, red flag, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199078	Cervical spine pain, red flag, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199079	Cervical spine pain, red flag, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199098	Cervical spine pain, skin discoloration, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198916	Cervical spine pain, tachycardia, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198953	Cervical spine pain, tachycardia, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198991	Cervical spine pain, tachycardia, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199002	Cervical spine pain, tachycardia, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199013	Cervical spine pain, tachycardia, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198914	Cervical spine pain, unintentional weight loss, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198951	Cervical spine pain, unintentional weight loss, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198989	Cervical spine pain, unintentional weight loss, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199000	Cervical spine pain, unintentional weight loss, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199011	Cervical spine pain, unintentional weight loss, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3183777	Cervicocranial arterial dissection on imaging or clinical exam, next imaging study	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183778	Cervicocranial arterial dissection suspected on imaging or clinical exam, next imaging study	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3164909	Community acquired pneumonia suspected, uncomplicated, immunocompetent, initial imaging	All	D90 - 6205	Chest
Pediatric	3180672	Community acquired pneumonia, immunocompetent, hospital admission required, initial imaging	All	D90 - 6205	Chest
Pediatric	3180671	Community acquired pneumonia, immunocompetent, not responding to outpatient treatment, initial imaging	All	D90 - 6205	Chest
Pediatric	3196448	Congenital coronary artery abnormality suspected, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3196447	Congenital coronary artery abnormality, TTE inadequate assessment of coronary morphology, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3196462	Connective tissue disease, aorta surveillance, TTE inadequate, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3194862	Crohn disease suspected, no prior Crohn diagnosis, initial imaging	All	0 - 17	Abdomen
Pediatric	3194864	Crohn disease, acute exacerbation suspected, initial imaging	All	0 - 17	Abdomen
Pediatric	3194867	Crohn disease, monitoring therapy	All	0 - 17	Abdomen
Pediatric	3194869	Crohn disease, perianal fistula, initial imaging	All	0 - 17	Abdomen
Pediatric	3194866	Crohn disease, surveillance	All	0 - 17	Abdomen
Pediatric	3198743	Fever, unknown origin, initial imaging	All	0 - 17	Unspecified
Pediatric	3198740	Fever, without source, low risk for occult pneumonia, initial imaging	All	D90 - 1080	Unspecified
Pediatric	3198741	Fever, without source, neutropenia, initial imaging	All	0 - 17	Unspecified
Pediatric	3198738	Fever, without source, occult pneumonia suspected, initial imaging	All	D0 - 89	Unspecified
Pediatric	3164930	Head trauma, chronic, blunt, new or progressive neurologic deficit, not abuse or post traumatic seizure	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180659	Head trauma, minor, acute, blunt, altered mental status, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180660	Head trauma, minor, acute, blunt, basilar skull fracture suspected, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180658	Head trauma, minor, acute, blunt, GCS=14, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180655	Head trauma, minor, acute, blunt, GCS=15, abnormal behavior per parents, not abuse, initial imaging	All	D0 - 729	Head	Headache (traumatic and nontraumatic)
Pediatric	3180652	Head trauma, minor, acute, blunt, GCS=15, loss of consciousness, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180654	Head trauma, minor, acute, blunt, GCS=15, scalp hematoma,, not abuse, initial imaging	All	D0 - 729	Head	Headache (traumatic and nontraumatic)
Pediatric	3180657	Head trauma, minor, acute, blunt, GCS=15, severe headache, not abuse, initial imaging	All	2 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180653	Head trauma, minor, acute, blunt, GCS=15, severe mechanism of injury, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3180656	Head trauma, minor, acute, blunt, GCS=15, vomiting, not abuse, initial imaging	All	2 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3084022	Head trauma, minor, acute, blunt, low risk per PECARN, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3164929	Head trauma, moderate to severe, acute, blunt, GCS<=13, not abuse, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3084025	Head trauma, subacute, blunt, cognitive or neurologic signs, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3081593	Headache, acute, severe, thunderclap, initial exam	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3128564	Headache, infection-related, initial exam	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3081591	Headache, primary, initial exam	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3128565	Headache, remote trauma, initial exam	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3081592	Headache, secondary, initial exam	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3197033	Hemangioma suspected, abdomen, initial imaging	All	0 - 1	Abdomen
Pediatric	3197034	Hemangioma suspected, chest, initial imaging	All	0 - 1	Chest
Pediatric	3197038	Hemangioma suspected, elbow, initial imaging	All	0 - 1	Upper extremity
Pediatric	3197039	Hemangioma suspected, face, initial imaging	All	0 - 1	Maxface
Pediatric	3197040	Hemangioma suspected, foot, initial imaging	All	0 - 1	Lower extremity
Pediatric	3197041	Hemangioma suspected, forearm, initial imaging	All	0 - 1	Upper extremity
Pediatric	3197042	Hemangioma suspected, hand, initial imaging	All	0 - 1	Upper extremity
Pediatric	3197035	Hemangioma suspected, head, initial imaging	All	0 - 1	Head
Pediatric	3197043	Hemangioma suspected, hip, initial imaging	All	0 - 1	Lower extremity
Pediatric	3197044	Hemangioma suspected, knee, initial imaging	All	0 - 1	Lower extremity
Pediatric	3197045	Hemangioma suspected, lower leg, initial imaging	All	0 - 1	Lower extremity
Pediatric	3197036	Hemangioma suspected, neck, initial imaging	All	0 - 1	Neck
Pediatric	3197037	Hemangioma suspected, pelvis, initial imaging	All	0 - 1	Pelvis
Pediatric	3197046	Hemangioma suspected, shoulder, initial imaging	All	0 - 1	Upper extremity
Pediatric	3197047	Hemangioma suspected, thigh, initial imaging	All	0 - 1	Lower extremity
Pediatric	3197048	Hemangioma suspected, upper arm, initial imaging	All	0 - 1	Upper extremity
Pediatric	3197050	Hemangiomas, multiple, cutaneous, hepatic hemangioma screening, initial imaging	All	0 - 1	Unspecified
Pediatric	3074039	Hip dysplasia suspected	All	D0 - 119	Lower extremity
Pediatric	3074042	Hip dysplasia suspected	All	D181 - 6205	Lower extremity
Pediatric	3149332	Hip dysplasia suspected	All	D120 - 180	Lower extremity
Pediatric	3149330	Hip dysplasia suspected, equivocal physical exam or risk factors	All	D0 - 27	Lower extremity
Pediatric	3149331	Hip dysplasia suspected, equivocal physical exam or risk factors	All	D28 - 119	Lower extremity
Pediatric	3149333	Hip dysplasia, in harness	All	D0 - 179	Lower extremity
Pediatric	3164911	Hospital acquired pneumonia suspected, immunocompetent, initial imaging	All	D90 - 6205	Chest
Pediatric	3191920	Hydronephrosis, antenatal, hydronephrosis and bladder wall thickening on initial neonatal US, next imaging study, female	Female Only	0 - 1	Abdomen-pelvis
Pediatric	3191915	Hydronephrosis, antenatal, hydronephrosis and bladder wall thickening on initial neonatal US, next imaging study, male	Male Only	0 - 1	Abdomen-pelvis
Pediatric	3191919	Hydronephrosis, antenatal, hydronephrosis and hydroureter on initial neonatal US, next imaging study, female	Female Only	0 - 1	Abdomen-pelvis
Pediatric	3191914	Hydronephrosis, antenatal, hydronephrosis and hydroureter on initial neonatal US, next imaging study, male	Male Only	0 - 1	Abdomen-pelvis
Pediatric	3191918	Hydronephrosis, antenatal, hydronephrosis and parenchymal abnormalities on initial neonatal US, next imaging study, female	Female Only	0 - 1	Abdomen-pelvis
Pediatric	3191913	Hydronephrosis, antenatal, hydronephrosis and parenchymal abnormalities on initial neonatal US, next imaging study, male	Male Only	0 - 1	Abdomen-pelvis
Pediatric	3191916	Hydronephrosis, antenatal, hydronephrosis and posterior urethral dilation on initial neonatal US, next imaging study, male	Male Only	0 - 1	Abdomen-pelvis
Pediatric	3185401	Hydronephrosis, antenatal, initial neonatal imaging	All	D0 - 29	Abdomen-pelvis
Pediatric	3185403	Hydronephrosis, antenatal, isolated mild hydronephrosis on initial neonatal US	All	0 - 1	Abdomen-pelvis
Pediatric	3191917	Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, next imaging study, female	Female Only	0 - 1	Abdomen-pelvis
Pediatric	3191912	Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, next imaging study, male	Male Only	0 - 1	Abdomen-pelvis
Pediatric	3185406	Hydronephrosis, antenatal, moderate to severe hydronephrosis on initial neonatal US, no reflux on VCUG	All	0 - 1	Abdomen-pelvis
Pediatric	3185402	Hydronephrosis, antenatal, normal neonatal US	All	0 - 1	Abdomen-pelvis
Pediatric	3197004	Intraocular mass suspected, initial imaging	All	0 - 17	Head
Pediatric	3181238	Intraparenchymal hemorrhage on CT or MRI, nontraumatic, etiology unknown, next imaging study	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3197003	Leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3198898	Lumbar spine pain, abnormal spinal curvature, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198935	Lumbar spine pain, abnormal spinal curvature, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199070	Lumbar spine pain, abnormal spinal curvature, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199059	Lumbar spine pain, abnormal spinal curvature, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199090	Lumbar spine pain, abnormal spinal curvature, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199095	Lumbar spine pain, chronic, mechanical, overuse, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199092	Lumbar spine pain, chronic, mechanical, repetitive activity, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199106	Lumbar spine pain, draining sinus, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198893	Lumbar spine pain, fever, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198930	Lumbar spine pain, fever, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199065	Lumbar spine pain, fever, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199054	Lumbar spine pain, fever, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199085	Lumbar spine pain, fever, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198890	Lumbar spine pain, gait abnormality, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198927	Lumbar spine pain, gait abnormality, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199061	Lumbar spine pain, gait abnormality, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199050	Lumbar spine pain, gait abnormality, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199081	Lumbar spine pain, gait abnormality, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199109	Lumbar spine pain, hairy patch, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198966	Lumbar spine pain, infection suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198975	Lumbar spine pain, infection, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198981	Lumbar spine pain, inflammation suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198972	Lumbar spine pain, inflammation, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199067	Lumbar spine pain, lasting >4 wks, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199056	Lumbar spine pain, lasting >4 wks, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199087	Lumbar spine pain, lasting >4 wks, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198895	Lumbar spine pain, lasting >4wks, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198932	Lumbar spine pain, lasting >4wks, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198897	Lumbar spine pain, lymphadenopathy, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198934	Lumbar spine pain, lymphadenopathy, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199069	Lumbar spine pain, lymphadenopathy, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199058	Lumbar spine pain, lymphadenopathy, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199089	Lumbar spine pain, lymphadenopathy, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198899	Lumbar spine pain, morning stiffness, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198936	Lumbar spine pain, morning stiffness, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199060	Lumbar spine pain, morning stiffness, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199049	Lumbar spine pain, morning stiffness, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199080	Lumbar spine pain, morning stiffness, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198969	Lumbar spine pain, neoplasm suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198978	Lumbar spine pain, neoplasm, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198892	Lumbar spine pain, neuro deficit, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198929	Lumbar spine pain, neuro deficit, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199063	Lumbar spine pain, neuro deficit, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199052	Lumbar spine pain, neuro deficit, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199083	Lumbar spine pain, neuro deficit, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198891	Lumbar spine pain, night pain, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198928	Lumbar spine pain, night pain, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199062	Lumbar spine pain, night pain, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199051	Lumbar spine pain, night pain, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199082	Lumbar spine pain, night pain, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198888	Lumbar spine pain, no red flags, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199103	Lumbar spine pain, palpable lump, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198920	Lumbar spine pain, radiating, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198958	Lumbar spine pain, radiating, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199064	Lumbar spine pain, radiating, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199053	Lumbar spine pain, radiating, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199084	Lumbar spine pain, radiating, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198925	Lumbar spine pain, red flag, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198961	Lumbar spine pain, red flag, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199071	Lumbar spine pain, red flag, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199072	Lumbar spine pain, red flag, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199073	Lumbar spine pain, red flag, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199100	Lumbar spine pain, skin discoloration, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198896	Lumbar spine pain, tachycardia, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198933	Lumbar spine pain, tachycardia, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199068	Lumbar spine pain, tachycardia, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199057	Lumbar spine pain, tachycardia, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199088	Lumbar spine pain, tachycardia, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198894	Lumbar spine pain, unintentional weight loss, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198931	Lumbar spine pain, unintentional weight loss, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199066	Lumbar spine pain, unintentional weight loss, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199055	Lumbar spine pain, unintentional weight loss, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199086	Lumbar spine pain, unintentional weight loss, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149747	Neck trauma, abnormal mental status or neuro exam	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149751	Neck trauma, dangerous injury mechanism	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149752	Neck trauma, GCS < 14	All	0 - 3	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149753	Neck trauma, motor vehicle accident	All	0 - 3	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149750	Neck trauma, predisposing condition to spinal injury	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149749	Neck trauma, torso injury	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149748	Neck trauma, torticollis or neck pain	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3149306	Neck trauma, uncomplicated (NEXUS/PECARN neg)	All	3 - 15	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3196984	Nystagmus, isolated, initial imaging	All	0 - 17	Head
Pediatric	3197001	Orbital infection suspected, initial imaging	All	0 - 17	Head
Pediatric	3195015	Osteomyelitis or septic arthritis suspected, ankle, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195073	Osteomyelitis or septic arthritis suspected, ankle, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195003	Osteomyelitis or septic arthritis suspected, ankle, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195061	Osteomyelitis or septic arthritis suspected, ankle, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195016	Osteomyelitis or septic arthritis suspected, elbow, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195074	Osteomyelitis or septic arthritis suspected, elbow, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195004	Osteomyelitis or septic arthritis suspected, elbow, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195062	Osteomyelitis or septic arthritis suspected, elbow, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195017	Osteomyelitis or septic arthritis suspected, femur, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195075	Osteomyelitis or septic arthritis suspected, femur, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195005	Osteomyelitis or septic arthritis suspected, femur, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195063	Osteomyelitis or septic arthritis suspected, femur, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195018	Osteomyelitis or septic arthritis suspected, foot, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195076	Osteomyelitis or septic arthritis suspected, foot, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195006	Osteomyelitis or septic arthritis suspected, foot, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195064	Osteomyelitis or septic arthritis suspected, foot, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195019	Osteomyelitis or septic arthritis suspected, forearm, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195077	Osteomyelitis or septic arthritis suspected, forearm, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195007	Osteomyelitis or septic arthritis suspected, forearm, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195065	Osteomyelitis or septic arthritis suspected, forearm, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195020	Osteomyelitis or septic arthritis suspected, hand, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195078	Osteomyelitis or septic arthritis suspected, hand, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195008	Osteomyelitis or septic arthritis suspected, hand, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195066	Osteomyelitis or septic arthritis suspected, hand, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195021	Osteomyelitis or septic arthritis suspected, hip, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195079	Osteomyelitis or septic arthritis suspected, hip, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195009	Osteomyelitis or septic arthritis suspected, hip, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195067	Osteomyelitis or septic arthritis suspected, hip, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195022	Osteomyelitis or septic arthritis suspected, humerus, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195080	Osteomyelitis or septic arthritis suspected, humerus, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195010	Osteomyelitis or septic arthritis suspected, humerus, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195068	Osteomyelitis or septic arthritis suspected, humerus, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195023	Osteomyelitis or septic arthritis suspected, knee, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195081	Osteomyelitis or septic arthritis suspected, knee, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195011	Osteomyelitis or septic arthritis suspected, knee, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195069	Osteomyelitis or septic arthritis suspected, knee, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195024	Osteomyelitis or septic arthritis suspected, shoulder, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195082	Osteomyelitis or septic arthritis suspected, shoulder, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195012	Osteomyelitis or septic arthritis suspected, shoulder, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195070	Osteomyelitis or septic arthritis suspected, shoulder, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195025	Osteomyelitis or septic arthritis suspected, tibia fibula, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195083	Osteomyelitis or septic arthritis suspected, tibia fibula, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195013	Osteomyelitis or septic arthritis suspected, tibia fibula, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195071	Osteomyelitis or septic arthritis suspected, tibia fibula, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195026	Osteomyelitis or septic arthritis suspected, wrist, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195084	Osteomyelitis or septic arthritis suspected, wrist, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195014	Osteomyelitis or septic arthritis suspected, wrist, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195072	Osteomyelitis or septic arthritis suspected, wrist, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195002	Osteomyelitis suspected, ankle, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195085	Osteomyelitis suspected, ankle, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194959	Osteomyelitis suspected, ankle, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195028	Osteomyelitis suspected, ankle, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195049	Osteomyelitis suspected, ankle, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194979	Osteomyelitis suspected, ankle, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195001	Osteomyelitis suspected, elbow, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195086	Osteomyelitis suspected, elbow, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195029	Osteomyelitis suspected, elbow, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194960	Osteomyelitis suspected, elbow, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195050	Osteomyelitis suspected, elbow, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194980	Osteomyelitis suspected, elbow, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195000	Osteomyelitis suspected, femur, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195087	Osteomyelitis suspected, femur, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194961	Osteomyelitis suspected, femur, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195030	Osteomyelitis suspected, femur, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194981	Osteomyelitis suspected, femur, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195060	Osteomyelitis suspected, femur, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194999	Osteomyelitis suspected, foot, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195088	Osteomyelitis suspected, foot, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195031	Osteomyelitis suspected, foot, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194958	Osteomyelitis suspected, foot, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194982	Osteomyelitis suspected, foot, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195059	Osteomyelitis suspected, foot, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194998	Osteomyelitis suspected, forearm, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195089	Osteomyelitis suspected, forearm, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195032	Osteomyelitis suspected, forearm, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194962	Osteomyelitis suspected, forearm, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194983	Osteomyelitis suspected, forearm, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195058	Osteomyelitis suspected, forearm, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194997	Osteomyelitis suspected, hand, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195090	Osteomyelitis suspected, hand, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194963	Osteomyelitis suspected, hand, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195033	Osteomyelitis suspected, hand, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194984	Osteomyelitis suspected, hand, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195057	Osteomyelitis suspected, hand, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194996	Osteomyelitis suspected, hip, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195091	Osteomyelitis suspected, hip, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195034	Osteomyelitis suspected, hip, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194964	Osteomyelitis suspected, hip, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195056	Osteomyelitis suspected, hip, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194985	Osteomyelitis suspected, hip, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194995	Osteomyelitis suspected, humerus, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195092	Osteomyelitis suspected, humerus, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194965	Osteomyelitis suspected, humerus, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195035	Osteomyelitis suspected, humerus, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195055	Osteomyelitis suspected, humerus, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194986	Osteomyelitis suspected, humerus, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194994	Osteomyelitis suspected, knee, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195093	Osteomyelitis suspected, knee, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195036	Osteomyelitis suspected, knee, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194966	Osteomyelitis suspected, knee, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195054	Osteomyelitis suspected, knee, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194987	Osteomyelitis suspected, knee, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194993	Osteomyelitis suspected, shoulder, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195094	Osteomyelitis suspected, shoulder, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194968	Osteomyelitis suspected, shoulder, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195037	Osteomyelitis suspected, shoulder, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195053	Osteomyelitis suspected, shoulder, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194988	Osteomyelitis suspected, shoulder, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194992	Osteomyelitis suspected, tibia fibula, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195095	Osteomyelitis suspected, tibia fibula, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195038	Osteomyelitis suspected, tibia fibula, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195052	Osteomyelitis suspected, tibia fibula, radiography normal, next imaging study	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194989	Osteomyelitis suspected, tibia fibula, radiography normal, next imaging study	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194977	Osteomyelitis suspected, tibia/fibula, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194991	Osteomyelitis suspected, wrist, findings suggestive of osteomyelitis on radiography, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195096	Osteomyelitis suspected, wrist, findings suggestive of osteomyelitis on radiography, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195039	Osteomyelitis suspected, wrist, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194967	Osteomyelitis suspected, wrist, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195051	Osteomyelitis suspected, wrist, radiography normal, next imaging study	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194990	Osteomyelitis suspected, wrist, radiography normal, next imaging study	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3196997	Papilledema on ophthalmologic exam, initial imaging	All	D180 - 6205	Head
Pediatric	3147515	Ped <=5yo, acute limp, ankle pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147516	Ped <=5yo, acute limp, foot pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147511	Ped <=5yo, acute limp, hip pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147513	Ped <=5yo, acute limp, knee pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147514	Ped <=5yo, acute limp, lower leg pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3080849	Ped <=5yo, acute limp, non localized	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3148180	Ped <=5yo, acute limp, non localized, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147520	Ped <=5yo, acute limp, symptoms localized to ankle, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147521	Ped <=5yo, acute limp, symptoms localized to foot, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3148181	Ped <=5yo, acute limp, symptoms localized to hip, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147518	Ped <=5yo, acute limp, symptoms localized to knee, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147519	Ped <=5yo, acute limp, symptoms localized to lower leg, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147517	Ped <=5yo, acute limp, symptoms localized to thigh, infection suspected	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3147512	Ped <=5yo, acute limp, thigh pain	All	0 - 5	Lower extremity	Hip Pain
Pediatric	3148751	Ped 0-9y, scoliosis, idiopathic, cervical and thoracic spine	All	0 - 9	Spine
Pediatric	3148748	Ped 0-9y, scoliosis, idiopathic, cervical spine	All	0 - 9	Spine
Pediatric	3148753	Ped 0-9y, scoliosis, idiopathic, complete spine	All	0 - 9	Spine
Pediatric	3148750	Ped 0-9y, scoliosis, idiopathic, lumbar spine	All	0 - 9	Spine
Pediatric	3148752	Ped 0-9y, scoliosis, idiopathic, thoracic and lumbar spine	All	0 - 9	Spine
Pediatric	3148749	Ped 0-9y, scoliosis, idiopathic, thoracic spine	All	0 - 9	Spine
Pediatric	3148757	Ped 10-18y, scoliosis, idiopathic, cervical and thoracic spine, no risk factors	All	10 - 17	Spine
Pediatric	3148767	Ped 10-18y, scoliosis, idiopathic, cervical and thoracic spine, risk factors	All	10 - 17	Spine
Pediatric	3148754	Ped 10-18y, scoliosis, idiopathic, cervical spine, no risk factors	All	10 - 17	Spine
Pediatric	3148760	Ped 10-18y, scoliosis, idiopathic, cervical spine, risk factors	All	10 - 17	Spine
Pediatric	3148759	Ped 10-18y, scoliosis, idiopathic, complete spine, no risk factors	All	10 - 17	Spine
Pediatric	3148769	Ped 10-18y, scoliosis, idiopathic, complete spine, risk factors	All	10 - 17	Spine
Pediatric	3148756	Ped 10-18y, scoliosis, idiopathic, lumbar spine, no risk factors	All	10 - 17	Spine
Pediatric	3148766	Ped 10-18y, scoliosis, idiopathic, lumbar spine, risk factors	All	10 - 17	Spine
Pediatric	3148758	Ped 10-18y, scoliosis, idiopathic, thoracic and lumbar spine, no risk factors	All	10 - 17	Spine
Pediatric	3148768	Ped 10-18y, scoliosis, idiopathic, thoracic and lumbar spine, risk factors	All	10 - 17	Spine
Pediatric	3148755	Ped 10-18y, scoliosis, idiopathic, thoracic spine, no risk factors	All	10 - 17	Spine
Pediatric	3148765	Ped 10-18y, scoliosis, idiopathic, thoracic spine, risk factors	All	10 - 17	Spine
Pediatric	3102681	Ped, abuse suspected, apnea, initial study	All	0 - 17	Unspecified
Pediatric	3102682	Ped, abuse suspected, fracture(s) or highly suspicious injury, initial study	All	0 - 17	Unspecified
Pediatric	3102683	Ped, abuse suspected, neuro signs or symptoms, initial study	All	0 - 17	Unspecified
Pediatric	3102665	Ped, abuse suspected, trunk injuries suspected, initial study	All	0 - 17	Unspecified
Pediatric	3141661	Ped, functional endoscopic sinus surgery planning	All	0 - 17	Maxface
Pediatric	3141495	Ped, hematuria, macro, nontraumatic, painless, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3074055	Ped, hematuria, macro, traumatic, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3141493	Ped, hematuria, micro, nontraumatic, painless, neg proteinuria, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3141494	Ped, hematuria, micro, nontraumatic, painless, positive proteinuria, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3074056	Ped, hematuria, micro, traumatic, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3141496	Ped, hematuria, nontraumatic, painful, urolithiasis suspected, initial exam	All	0 - 17	Abdomen-pelvis
Pediatric	3148745	Ped, scoliosis, congenital, cervical and thoracic spine	All	0 - 17	Spine
Pediatric	3148742	Ped, scoliosis, congenital, cervical spine	All	0 - 17	Spine
Pediatric	3148747	Ped, scoliosis, congenital, complete spine	All	0 - 17	Spine
Pediatric	3148744	Ped, scoliosis, congenital, lumbar spine	All	0 - 17	Spine
Pediatric	3148746	Ped, scoliosis, congenital, thoracic and lumbar spine	All	0 - 17	Spine
Pediatric	3148743	Ped, scoliosis, congenital, thoracic spine	All	0 - 17	Spine
Pediatric	3074064	Ped, sinusitis, acute, uncomplicated, initial exam	All	0 - 17	Maxface
Pediatric	3141660	Ped, sinusitis, chronic, initial exam	All	0 - 17	Maxface
Pediatric	3141498	Ped, sinusitis, invasive fungal suspected, initial exam	All	0 - 17	Maxface
Pediatric	3074066	Ped, sinusitis, orbital or intracranial complications suspected, initial exam	All	0 - 17	Maxface
Pediatric	3141659	Ped, sinusitis, persistent or recurrent, initial exam	All	0 - 17	Maxface
Pediatric	3102663	Ped>2yo, abuse suspected, neg neuro or visceral injury suspicion, initial study	All	3 - 17	Unspecified
Pediatric	3102662	Ped≤2yo, abuse suspected, neg neuro or visceral injury suspicion, initial study	All	0 - 2	Unspecified
Pediatric	3102666	Ped≤2yo, abuse suspected, neg skeletal survey, follow-up eval	All	0 - 2	Unspecified
Pediatric	3197000	Periorbital infection suspected, initial imaging	All	0 - 17	Head
Pediatric	3164913	Pneumonia, immunocompetent, bronchopleural fistula suspected on radiography, next imaging study	All	0 - 17	Chest
Pediatric	3164914	Pneumonia, immunocompetent, lung abscess suspected on radiography, next imaging study	All	0 - 17	Chest
Pediatric	3164912	Pneumonia, immunocompetent, moderate to large parapneumonic effusion suspected on radiography, next imaging study	All	0 - 17	Chest
Pediatric	3164916	Recurrent localized pneumonia on radiography, immunocompetent, next imaging study	All	D90 - 6205	Chest
Pediatric	3164915	Recurrent nonlocalized pneumonia on radiography, immunocompetent, next imaging study	All	D90 - 6205	Chest
Pediatric	3196439	Repaired pulmonary valve stenosis, branch pulmonary artery stenosis suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196438	Repaired pulmonary valve stenosis, pulmonary valve dysfunction suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196437	Repaired tetralogy of Fallot, branch pulmonary artery stenosis suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196436	Repaired tetralogy of Fallot, pulmonary valve dysfunction suspected, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3082508	Seizure, complex, febrile, initial imaging	All	D180 - 1825	Head
Pediatric	3074060	Seizure, focal, not abuse, initial imaging	All	D30 - 6205	Head
Pediatric	3074062	Seizure, generalized, neuro deficit, initial imaging	All	D30 - 6205	Head
Pediatric	3074057	Seizure, neonate, initial imaging	All	D0 - 28	Head
Pediatric	3074059	Seizure, post head trauma, not abuse, initial imaging	All	D30 - 6205	Head
Pediatric	3074061	Seizure, primary, generalized, no neuro deficit, initial imaging	All	D30 - 6205	Head
Pediatric	3074063	Seizure, refractory	All	D30 - 6205	Head
Pediatric	3082087	Seizure, simple, febrile, initial imaging	All	D180 - 1825	Head
Pediatric	3194975	Septic arthritis suspected, ankle, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195040	Septic arthritis suspected, ankle, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195106	Septic arthritis suspected, ankle, possible joint effusion on radiography, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195098	Septic arthritis suspected, ankle, radiography normal, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195041	Septic arthritis suspected, elbow, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194970	Septic arthritis suspected, elbow, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195107	Septic arthritis suspected, elbow, possible joint effusion on radiography, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195099	Septic arthritis suspected, elbow, radiography normal, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194976	Septic arthritis suspected, foot, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195042	Septic arthritis suspected, foot, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195108	Septic arthritis suspected, foot, possible joint effusion on radiography, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195100	Septic arthritis suspected, foot, radiography normal, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194972	Septic arthritis suspected, hand, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195044	Septic arthritis suspected, hand, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195109	Septic arthritis suspected, hand, possible joint effusion on radiography, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195101	Septic arthritis suspected, hand, radiography normal, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195045	Septic arthritis suspected, hip, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194973	Septic arthritis suspected, hip, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195110	Septic arthritis suspected, hip, possible joint effusion on radiography, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195102	Septic arthritis suspected, hip, radiography normal, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194974	Septic arthritis suspected, knee, initial imaging	All	0 - 4	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195043	Septic arthritis suspected, knee, initial imaging	All	5 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195111	Septic arthritis suspected, knee, possible joint effusion on radiography, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195103	Septic arthritis suspected, knee, radiography normal, next imaging study	All	0 - 17	Lower extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194969	Septic arthritis suspected, shoulder, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195046	Septic arthritis suspected, shoulder, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195112	Septic arthritis suspected, shoulder, possible joint effusion on radiography, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195104	Septic arthritis suspected, shoulder, radiography normal, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195047	Septic arthritis suspected, wrist, initial imaging	All	5 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3194971	Septic arthritis suspected, wrist, initial imaging	All	0 - 4	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195113	Septic arthritis suspected, wrist, possible joint effusion on radiography, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3195105	Septic arthritis suspected, wrist, radiography normal, next imaging study	All	0 - 17	Upper extremity	Hip Pain, Shoulder Pain (to include suspected rotator cuff injury)
Pediatric	3196998	Signs of raised intracranial pressure, initial imaging	All	D180 - 6205	Head
Pediatric	3196454	Single ventricle physiology, postop eval, stage 3 single ventricle palliation, total cavopulmonary connection, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196450	Single ventricle physiology, preop eval, stage 2 single ventricle palliation, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3196452	Single ventricle physiology, preop eval, stage 3 single ventricle palliation, total cavopulmonary connection, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 17	Cardiac-chest
Pediatric	3181233	Stroke suspected, acute non-sickle cell, <24 hrs from sx onset, emergent imaging	All	D180 - 6205	Head	Headache (traumatic and nontraumatic)
Pediatric	3183776	Stroke suspected, acute, arteriopathy suspected, emergent treatment contraindicated, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183775	Stroke suspected, acute, arteriopathy, emergent treatment contraindicated, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183780	Stroke suspected, acute, CNS vasculitis suspected, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183779	Stroke suspected, acute, CNS vasculitis, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3181234	Stroke suspected, acute, emergent intervention contraindicated, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183782	Stroke suspected, acute, high flow vascular anomaly suspected, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183781	Stroke suspected, acute, high flow vascular anomaly, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183784	Stroke suspected, acute, low flow vascular anomaly suspected, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183783	Stroke suspected, acute, low flow vascular anomaly, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3181243	Stroke suspected, acute, sickle cell disease, new or worsening neuro deficit, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183786	Stroke suspected, acute, sinovenous thrombosis suspected, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3183785	Stroke suspected, acute, sinovenous thrombosis, initial imaging	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3181239	Subarachnoid hemorrhage on noncontrast CT, nontraumatic, next imaging study	All	0 - 17	Head	Headache (traumatic and nontraumatic)
Pediatric	3198909	Thoracic spine pain, gait abnormality, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198901	Thoracic spine pain, abnormal spinal curvature, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198945	Thoracic spine pain, abnormal spinal curvature, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199037	Thoracic spine pain, abnormal spinal curvature, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199048	Thoracic spine pain, abnormal spinal curvature, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199026	Thoracic spine pain, abnormal spinal curvature, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199094	Thoracic spine pain, chronic, mechanical, overuse, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199091	Thoracic spine pain, chronic, mechanical, repetitive activity, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199105	Thoracic spine pain, draining sinus, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198906	Thoracic spine pain, fever, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198940	Thoracic spine pain, fever, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199032	Thoracic spine pain, fever, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199043	Thoracic spine pain, fever, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199021	Thoracic spine pain, fever, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198937	Thoracic spine pain, gait abnormality, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199028	Thoracic spine pain, gait abnormality, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199039	Thoracic spine pain, gait abnormality, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199017	Thoracic spine pain, gait abnormality, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199108	Thoracic spine pain, hairy patch, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198965	Thoracic spine pain, infection suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198974	Thoracic spine pain, infection, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198980	Thoracic spine pain, inflammation suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198971	Thoracic spine pain, inflammation, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199034	Thoracic spine pain, lasting >4 wks, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199045	Thoracic spine pain, lasting >4 wks, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198904	Thoracic spine pain, lasting >4wks, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198942	Thoracic spine pain, lasting >4wks, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198902	Thoracic spine pain, lymphadenopathy, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198944	Thoracic spine pain, lymphadenopathy, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199036	Thoracic spine pain, lymphadenopathy, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199047	Thoracic spine pain, lymphadenopathy, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199025	Thoracic spine pain, lymphadenopathy, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198900	Thoracic spine pain, morning stiffness, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198946	Thoracic spine pain, morning stiffness, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199027	Thoracic spine pain, morning stiffness, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199038	Thoracic spine pain, morning stiffness, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199016	Thoracic spine pain, morning stiffness, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198968	Thoracic spine pain, neoplasm suspected, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198977	Thoracic spine pain, neoplasm, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198907	Thoracic spine pain, neuro deficit, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198939	Thoracic spine pain, neuro deficit, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199030	Thoracic spine pain, neuro deficit, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199041	Thoracic spine pain, neuro deficit, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199019	Thoracic spine pain, neuro deficit, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198908	Thoracic spine pain, night pain, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198938	Thoracic spine pain, night pain, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199029	Thoracic spine pain, night pain, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199040	Thoracic spine pain, night pain, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199018	Thoracic spine pain, night pain, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198887	Thoracic spine pain, no red flags, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199023	Thoracic spine pain, pain lasting >4 wks, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199102	Thoracic spine pain, palpable lump, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199031	Thoracic spine pain, radiating pain, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198921	Thoracic spine pain, radiating, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198959	Thoracic spine pain, radiating, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199042	Thoracic spine pain, radiating, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199020	Thoracic spine pain, radiating, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199074	Thoracic spine pain, red flag suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198924	Thoracic spine pain, red flag, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198962	Thoracic spine pain, red flag, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199075	Thoracic spine pain, red flag, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199076	Thoracic spine pain, red flag, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199099	Thoracic spine pain, skin discoloration, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198903	Thoracic spine pain, tachycardia, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198943	Thoracic spine pain, tachycardia, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199035	Thoracic spine pain, tachycardia, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199046	Thoracic spine pain, tachycardia, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199024	Thoracic spine pain, tachycardia, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198905	Thoracic spine pain, unintentional weight loss, initial imaging	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3198941	Thoracic spine pain, unintentional weight loss, radiography negative, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199033	Thoracic spine pain, unintentional weight loss, suspected infection on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199044	Thoracic spine pain, unintentional weight loss, suspected inflammation on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3199022	Thoracic spine pain, unintentional weight loss, suspected malignancy on radiography, next imaging study	All	0 - 17	Spine	Cervical or Neck Pain, Low Back Pain
Pediatric	3196443	Transposition of the great arteries, post arterial switch, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196441	Transposition of the great arteries, post atrial switch, TTE inadequate assessment of cardiovascular morphology and function, next imaging study	All	0 - 150	Cardiac-chest
Pediatric	3196711	UTI, atypical, initial imaging	All	0 - 17	Abdomen-pelvis
Pediatric	3196706	UTI, first febrile, response to medical management, initial imaging	Male Only	D0 - 59	Abdomen-pelvis
Pediatric	3196708	UTI, first febrile, response to medical management, initial imaging	Female Only	D0 - 59	Abdomen-pelvis
Pediatric	3196709	UTI, first febrile, response to medical management, initial imaging	All	D60 - 2190	Abdomen-pelvis
Pediatric	3196710	UTI, first febrile, response to medical management, initial imaging	All	7 - 17	Abdomen-pelvis
Pediatric	3196712	UTI, recurrent febrile, initial imaging	All	0 - 17	Abdomen-pelvis
Pediatric	3197085	Vascular malformation suspected on US, abdomen, next imaging study	All	0 - 17	Abdomen
Pediatric	3197086	Vascular malformation suspected on US, chest, next imaging study	All	0 - 17	Chest
Pediatric	3197090	Vascular malformation suspected on US, elbow, next imaging study	All	0 - 17	Upper extremity
Pediatric	3197091	Vascular malformation suspected on US, face, next imaging study	All	0 - 17	Maxface
Pediatric	3197092	Vascular malformation suspected on US, foot, next imaging study	All	0 - 17	Lower extremity
Pediatric	3197093	Vascular malformation suspected on US, forearm, next imaging study	All	0 - 17	Upper extremity
Pediatric	3197094	Vascular malformation suspected on US, hand, next imaging study	All	0 - 17	Upper extremity
Pediatric	3197087	Vascular malformation suspected on US, head, next imaging study	All	0 - 17	Head
Pediatric	3197095	Vascular malformation suspected on US, hip, next imaging study	All	0 - 17	Lower extremity
Pediatric	3197096	Vascular malformation suspected on US, knee, next imaging study	All	0 - 17	Lower extremity
Pediatric	3197097	Vascular malformation suspected on US, lower leg, next imaging study	All	0 - 17	Lower extremity
Pediatric	3197088	Vascular malformation suspected on US, neck, next imaging study	All	0 - 17	Neck
Pediatric	3197089	Vascular malformation suspected on US, pelvis, next imaging study	All	0 - 17	Pelvis
Pediatric	3197098	Vascular malformation suspected on US, shoulder, next imaging study	All	0 - 17	Upper extremity
Pediatric	3197099	Vascular malformation suspected on US, thigh, next imaging study	All	0 - 17	Lower extremity
Pediatric	3197100	Vascular malformation suspected on US, upper arm, next imaging study	All	0 - 17	Upper extremity
Pediatric	3197052	Vascular malformation suspected, abdomen, hemangioma not suspected, initial imaging	All	0 - 17	Abdomen
Pediatric	3197053	Vascular malformation suspected, chest, hemangioma not suspected, initial imaging	All	0 - 17	Chest
Pediatric	3197057	Vascular malformation suspected, elbow, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197058	Vascular malformation suspected, face, hemangioma not suspected, initial imaging	All	0 - 17	Maxface
Pediatric	3197059	Vascular malformation suspected, foot, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197060	Vascular malformation suspected, forearm, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197061	Vascular malformation suspected, hand, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197054	Vascular malformation suspected, head, hemangioma not suspected, initial imaging	All	0 - 17	Head
Pediatric	3197062	Vascular malformation suspected, hip, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197063	Vascular malformation suspected, knee, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197064	Vascular malformation suspected, lower leg, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197055	Vascular malformation suspected, neck, hemangioma not suspected, initial imaging	All	0 - 17	Neck
Pediatric	3197056	Vascular malformation suspected, pelvis, hemangioma not suspected, initial imaging	All	0 - 17	Pelvis
Pediatric	3197065	Vascular malformation suspected, shoulder, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197066	Vascular malformation suspected, thigh, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197067	Vascular malformation suspected, upper arm, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197102	Vascular malformation, abdomen, new signs or symptoms, initial imaging	All	0 - 17	Abdomen
Pediatric	3197118	Vascular malformation, abdomen, persistent signs or symptoms, initial imaging	All	0 - 17	Abdomen
Pediatric	3197103	Vascular malformation, chest, new signs or symptoms, initial imaging	All	0 - 17	Chest
Pediatric	3197119	Vascular malformation, chest, persistent signs or symptoms, initial imaging	All	0 - 17	Chest
Pediatric	3197107	Vascular malformation, elbow, new signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197123	Vascular malformation, elbow, persistent signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197108	Vascular malformation, face, new signs or symptoms, initial imaging	All	0 - 17	Maxface
Pediatric	3197124	Vascular malformation, face, persistent signs or symptoms, initial imaging	All	0 - 17	Maxface
Pediatric	3197109	Vascular malformation, foot, new signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197125	Vascular malformation, foot, persistent signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197110	Vascular malformation, forearm, new signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197126	Vascular malformation, forearm, persistent signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197111	Vascular malformation, hand, new signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197127	Vascular malformation, hand, persistent signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197104	Vascular malformation, head, new signs or symptoms, initial imaging	All	0 - 17	Head
Pediatric	3197120	Vascular malformation, head, persistent signs or symptoms, initial imaging	All	0 - 17	Head
Pediatric	3197112	Vascular malformation, hip, new signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197128	Vascular malformation, hip, persistent signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197113	Vascular malformation, knee, new signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197129	Vascular malformation, knee, persistent signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197114	Vascular malformation, lower leg, new signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197130	Vascular malformation, lower leg, persistent signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197105	Vascular malformation, neck, new signs or symptoms, initial imaging	All	0 - 17	Neck
Pediatric	3197121	Vascular malformation, neck, persistent signs or symptoms, initial imaging	All	0 - 17	Neck
Pediatric	3197106	Vascular malformation, pelvis, new signs or symptoms, initial imaging	All	0 - 17	Pelvis
Pediatric	3197122	Vascular malformation, pelvis, persistent signs or symptoms, initial imaging	All	0 - 17	Pelvis
Pediatric	3197115	Vascular malformation, shoulder, new signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197131	Vascular malformation, shoulder, persistent signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197116	Vascular malformation, thigh, new signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197132	Vascular malformation, thigh, persistent signs or symptoms, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197117	Vascular malformation, upper arm, new signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197133	Vascular malformation, upper arm, persistent signs or symptoms, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197068	Vascular tumor suspected, abdomen, hemangioma not suspected, initial imaging	All	0 - 17	Abdomen
Pediatric	3197069	Vascular tumor suspected, chest, hemangioma not suspected, initial imaging	All	0 - 17	Chest
Pediatric	3197073	Vascular tumor suspected, elbow, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197074	Vascular tumor suspected, face, hemangioma not suspected, initial imaging	All	0 - 17	Maxface
Pediatric	3197075	Vascular tumor suspected, foot, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197076	Vascular tumor suspected, forearm, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197077	Vascular tumor suspected, hand, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197070	Vascular tumor suspected, head, hemangioma not suspected, initial imaging	All	0 - 17	Head
Pediatric	3197078	Vascular tumor suspected, hip, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197079	Vascular tumor suspected, knee, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197080	Vascular tumor suspected, lower leg, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197071	Vascular tumor suspected, neck, hemangioma not suspected, initial imaging	All	0 - 17	Neck
Pediatric	3197072	Vascular tumor suspected, pelvis, hemangioma not suspected, initial imaging	All	0 - 17	Pelvis
Pediatric	3197081	Vascular tumor suspected, shoulder, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3197082	Vascular tumor suspected, thigh, hemangioma not suspected, initial imaging	All	0 - 17	Lower extremity
Pediatric	3197083	Vascular tumor suspected, upper arm, hemangioma not suspected, initial imaging	All	0 - 17	Upper extremity
Pediatric	3196714	Vesicoureteral reflux, follow-up imaging	All	0 - 17	Abdomen-pelvis
Pediatric	3196987	Vision loss due to congenital abnormality, bilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196986	Vision loss due to congenital abnormality, unilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196988	Vision loss due to developmental abnormality, bilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196989	Vision loss due to developmental abnormality, unilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196982	Vision loss, acute, nontraumatic, no papilledema, initial imaging	All	0 - 17	Head
Pediatric	3196995	Vision loss, optic pathway tumor suspected, with or without hx of neurofibromatosis type 1, initial imaging	All	0 - 17	Head
Pediatric	3196991	Visual acuity decreased due to congenital abnormality, bilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196990	Visual acuity decreased due to congenital abnormality, unilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196993	Visual acuity decreased due to developmental abnormality, bilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196992	Visual acuity decreased due to developmental abnormality, unilateral, no leukocoria, initial imaging	All	0 - 17	Head
Pediatric	3196980	Visual loss, traumatic, orbital injury suspected, initial imaging	All	0 - 17	Head
Pediatric	3191961	Vomiting, bilious, few distended bowel loops on radiography, next imaging study	All	D0 - 2	Abdomen
Pediatric	3185451	Vomiting, bilious, malrotation suspected, initial imaging	All	D3 - 365	Abdomen
Pediatric	3191960	Vomiting, bilious, nonclassic double bubble with gas in distal bowel on radiography, next imaging study	All	D0 - 2	Abdomen
Pediatric	3191962	Vomiting, bilious, normal bowel gas pattern on radiography, next imaging study	All	D0 - 2	Abdomen
Pediatric	3185449	Vomiting, distal bowel obstruction on radiography, next imaging study	All	D0 - 2	Abdomen
Pediatric	3191959	Vomiting, no meconium passage, initial imaging	All	D0 - 2	Abdomen
Pediatric	3074079	Vomiting, nonbilious, new onset, hypertrophic pyloric stenosis suspected, initial imaging	All	D15 - 90	Abdomen
Pediatric	3074078	Vomiting, nonbilious, uncomplicated esophageal reflux suspected, initial imaging	All	0 - 1	Abdomen
Pediatric	3191958	Vomiting, poor feeding, initial imaging	All	D0 - 2	Abdomen
Pediatric	3185448	Vomiting, proximal bowel obstruction or atresia suspected on radiography, next imaging study	All	D0 - 2	Abdomen
Polytrauma	3197451	Abdomen and pelvis trauma, penetrating, ballistic, normotensive, initial imaging	All	18 - 150	Abdomen-pelvis
Polytrauma	3197457	Abdomen and pelvis trauma, penetrating, nonballistic, normotensive, initial imaging	All	18 - 150	Abdomen-pelvis
Polytrauma	3197449	Chest trauma, penetrating, ballistic, normotensive, initial imaging	All	18 - 150	Chest
Polytrauma	3197455	Chest trauma, penetrating, nonballistic, normotensive, initial imaging	All	18 - 150	Chest
Polytrauma	3164894	Polytrauma, blunt, hemodynamically stable, bowel trauma suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Polytrauma	3164896	Polytrauma, blunt, hemodynamically stable, chest trauma suspected, initial imaging	All	18 - 150	Chest
Polytrauma	3164892	Polytrauma, blunt, hemodynamically stable, facial injury suspected, initial imaging	All	18 - 150	Head
Polytrauma	3165327	Polytrauma, blunt, hemodynamically stable, lower extremity trauma suspected, initial imaging	All	18 - 150	Lower extremity
Polytrauma	3164891	Polytrauma, blunt, hemodynamically stable, NOS, initial imaging	All	18 - 150	Unspecified
Polytrauma	3164897	Polytrauma, blunt, hemodynamically stable, pregnant, initial imaging	Female Only	10 - 60	Unspecified
Polytrauma	3165328	Polytrauma, blunt, hemodynamically stable, upper extremity trauma suspected, initial imaging	All	18 - 150	Upper extremity
Polytrauma	3164895	Polytrauma, blunt, hemodynamically stable, urinary system trauma suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Polytrauma	3164890	Polytrauma, blunt, hemodynamically unstable, initial imaging	All	18 - 150	Unspecified
Polytrauma	3197447	Torso trauma, penetrating, ballistic, unknown trajectory, normotensive, initial imaging	All	18 - 150	Chest-abdomen-pelvis
Polytrauma	3197445	Torso trauma, penetrating, hypotensive, initial imaging	All	18 - 150	Chest-abdomen-pelvis
Polytrauma	3197453	Torso trauma, penetrating, nonballistic, unknown trajectory, normotensive, initial imaging	All	18 - 150	Chest-abdomen-pelvis
Systemic Oncology	3199411	Acute lymphoblastic leukemia, asymptomatic, initial staging	Male Only	0 - 17	Unspecified
Systemic Oncology	3199413	Acute lymphoblastic leukemia, asymptomatic, initial staging	Female Only	0 - 17	Unspecified
Systemic Oncology	3199415	Acute lymphoblastic leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Systemic Oncology	3199417	Acute lymphoblastic leukemia, extra medullary disease, post therapy evaluation	All	18 - 150	Unspecified
Systemic Oncology	3199419	Acute myeloid leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Systemic Oncology	3199420	Acute promyelocytic leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Systemic Oncology	3199424	Chronic lymphocytic leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Systemic Oncology	3199426	Chronic lymphocytic leukemia, histologic transformation suspected, surveillance	All	18 - 150	Unspecified
Systemic Oncology	3199422	Chronic myeloid leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Systemic Oncology	3199428	Hairy cell leukemia, asymptomatic, initial staging	All	18 - 150	Unspecified
Thoracic	3074090	Asthma, acute exacerbation, immunocompetent, complicated, initial imaging	All	18 - 150	Chest
Thoracic	3074089	Asthma, acute exacerbation, immunocompetent, uncomplicated, initial imaging	All	18 - 150	Chest
Thoracic	3197460	Bronchial stenosis suspected, initial imaging	All	18 - 150	Neck-chest
Thoracic	3197463	Bronchial stenosis, posttreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197462	Bronchial stenosis, pretreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197475	Bronchiectasis suspected, initial imaging	All	18 - 150	Neck-chest
Thoracic	3197477	Bronchiectasis, complications assessment	All	18 - 150	Neck-chest
Thoracic	3197478	Bronchiectasis, treatment response assessment	All	18 - 150	Neck-chest
Thoracic	3197468	Bronchomalacia suspected, initial imaging	All	18 - 150	Neck-chest
Thoracic	3197471	Bronchomalacia, posttreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197470	Bronchomalacia, pretreatment assessment	All	18 - 150	Neck-chest
Thoracic	3185411	Chest trauma, blunt, cardiac injury suspected, hemodynamically stable	All	18 - 150	Chest
Thoracic	3185412	Chest trauma, blunt, cardiac injury suspected, hemodynamically unstable	All	18 - 150	Chest
Thoracic	3074105	Chest trauma, blunt, rib fracture suspected	All	18 - 150	Chest
Thoracic	3194251	Chest wall pain, nontraumatic, infection suspected, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3194252	Chest wall pain, nontraumatic, inflammatory condition suspected, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3194249	Chest wall pain, nontraumatic, malignancy suspected, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3194248	Chest wall pain, nontraumatic, malignancy, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3194246	Chest wall pain, nontraumatic, no hx of malignancy, initial imaging	All	18 - 150	Chest
Thoracic	3194254	Chest wall pain, nontraumatic, prior chest intervention, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3148572	COPD, acute exacerbation, immunocompetent, chest pain, initial imaging	All	18 - 150	Chest
Thoracic	3148571	COPD, acute exacerbation, immunocompetent, fever, initial imaging	All	18 - 150	Chest
Thoracic	3198733	COPD, acute exacerbation, immunocompetent, hx of CAD, initial imaging	All	18 - 150	Chest
Thoracic	3198734	COPD, acute exacerbation, immunocompetent, hx of heart failure, initial imaging	All	18 - 150	Chest
Thoracic	3198732	COPD, acute exacerbation, immunocompetent, leukocytosis, initial imaging	All	18 - 150	Chest
Thoracic	3074091	COPD, acute exacerbation, immunocompetent, uncomplicated, initial imaging	All	18 - 150	Chest
Thoracic	3194235	Cough, chronic, >8 wks, increased lung cancer risk, initial imaging	All	18 - 150	Chest
Thoracic	3194237	Cough, chronic, >8 wks, initial clinical evaluation and empiric treatment complete, persistent symptoms, initial imaging	All	18 - 150	Chest
Thoracic	3194233	Cough, chronic, >8 wks, no lung cancer risk factors, initial imaging	All	18 - 150	Chest
Thoracic	3194239	Diffuse lung disease suspected, initial imaging	All	18 - 150	Chest
Thoracic	3194242	Diffuse lung disease, acute deterioration suspected, initial imaging	All	18 - 150	Chest
Thoracic	3194241	Diffuse lung disease, acute exacerbation suspected, initial imaging	All	18 - 150	Chest
Thoracic	3194244	Diffuse lung disease, no acute clinical deterioration, routine follow up imaging	All	18 - 150	Chest
Thoracic	3148173	Dyspnea, chronic, chest wall disease suspected, initial imaging	All	18 - 150	Chest
Thoracic	3148170	Dyspnea, chronic, COPD suspected, initial imaging	All	18 - 150	Chest
Thoracic	3198746	Dyspnea, chronic, COVID-19 infection hx suspected, initial imaging	All	18 - 150	Chest
Thoracic	3148172	Dyspnea, chronic, COVID-19 infection hx, initial imaging	All	18 - 150	Chest
Thoracic	3148174	Dyspnea, chronic, diaphragm dysfunction suspected, initial imaging	All	18 - 150	Chest
Thoracic	3198747	Dyspnea, chronic, pleura disease suspected, initial imaging	All	18 - 150	Chest
Thoracic	3148171	Dyspnea, chronic, small airways disease suspected, initial imaging	All	18 - 150	Chest
Thoracic	3148169	Dyspnea, chronic, unclear etiology, initial imaging	All	18 - 150	Chest
Thoracic	3196696	Empyema suspected, recent pneumonia, initial imaging	All	18 - 150	Chest
Thoracic	3195417	Esophageal cancer, recurrence, posttreatment imaging	All	18 - 150	Chest-abdomen
Thoracic	3195411	Esophageal cancer, imaging during treatment	All	18 - 150	Chest-abdomen
Thoracic	3195409	Esophageal cancer, newly diagnosed, pretreatment clinical staging, initial imaging	All	18 - 150	Chest-abdomen
Thoracic	3195413	Esophageal cancer, no recurrence suspected, posttreatment imaging	All	18 - 150	Chest-abdomen
Thoracic	3195414	Esophageal cancer, no recurrence, posttreatment imaging	All	18 - 150	Chest-abdomen
Thoracic	3195416	Esophageal cancer, recurrence suspected, posttreatment imaging	All	18 - 150	Chest-abdomen
Thoracic	3164931	Hemoptysis, massive, life threatening, initial imaging	All	18 - 150	Chest
Thoracic	3164932	Hemoptysis, nonmassive, initial imaging	All	18 - 150	Chest
Thoracic	3164933	Hemoptysis, recurrent, initial imaging	All	18 - 150	Chest
Thoracic	3194034	ICU patient, central venous catheter placement, follow up imaging	All	18 - 150	Chest
Thoracic	3194033	ICU patient, chest tube placement, follow up imaging	All	18 - 150	Chest
Thoracic	3194048	ICU patient, chest tube removal, follow up imaging	All	18 - 150	Chest
Thoracic	3194031	ICU patient, ET tube placement, follow up imaging	All	18 - 150	Chest
Thoracic	3194049	ICU patient, mediastinal tube removal, follow up imaging	All	18 - 150	Chest
Thoracic	3194032	ICU patient, nasogastric tube placement, follow up imaging	All	18 - 150	Chest
Thoracic	3084051	ICU patient, newly admitted, initial imaging	All	18 - 150	Chest
Thoracic	3194035	ICU patient, pulmonary artery catheter placement, follow up imaging	All	18 - 150	Chest
Thoracic	3084055	ICU patient, stable, no change in clinical status, initial imaging	All	18 - 150	Chest
Thoracic	3084050	ICU patient, worsening clinical condition, initial imaging	All	18 - 150	Chest
Thoracic	3196020	Lung cancer screening, <20 pack yrs smoking history, no family hx of lung cancer, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148580	Lung cancer screening, <20 pack yrs smoking history, no hx of cancer, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196021	Lung cancer screening, <20 pack yrs smoking history, no hx of COPD, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196022	Lung cancer screening, <20 pack yrs smoking history, no hx of pulmonary fibrosis, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148581	Lung cancer screening, <20 pack yrs smoking history, no occupational exposure, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148582	Lung cancer screening, <20 pack yrs smoking history, no radon exposure, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148578	Lung cancer screening, >=20 pack yrs smoking history, family hx of lung cancer, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196018	Lung cancer screening, >=20 pack yrs smoking history, hx of cancer, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148577	Lung cancer screening, >=20 pack yrs smoking history, hx of COPD, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148579	Lung cancer screening, >=20 pack yrs smoking history, hx of pulmonary fibrosis, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196017	Lung cancer screening, >=20 pack yrs smoking history, occupational exposure, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148576	Lung cancer screening, >=20 pack yrs smoking history, quit in past 15 yrs, initial imaging	All	50 - 80	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196016	Lung cancer screening, >=20 pack yrs smoking history, radon exposure, initial imaging	All	18 - 49	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3148575	Lung cancer screening, current smoker, >=20 pack yrs, initial imaging	All	50 - 80	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3074129	Lung cancer, non-small cell, staging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3074130	Lung cancer, small cell, staging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3194009	Mediastinal mass suspected, initial imaging	All	18 - 150	Chest
Thoracic	3194011	Mediastinal mass, indeterminate on CT, next imaging study	All	18 - 150	Chest
Thoracic	3194052	Mediastinal mass, indeterminate on MRI, next imaging study	All	18 - 150	Chest
Thoracic	3194053	Mediastinal mass, indeterminate on MRI, surveillance	All	18 - 150	Chest
Thoracic	3194012	Mediastinal mass, indeterminate on PET/CT, next imaging study	All	18 - 150	Chest
Thoracic	3194010	Mediastinal mass, indeterminate on radiography, next imaging study	All	18 - 150	Chest
Thoracic	3198754	NSCLC, stage I-III, suspected progression, posttreatment evaluation	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3198753	NSCLC, stage I-III, suspected recurrence, posttreatment evaluation	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3198749	NSCLC, stage I-III, treated, routine noninvasive imaging surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3164920	Occupational exposure, airway disease suspected, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3164918	Occupational exposure, interstitial lung disease suspected, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3164917	Occupational exposure, lung disease screening and surveillance, initial imaging	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3164919	Occupational lung disease, interstitial lung disease suspected on radiography, next imaging study	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3164921	Occupational lung disease, thoracic neoplasm suspected	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196695	Parapneumonic effusion suspected, recent pneumonia, initial imaging	All	18 - 150	Chest
Thoracic	3196702	Pleural effusion suspected, noninfectious, chest pain, initial imaging	All	18 - 150	Chest
Thoracic	3196701	Pleural effusion suspected, noninfectious, cough, initial imaging	All	18 - 150	Chest
Thoracic	3196700	Pleural effusion suspected, noninfectious, dyspnea, initial imaging	All	18 - 150	Chest
Thoracic	3196698	Pleural effusion suspected, recent minor blunt trauma, initial imaging	All	18 - 150	Chest
Thoracic	3196704	Pleural effusion, incidental, incomplete thoracic imaging, next imaging study	All	18 - 150	Chest
Thoracic	3195265	Pulmonary embolism suspected, high pretest probability, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195260	Pulmonary embolism suspected, intermediate pretest probability, negative D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195263	Pulmonary embolism suspected, intermediate pretest probability, positive D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195259	Pulmonary embolism suspected, low pretest probability, negative D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195262	Pulmonary embolism suspected, low pretest probability, positive D-dimer, initial imaging	All	18 - 150	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195266	Pulmonary embolism suspected, pregnant, initial imaging	Female Only	10 - 60	Cardiac-chest	Suspected Pulmonary Embolism
Thoracic	3195293	Pulmonary hypertension suspected, initial imaging	All	18 - 150	Chest
Thoracic	3196540	Pulmonary nodule on chest CT, incidental, indeterminate, <6mm, next imaging study	All	35 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196542	Pulmonary nodule on chest CT, incidental, indeterminate, >=6mm, next imaging study	All	35 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196538	Pulmonary nodule on chest radiography, incidental, indeterminate, next imaging study	All	35 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196544	Pulmonary nodule on incomplete thoracic CT, incidental, indeterminate, next imaging study	All	35 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3198726	Respiratory illness, acute, immunocompetent, abnormal vital signs, chest radiography indeterminate, next imaging study	All	18 - 150	Chest
Thoracic	3198730	Respiratory illness, acute, immunocompetent, abnormal vital signs, chest radiography negative, next imaging study	All	18 - 150	Chest
Thoracic	3148570	Respiratory illness, acute, immunocompetent, abnormal vital signs, initial imaging	All	18 - 150	Chest
Thoracic	3148573	Respiratory illness, acute, immunocompetent, organic brain disease, chest radiography indeterminate, next imaging study	All	18 - 150	Chest
Thoracic	3198727	Respiratory illness, acute, immunocompetent, organic brain disease, chest radiography negative, next imaging study	All	18 - 150	Chest
Thoracic	3198723	Respiratory illness, acute, immunocompetent, organic brain disease, initial imaging	All	18 - 150	Chest
Thoracic	3074083	Respiratory illness, acute, immunocompetent, physical exam negative, normal vital signs, no other risk factors, initial imaging	All	18 - 150	Chest
Thoracic	3198725	Respiratory illness, acute, immunocompetent, physical exam positive, chest radiography indeterminate, next imaging study	All	18 - 150	Chest
Thoracic	3198729	Respiratory illness, acute, immunocompetent, physical exam positive, chest radiography negative, next imaging study	All	18 - 150	Chest
Thoracic	3148569	Respiratory illness, acute, immunocompetent, physical exam positive, initial imaging	All	18 - 150	Chest
Thoracic	3198736	Respiratory illness, acute, immunocompetent, pneumonia suspected on initial imaging, follow-up imaging to ensure resolution	All	18 - 150	Chest
Thoracic	3148168	Respiratory illness, acute, immunocompetent, pneumonia, abscess suspected on chest radiography, next imaging study	All	18 - 150	Chest
Thoracic	3198731	Respiratory illness, acute, immunocompetent, pneumonia, parapneumonic effusion suspected on chest radiography, next imaging study	All	18 - 150	Chest
Thoracic	3198724	Respiratory illness, acute, immunocompetent, risk factors, initial imaging	All	18 - 150	Chest
Thoracic	3148574	Respiratory illness, acute, immunocompetent, risk factors, chest radiography indeterminate, next imaging study	All	18 - 150	Chest
Thoracic	3198728	Respiratory illness, acute, immunocompetent, risk factors, chest radiography negative, next imaging study	All	18 - 150	Chest
Thoracic	3074095	Respiratory illness, acute, immunodeficiency, infection suspected, radiography done	All	18 - 150	Chest
Thoracic	3074093	Respiratory illness, acute, immunodeficiency, initial exam	All	18 - 150	Chest
Thoracic	3158445	Respiratory illness, acute, immunodeficiency, nondiagnostic CXR	All	18 - 150	Chest
Thoracic	3074097	Respiratory illness, acute, immunodeficiency, noninfectious cause suspected, radiography done	All	18 - 150	Chest
Thoracic	3158446	Respiratory illness, acute, immunodeficiency, normal CXR	All	18 - 150	Chest
Thoracic	3074106	Rib fracture suspected, after CPR	All	18 - 150	Chest
Thoracic	3084031	Rib fracture suspected, pathological	All	18 - 150	Chest
Thoracic	3196065	Routine chest imaging, hospital admission, no cardiopulmonary disease suspected, initial imaging	All	18 - 150	Chest
Thoracic	3196072	Routine chest imaging, hx of chronic cardiopulmonary disease, clinical findings stable, surveillance	All	18 - 150	Chest
Thoracic	3196069	Routine chest imaging, preop, noncardiothoracic surgery, hx of cardiothoracic surgery, initial imaging	All	18 - 150	Chest
Thoracic	3196070	Routine chest imaging, preop, noncardiothoracic surgery, hx of chronic cardiopulmonary disease, initial imaging	All	18 - 150	Chest
Thoracic	3100881	Routine chest imaging, preop, noncardiothoracic surgery, no hx of cardiothoracic surgery, initial imaging	All	18 - 150	Chest
Thoracic	3196067	Routine chest imaging, preop, noncardiothoracic surgery, no hx of chronic cardiopulmonary disease, initial imaging	All	18 - 150	Chest
Thoracic	3198751	SCLC, stage I-III, treated, routine noninvasive imaging surveillance	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3198757	SCLC, stage I-III, suspected progression, posttreatment evaluation	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3198756	SCLC, stage I-III, suspected recurrence, posttreatment evaluation	All	18 - 150	Chest	Cancer of the Lung (primary or metastatic, suspected or diagnosed)
Thoracic	3196683	Sepsis suspected, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196684	Sepsis suspected, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196682	Sepsis suspected, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196674	Sepsis suspected, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Thoracic	3196689	Sepsis suspected, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196690	Sepsis suspected, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196688	Sepsis suspected, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196679	Sepsis suspected, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Thoracic	3196662	Sepsis suspected, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196663	Sepsis suspected, chest pain, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196661	Sepsis suspected, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196650	Sepsis suspected, chest pain, initial imaging	All	18 - 150	Chest
Thoracic	3196656	Sepsis suspected, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196657	Sepsis suspected, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196655	Sepsis suspected, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196648	Sepsis suspected, cough, initial imaging	All	18 - 150	Chest
Thoracic	3196659	Sepsis suspected, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196660	Sepsis suspected, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196658	Sepsis suspected, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196649	Sepsis suspected, dyspnea, initial imaging	All	18 - 150	Chest
Thoracic	3196677	Sepsis suspected, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Thoracic	3196675	Sepsis, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Thoracic	3196691	Sepsis, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196692	Sepsis, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196693	Sepsis, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196680	Sepsis, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Thoracic	3196672	Sepsis, chest pain, chest radiography , nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196671	Sepsis, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196670	Sepsis, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196653	Sepsis, chest pain, initial imaging	All	18 - 150	Chest
Thoracic	3196665	Sepsis, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196666	Sepsis, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196664	Sepsis, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196651	Sepsis, cough, initial imaging	All	18 - 150	Chest
Thoracic	3196668	Sepsis, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196669	Sepsis, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196667	Sepsis, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196652	Sepsis, dyspnea, initial imaging	All	18 - 150	Chest
Thoracic	3196686	Sepsis, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Thoracic	3196687	Sepsis, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Thoracic	3196685	Sepsis, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Thoracic	3196678	Sepsis, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Thoracic	3180670	Thoracic outlet syndrome, arterial, imaging after surgery or intervention	All	18 - 150	Chest
Thoracic	3180669	Thoracic outlet syndrome, arterial, initial imaging	All	18 - 150	Chest
Thoracic	3180666	Thoracic outlet syndrome, neurogenic, imaging after surgery or intervention	All	18 - 150	Chest
Thoracic	3180665	Thoracic outlet syndrome, neurogenic, initial imaging	All	18 - 150	Chest
Thoracic	3180668	Thoracic outlet syndrome, venous, imaging after surgery or intervention	All	18 - 150	Chest
Thoracic	3180667	Thoracic outlet syndrome, venous, initial imaging	All	18 - 150	Chest
Thoracic	3197459	Tracheal stenosis suspected, initial imaging	All	18 - 150	Neck-chest
Thoracic	3197465	Tracheal stenosis, posttreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197464	Tracheal stenosis, pretreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197467	Tracheomalacia suspected, initial imaging	All	18 - 150	Neck-chest
Thoracic	3197473	Tracheomalacia, posttreatment assessment	All	18 - 150	Neck-chest
Thoracic	3197472	Tracheomalacia, pretreatment assessment	All	18 - 150	Neck-chest
Thoracic	3102189	Tuberculosis screening, no PPD, facility placement, asymptomatic	All	18 - 150	Chest
Thoracic	3102188	Tuberculosis screening, pos PPD or IGRA, asymptomatic	All	18 - 150	Chest
Thoracic	3102187	Tuberculosis, active suspected	All	18 - 150	Chest
Urologic	3191907	UTI, lower urinary tract, recurrent, risk factors	Female Only	18 - 150	Abdomen-pelvis
Urologic	3194270	Adrenal mass, <4cm on imaging, no benign features, hx of malignancy, adrenal specific follow up imaging	All	18 - 150	Abdomen
Urologic	3194272	Adrenal mass, >=4cm on imaging, no benign features, hx of malignancy, adrenal specific follow-up imaging	All	18 - 150	Abdomen
Urologic	3194262	Adrenal mass, indeterminate, <1cm on imaging, no benign features, no hx of malignancy, follow up imaging	All	18 - 150	Abdomen
Urologic	3194268	Adrenal mass, indeterminate, >=4cm on imaging, no benign features, no hx of malignancy, adrenal specific follow up imaging	All	18 - 150	Abdomen
Urologic	3194266	Adrenal mass, indeterminate, >2cm and <4cm on imaging, no benign features, no hx of malignancy, adrenal specific follow up imaging	All	18 - 150	Abdomen
Urologic	3194264	Adrenal mass, indeterminate, 1-2cm on imaging, no benign features, no hx of malignancy, follow up imaging in 12 mos	All	18 - 150	Abdomen
Urologic	3073701	Benign prostatic hyperplasia (BPH) suspected	Male Only	18 - 150	Pelvis
Urologic	3197597	Bladder cancer, muscle invasive, pretreatment staging	All	18 - 150	Abdomen-pelvis
Urologic	3073692	Bladder cancer, muscle invasive, treated, surveillance	All	18 - 150	Abdomen-pelvis
Urologic	3197596	Bladder cancer, nonmuscle invasive, pretreatment staging	All	18 - 150	Abdomen-pelvis
Urologic	3194027	Bladder cancer, nonmuscle invasive, treated, asymptomatic, surveillance	All	18 - 150	Abdomen-pelvis
Urologic	3194028	Bladder cancer, nonmuscle invasive, treated, no risk factors, surveillance	All	18 - 150	Abdomen-pelvis
Urologic	3194029	Bladder cancer, nonmuscle invasive, treated, symptomatic, surveillance	All	18 - 150	Abdomen-pelvis
Urologic	3194030	Bladder cancer, nonmuscle, invasive, treated, risk factors, surveillance	All	18 - 150	Abdomen-pelvis
Urologic	3196626	Flank pain, acute, stone disease on recent imaging, recurrent symptoms, follow-up imaging	All	18 - 150	Abdomen-pelvis
Urologic	3196631	Flank pain, acute, stone disease suspected, CT without contrast inconclusive for stones, next imaging study	All	18 - 150	Abdomen-pelvis
Urologic	3196624	Flank pain, acute, stone disease suspected, no hx of stone disease, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3196628	Flank pain, acute, stone disease suspected, pregnant, follow-up imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3196629	Flank pain, acute, stone disease suspected, pregnant, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3196623	Flank pain, acute, stone disease suspected, remote hx of stone disease, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3199318	Hematospermia, initial imaging	Male Only	40 - 150	Pelvis
Urologic	3199320	Hematospermia, persistent or recurrent, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3199319	Hematospermia, signs or symptoms of disease, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3199316	Hematospermia, transient, no other signs or symptoms of disease, initial imaging	Male Only	18 - 39	Pelvis
Urologic	3183765	Hematuria, current or recent menses, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3181245	Hematuria, gross, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3183764	Hematuria, microscopic, infection or viral illness, initial imaging	All	18-150	Abdomen-pelvis
Urologic	3183762	Hematuria, microscopic, no risk factors, initial imaging	All	18-150	Abdomen-pelvis
Urologic	3181244	Hematuria, microscopic, pregnant, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3183763	Hematuria, microscopic, recent vigorous exercise, initial imaging	All	18-150	Abdomen-pelvis
Urologic	3183768	Hematuria, microscopic, risk factors, no current or recent menses, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3183767	Hematuria, microscopic, risk factors, no infection or viral illness, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3183766	Hematuria, microscopic, risk factors, no recent vigorous exercise, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3183769	Hematuria, microscopic, risk factors, no renal parenchymal disease, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3106361	HTN, high suspicion renal vascular, decreased renal function	All	18 - 150	Abdomen
Urologic	3073720	HTN, high suspicion renal vascular, normal renal function	All	18 - 150	Abdomen
Urologic	3197013	Hydronephrosis, unknown cause, asymptomatic, pregnant, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3197008	Hydronephrosis, unknown cause, bilateral, asymptomatic, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3197009	Hydronephrosis, unknown cause, solitary kidney, asymptomatic, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3197011	Hydronephrosis, unknown cause, symptomatic, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3197015	Hydronephrosis, unknown cause, symptomatic, pregnant, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3197006	Hydronephrosis, unknown cause, unilateral, asymptomatic, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3073724	Lower abdominal trauma, penetrating, urinary tract injury suspected	All	18 - 150	Pelvis
Urologic	3196073	Prostate cancer suspected, no prior biopsy, initial diagnosis, initial imaging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3196074	Prostate cancer suspected, TRUS guided biopsy negative, initial diagnosis, next imaging study	Male Only	18 - 150	Abdomen-pelvis
Urologic	3196078	Prostate cancer, high risk, staging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3196076	Prostate cancer, intermediate risk, active surveillance	Male Only	18 - 150	Abdomen-pelvis
Urologic	3196077	Prostate cancer, intermediate risk, staging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3196075	Prostate cancer, low risk, active surveillance	Male Only	18 - 150	Abdomen-pelvis
Urologic	3195948	Prostate cancer, metastatic, post androgen deprivation therapy, follow-up imaging	Male Only	18 - 150	Unspecified
Urologic	3195947	Prostate cancer, metastatic, post chemotherapy, follow-up imaging	Male Only	18 - 150	Unspecified
Urologic	3195946	Prostate cancer, metastatic, post immunotherapy, follow-up imaging	Male Only	18 - 150	Unspecified
Urologic	3195945	Prostate cancer, recurrent disease suspected, post nonsurgical local and pelvic treatment, follow-up imaging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3195942	Prostate cancer, recurrent disease suspected, post radical prostatectomy, follow-up imaging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3195944	Prostate cancer, residual disease suspected, post nonsurgical local and pelvic treatment, follow-up imaging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3195943	Prostate cancer, residual disease suspected, post radical prostatectomy, follow-up imaging	Male Only	18 - 150	Abdomen-pelvis
Urologic	3195302	Pyelonephritis suspected, acute, advanced age, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195299	Pyelonephritis suspected, acute, complicated, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195304	Pyelonephritis suspected, acute, diabetes, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195303	Pyelonephritis suspected, acute, immune compromise, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195300	Pyelonephritis suspected, acute, lack of response to initial therapy, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195312	Pyelonephritis suspected, acute, pelvic renal transplant hx, native kidneys in situ, no other complications, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195310	Pyelonephritis suspected, acute, pregnant, no other complications, initial imaging	Female Only	10 - 60	Abdomen-pelvis
Urologic	3195305	Pyelonephritis suspected, acute, recurrent pyelonephritis, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195307	Pyelonephritis suspected, acute, renal obstruction hx, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195308	Pyelonephritis suspected, acute, renal stones hx, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195297	Pyelonephritis suspected, acute, uncomplicated, first time presentation, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3195301	Pyelonephritis suspected, acute, vesicoureteral reflux, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3194879	Renal cell cancer carcinoma, localized, active surveillance	All	18 - 150	Abdomen
Urologic	3194878	Renal cell cancer carcinoma, localized, post ablation, follow up imaging	All	18 - 150	Abdomen
Urologic	3194876	Renal cell cancer carcinoma, localized, post partial nephrectomy, follow up imaging	All	18 - 150	Abdomen
Urologic	3194877	Renal cell cancer carcinoma, localized, post radical nephrectomy, follow up imaging	All	18 - 150	Abdomen
Urologic	3196311	Renal cell carcinoma, contraindication to iodinated and gadolinium based contrast, staging	All	18 - 150	Abdomen
Urologic	3196313	Renal cell carcinoma, contraindication to iodinated contrast, staging	All	18 - 150	Abdomen
Urologic	3196309	Renal cell carcinoma, no contraindication to iodinated or gadolinium based contrast, staging	All	18 - 150	Abdomen
Urologic	3074313	Renal failure, acute kidney injury, initial imaging	All	18 - 150	Abdomen
Urologic	3074314	Renal failure, chronic kidney disease, initial imaging	All	18 - 150	Abdomen
Urologic	3194002	Renal failure, kidney disease unknown duration, initial imaging	All	18 - 150	Abdomen
Urologic	3194003	Renal failure, neurogenic bladder, initial imaging	All	18 - 150	Abdomen
Urologic	3084034	Renal mass, indeterminate, contraindication to iodinated and gadolinium based contrast, initial imaging	All	18 - 150	Abdomen
Urologic	3185446	Renal mass, indeterminate, contraindication to iodinated contrast, initial imaging	All	18 - 150	Abdomen
Urologic	3073700	Renal mass, indeterminate, no contraindication to iodinated or gadolinium based contrast, initial imaging	All	18 - 150	Abdomen
Urologic	3198782	Renal transplant dysfunction, arterial etiology suspected on US, next imaging study	All	18 - 150	Abdomen-pelvis
Urologic	3198786	Renal transplant dysfunction, extrinsic etiology suspected on US, next imaging study	All	18 - 150	Abdomen-pelvis
Urologic	3082510	Renal transplant dysfunction, initial imaging	All	18 - 150	Abdomen-pelvis
Urologic	3198788	Renal transplant dysfunction, unremarkable or indeterminate US, next imaging study	All	18 - 150	Abdomen-pelvis
Urologic	3198784	Renal transplant dysfunction, venous etiology suspected on US, next imaging study	All	18 - 150	Abdomen-pelvis
Urologic	3197600	Scrotal pain, acute, nontraumatic, no antecedent mass, initial imaging	Male Only	0 - 150	Pelvis
Urologic	3194871	Scrotum abnormality, palpable, newly diagnosed, hx of infection, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3194872	Scrotum abnormality, palpable, newly diagnosed, hx of trauma, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3194874	Scrotum abnormality, palpable, newly diagnosed, no hx of infection, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3194875	Scrotum abnormality, palpable, newly diagnosed, no hx of trauma, initial imaging	Male Only	18 - 150	Pelvis
Urologic	3196683	Sepsis suspected, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196684	Sepsis suspected, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196682	Sepsis suspected, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196674	Sepsis suspected, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Urologic	3196689	Sepsis suspected, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196690	Sepsis suspected, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196688	Sepsis suspected, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196679	Sepsis suspected, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Urologic	3196662	Sepsis suspected, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196663	Sepsis suspected, chest pain, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196661	Sepsis suspected, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196650	Sepsis suspected, chest pain, initial imaging	All	18 - 150	Chest
Urologic	3196656	Sepsis suspected, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196657	Sepsis suspected, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196655	Sepsis suspected, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196648	Sepsis suspected, cough, initial imaging	All	18 - 150	Chest
Urologic	3196659	Sepsis suspected, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196660	Sepsis suspected, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196658	Sepsis suspected, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196649	Sepsis suspected, dyspnea, initial imaging	All	18 - 150	Chest
Urologic	3196677	Sepsis suspected, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Urologic	3196675	Sepsis, acute abdominal pain, initial imaging	All	18 - 150	Abdomen
Urologic	3196691	Sepsis, cannot assess symptoms, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196692	Sepsis, cannot assess symptoms, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196693	Sepsis, cannot assess symptoms, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196680	Sepsis, cannot assess symptoms, initial imaging	All	18 - 150	Unspecified
Urologic	3196672	Sepsis, chest pain, chest radiography , nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196671	Sepsis, chest pain, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196670	Sepsis, chest pain, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196653	Sepsis, chest pain, initial imaging	All	18 - 150	Chest
Urologic	3196665	Sepsis, cough, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196666	Sepsis, cough, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196664	Sepsis, cough, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196651	Sepsis, cough, initial imaging	All	18 - 150	Chest
Urologic	3196668	Sepsis, dyspnea, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196669	Sepsis, dyspnea, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196667	Sepsis, dyspnea, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196652	Sepsis, dyspnea, initial imaging	All	18 - 150	Chest
Urologic	3196686	Sepsis, non specific symptoms, unknown origin, chest radiography equivocal, next imaging study	All	18 - 150	Chest
Urologic	3196687	Sepsis, non specific symptoms, unknown origin, chest radiography nonspecific, next imaging study	All	18 - 150	Chest
Urologic	3196685	Sepsis, non specific symptoms, unknown origin, chest radiography normal, next imaging study	All	18 - 150	Chest
Urologic	3196678	Sepsis, non specific symptoms, unknown origin, initial imaging	All	18 - 150	Unspecified
Urologic	3194920	Testicular cancer, nonseminoma, post orchiectomy, initial staging	Male Only	18 - 150	Pelvis
Urologic	3194918	Testicular cancer, pure seminoma, post orchiectomy, initial staging	Male Only	18 - 150	Pelvis
Urologic	3194925	Testicular cancer, stage 1A, nonseminoma, no recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194929	Testicular cancer, stage 1A, nonseminoma, recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194922	Testicular cancer, stage 1A, pure seminoma, no recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194928	Testicular cancer, stage 1A, pure seminoma, recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194926	Testicular cancer, stage 1B, nonseminoma, no recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194931	Testicular cancer, stage 1B, nonseminoma, recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194923	Testicular cancer, stage 1B, pure seminoma, no recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3194930	Testicular cancer, stage 1B, pure seminoma, recurrence suspected, post orchiectomy, surveillance	Male Only	18 - 150	Pelvis
Urologic	3197599	Urothelial cancer, upper urinary tract, pretreatment staging	All	18 - 150	Abdomen-pelvis
Urologic	3191904	UTI, lower urinary tract, recurrent, complicated	Female Only	18 - 150	Abdomen-pelvis
Urologic	3191906	UTI, lower urinary tract, recurrent, frequent relapses	Female Only	18 - 150	Abdomen-pelvis
Urologic	3191905	UTI, lower urinary tract, recurrent, no response to conventional therapy	Female Only	18 - 150	Abdomen-pelvis
Urologic	3074311	UTI, lower urinary tract, recurrent, uncomplicated, no risk factors	Female Only	18 - 150	Abdomen-pelvis
Vascular	3196908	AAA screening, asymptomatic, with or without family hx of AAA	All	18 - 150	Abdomen-pelvis
Vascular	3196909	AAA screening, asymptomatic, with or without smoking hx	All	18 - 150	Abdomen-pelvis
Vascular	3149334	AAA, asymptomatic, surveillance	All	18 - 150	Abdomen-pelvis
Vascular	3079770	AAA, f/u after repair (open or endovasc)	All	18 - 150	Abdomen-pelvis
Vascular	3079769	AAA, pre-op planning (open or endovasc)	All	18 - 150	Abdomen-pelvis
Vascular	3196605	Abdominal mass, pulsatile, abdominal aortic aneurysm suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Vascular	3196515	Abnormal skin changes associated with the upper or lower extremity hemodialysis access cannulation site, including marked thinning, ulceration, eschar formation, spontaneous bleeding, pseudoaneurysm formation, superficial or deep infection. Treatment and procedures.	All	18 - 150	Extremities
Vascular	3194059	Aortic disease, atherosclerotic, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194014	Aortic disease, congenital, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194058	Aortic disease, degenerative, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194055	Aortic disease, infectious, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194054	Aortic disease, inflammatory, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194057	Aortic disease, metabolic, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3194056	Aortic disease, neoplastic, initial imaging	All	18 - 150	Chest-abdomen
Vascular	3195294	Arterial claudication, revascularization assessment, initial imaging	All	18 - 150	Lower extremity
Vascular	3195891	Arterial occlusion, lower extremity, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen-pelvis
Vascular	3195887	Arterial occlusion, mesenteric arterial system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Vascular	3195888	Arterial occlusion, renal arterial system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Vascular	3195889	Arterial occlusion, renal infarcts, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Vascular	3195885	Arterial occlusion, upper extremity, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen
Vascular	3195893	Arterial occlusions, multi organ system, embolic etiology suspected, next imaging study, determine source	All	18 - 150	Chest-abdomen-pelvis
Vascular	3196486	AVF, lower extremity, not mature 2 mos after created, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196487	AVF, upper extremity, not mature 2 mos after created, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3195418	Breast reconstruction, surgical planning, deep inferior epigastric arteries evaluation, initial imaging	Female Only	18 - 150	Abdomen-pelvis
Vascular	3198762	Chylothorax, iatrogenic etiology, treatment planning, initial imaging	All	0 - 150	Chest
Vascular	3198764	Chylothorax, nontraumatic etiology, treatment planning, initial imaging	All	0 - 150	Chest
Vascular	3198761	Chylothorax, traumatic etiology, treatment planning, initial imaging	All	0 - 150	Chest
Vascular	3198765	Chylothorax, unknown etiology, treatment planning, initial imaging	All	0 - 150	Chest
Vascular	3131588	Claudication, prior revasc, initial exam	All	18 - 150	Lower extremity
Vascular	3196496	Clinical suspicion of central venous stenosis or occlusion suggested by swelling (ie, soft tissue edema) of the extremity ipsilateral to the upper or lower extremity hemodialysis access, with or without the development of venous collaterals. Treatment and procedures.	All	18 - 150	Extremities
Vascular	3073532	Cold painful leg, sudden onset, vascular compromise suspected, initial imaging	All	18 - 150	Lower extremity
Vascular	3128571	Cold, painful, pulseless leg, prior revasc, initial exam	All	18 - 150	Lower extremity
Vascular	3131589	Critical limb ischemia, prior revasc, initial exam	All	18 - 150	Lower extremity
Vascular	3073893	DVT suspected, initial exam	All	18 - 150	Lower extremity
Vascular	3149286	External iliac artery endofibrosis suspected	All	18 - 150	Lower extremity
Vascular	3196489	Failure of an upper or lower extremity arteriovenous fistula to mature within 2 months after creation. Treatment and procedures.	All	18 - 150	Extremities
Vascular	3149743	Fibromuscular dysplasia or other noninflammatory vascular disease	All	18 - 150	Lower extremity
Vascular	3149742	Fibromuscular dysplasia or other noninflammatory vascular disease suspected	All	18 - 150	Lower extremity
Vascular	3196498	Hemodialysis access cannulation site, lower extremity, abnormal skin changes, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196506	Hemodialysis access cannulation site, lower extremity, deep infection, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196502	Hemodialysis access cannulation site, lower extremity, eschar, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196500	Hemodialysis access cannulation site, lower extremity, marked skin thinning, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196504	Hemodialysis access cannulation site, lower extremity, pseudoaneurysm, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196503	Hemodialysis access cannulation site, lower extremity, spontaneous bleeding, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196505	Hemodialysis access cannulation site, lower extremity, superficial infection, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196501	Hemodialysis access cannulation site, lower extremity, ulceration, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196499	Hemodialysis access cannulation site, upper extremity, abnormal skin changes, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196513	Hemodialysis access cannulation site, upper extremity, deep infection, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196509	Hemodialysis access cannulation site, upper extremity, eschar, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196507	Hemodialysis access cannulation site, upper extremity, marked skin thinning, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196511	Hemodialysis access cannulation site, upper extremity, pseudoaneurysm, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196510	Hemodialysis access cannulation site, upper extremity, spontaneous bleeding, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196512	Hemodialysis access cannulation site, upper extremity, superficial infection, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196508	Hemodialysis access cannulation site, upper extremity, ulceration, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196476	Hemodialysis access dysfunction suspected, lower extremity, abnormal clinical indicator, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196477	Hemodialysis access dysfunction suspected, lower extremity, abnormal hemodynamic indicator, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196474	Hemodialysis access dysfunction suspected, upper extremity, abnormal clinical indicator, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196475	Hemodialysis access dysfunction suspected, upper extremity, abnormal hemodynamic indicator, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196481	Hemodialysis access thrombosis suspected, lower extremity, no pulse or thrill on physical exam, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196482	Hemodialysis access thrombosis suspected, upper extremity, no pulse or thrill on physical exam, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196494	Hemodialysis access, lower extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous occlusion suspected, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196492	Hemodialysis access, lower extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous stenosis suspected, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196493	Hemodialysis access, upper extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous occlusion suspected, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196491	Hemodialysis access, upper extremity, ipsilateral extremity swelling, with or without venous collaterals, central venous stenosis suspected, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3106361	HTN, high suspicion renal vascular, decreased renal function	All	18 - 150	Abdomen
Vascular	3073720	HTN, high suspicion renal vascular, normal renal function	All	18 - 150	Abdomen
Vascular	3196600	Iliocaval disease suspected, severe post thrombotic changes, initial imaging	All	18 - 150	Abdomen
Vascular	3196603	Iliocaval disease, severe post thrombotic changes, treatment	All	18 - 150	Abdomen
Vascular	3194256	Large vessel vasculitis suspected, initial imaging	All	18 - 150	Unspecified
Vascular	3149739	Lower extremity arterial dissection	All	18 - 150	Lower extremity
Vascular	3149738	Lower extremity arterial dissection suspected	All	18 - 150	Lower extremity
Vascular	3149741	Lower extremity connective tissue vascular disease	All	18 - 150	Lower extremity
Vascular	3149740	Lower extremity connective tissue vascular disease suspected	All	18 - 150	Lower extremity
Vascular	3196604	Lower extremity disease, severe post thrombotic changes, treatment	All	18 - 150	Lower extremity
Vascular	3128569	Lower extremity prior revascularization, asymptomatic, follow up	All	18 - 150	Lower extremity
Vascular	3149290	Lower extremity vascular trauma	All	18 - 150	Lower extremity
Vascular	3149737	Lower extremity vasculitis	All	18 - 150	Lower extremity
Vascular	3149736	Lower extremity vasculitis suspected	All	18 - 150	Lower extremity
Vascular	3196601	Lower extremity venous disease suspected, severe post thrombotic changes, initial imaging	All	18 - 150	Lower extremity
Vascular	3194258	Medium vessel vasculitis suspected, initial imaging	All	18 - 150	Unspecified
Vascular	3141499	Mesenteric ischemia, acute, suspected, initial exam	All	18 - 150	Abdomen-pelvis
Vascular	3141500	Mesenteric ischemia, chronic, suspected, initial exam	All	18 - 150	Abdomen-pelvis
Vascular	3106344	Neck trauma, penetrating, CTA neg or equivocal, aerodigestive injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Vascular	3106343	Neck trauma, penetrating, CTA neg or equivocal, vascular injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Vascular	3106342	Neck trauma, penetrating, soft tissue injury suspected	All	18 - 150	Neck	Cervical or Neck Pain
Vascular	3197031	PAVM suspected on chest CT, asymptomatic, next imaging study	All	18 - 150	Chest
Vascular	3197030	PAVM suspected on chest radiography, asymptomatic, next imaging study	All	18 - 150	Chest
Vascular	3197017	PAVM suspected, altered sensorium, lung nodule on chest radiography, next imaging study	All	18 - 150	Chest
Vascular	3197026	PAVM suspected, asymptomatic, family hx HHT, initial imaging	All	18 - 150	Chest
Vascular	3197020	PAVM suspected, brain abscess, lung nodule on chest radiography, next imaging study	All	18 - 150	Chest
Vascular	3197024	PAVM suspected, hemoptysis, epistaxis hx, family hx HHT, initial imaging	All	18 - 150	Chest
Vascular	3197023	PAVM suspected, hemothorax, epistaxis hx, family hx HHT,initial imaging	All	18 - 150	Chest
Vascular	3197019	PAVM suspected, seizures, lung nodule on chest radiography, next imaging study	All	18 - 150	Chest
Vascular	3197022	PAVM suspected, shortness of breath, epistaxis hx, family hx HHT, initial imaging	All	18 - 150	Chest
Vascular	3197018	PAVM suspected, TIA, lung nodule on chest radiography, next imaging study	All	18 - 150	Chest
Vascular	3197028	PAVM, post embolization, surveillance	All	18 - 150	Chest
Vascular	3149285	Popliteal arterial entrapment syndrome suspected	All	18 - 150	Lower extremity
Vascular	3194260	Retroperitoneal bleed suspected, initial imaging	All	18 - 150	Abdomen-pelvis
Vascular	3196479	Suspected dysfunction of the upper or lower extremity hemodialysis access (ie, arteriovenous fistula or graft) suggested by an abnormal clinical indicator or hemodynamic indicator (ie, reduction in dialysis vascular access blood flow rate or kinetics). Treatment and procedures.	All	18 - 150	Extremities
Vascular	3196484	Suspected thrombosis of the upper or lower extremity hemodialysis access, marked by absent pulse and thrill on physical examination. Treatment and procedures.	All	18 - 150	Extremities
Vascular	3196522	Suspected vascular steal syndrome (upper or lower extremity), suggested by cardiac failure or ischemic symptoms. Treatment and procedures.	All	18 - 150	Extremities
Vascular	3196585	TAVR, preintervention planning, aortic root assessment, initial imaging	All	18 - 150	Cardiac-chest
Vascular	3196586	TAVR, preintervention planning, supravalvular aorta and vascular access assessment, initial imaging	All	18 - 150	cardiac-chest-pelvis
Vascular	3198778	Thoracic aortic aneurysm, open repair, surveillance	All	18 - 150	Chest
Vascular	3198771	Thoracic aortic aneurysm, preprocedure planning, open repair	All	18 - 150	Chest
Vascular	3106346	Thoracic aortic aneurysm, preprocedure planning, TEVAR	All	18 - 150	Chest
Vascular	3198775	Thoracic aortic aneurysm, TEVAR, surveillance	All	18 - 150	Chest
Vascular	3106345	Thoracic aortic aneurysm, without repair, with or without symptoms, follow-up imaging	All	18 - 150	Chest
Vascular	3198779	Thoracic aortic dissection, open repair, surveillance	All	18 - 150	Chest
Vascular	3198773	Thoracic aortic dissection, preprocedure planning, open repair	All	18 - 150	Chest
Vascular	3198772	Thoracic aortic dissection, preprocedure planning, TEVAR	All	18 - 150	Chest
Vascular	3198776	Thoracic aortic dissection, TEVAR, surveillance	All	18 - 150	Chest
Vascular	3198769	Thoracic aortic dissection, without repair, with or without symptoms, follow-up imaging	All	18 - 150	Chest
Vascular	3180670	Thoracic outlet syndrome, arterial, imaging after surgery or intervention	All	18 - 150	Chest
Vascular	3180669	Thoracic outlet syndrome, arterial, initial imaging	All	18 - 150	Chest
Vascular	3180666	Thoracic outlet syndrome, neurogenic, imaging after surgery or intervention	All	18 - 150	Chest
Vascular	3180665	Thoracic outlet syndrome, neurogenic, initial imaging	All	18 - 150	Chest
Vascular	3180668	Thoracic outlet syndrome, venous, imaging after surgery or intervention	All	18 - 150	Chest
Vascular	3180667	Thoracic outlet syndrome, venous, initial imaging	All	18 - 150	Chest
Vascular	3196095	Thoracoabdominal aortic aneurysm, post open repair, follow-up imaging	All	18 - 150	Chest-abdomen
Vascular	3196092	Thoracoabdominal aortic aneurysm, post TEVAR, follow-up imaging	All	18 - 150	Chest-abdomen
Vascular	3196088	Thoracoabdominal aortic aneurysm, preop planning, open repair	All	18 - 150	Chest-abdomen
Vascular	3196087	Thoracoabdominal aortic aneurysm, preop planning, TEVAR	All	18 - 150	Chest-abdomen
Vascular	3196084	Thoracoabdominal aortic aneurysm, without repair, without or with new symptoms, follow-up imaging	All	18 - 150	Chest-abdomen
Vascular	3196094	Thoracoabdominal aortic dissection, post open repair, follow up imaging	All	18 - 150	Chest-abdomen
Vascular	3196091	Thoracoabdominal aortic dissection, post TEVAR, follow-up imaging	All	18 - 150	Chest-abdomen
Vascular	3196086	Thoracoabdominal aortic dissection, preop planning, open repair	All	18 - 150	Chest-abdomen
Vascular	3196089	Thoracoabdominal aortic dissection, preop planning, TEVAR	All	18 - 150	Chest-abdomen
Vascular	3196083	Thoracoabdominal aortic dissection, without repair, without or with new symptoms, follow-up imaging	All	18 - 150	Chest-abdomen
Vascular	3073894	Upper extremity DVT suspected, initial imaging	All	18 - 150	Upper extremity
Vascular	3102193	Upper GI bleeding suspected, nonvariceal, no endoscopy, initial imaging	All	18 - 150	Abdomen
Vascular	3197481	Upper GI bleeding, nonvariceal, clear source on endoscopy, continued bleeding after treatment, initial imaging	All	18 - 150	Abdomen
Vascular	3102194	Upper GI bleeding, nonvariceal, clear source on endoscopy, treatment not possible, initial imaging	All	18 - 150	Abdomen
Vascular	3102196	Upper GI bleeding, nonvariceal, endoscopy negative, initial imaging	All	18 - 150	Abdomen
Vascular	3102195	Upper GI bleeding, nonvariceal, no clear source on endoscopy, initial imaging	All	18 - 150	Abdomen
Vascular	3197482	Upper GI bleeding, nonvariceal, postsurgical cause, endoscopy contraindicated, initial imaging	All	18 - 150	Abdomen
Vascular	3197483	Upper GI bleeding, nonvariceal, traumatic cause, endoscopy contraindicated, initial imaging	All	18 - 150	Abdomen
Vascular	3196588	Varicose veins, lower extremity, initial imaging	All	18 - 150	Lower extremity
Vascular	3196596	Varicose veins, lower extremity, pelvic origin suspected, initial imaging	Female Only	18 - 150	Lower extremity
Vascular	3196598	Varicose veins, lower extremity, pelvic origin suspected, treatment	Female Only	18 - 150	Lower extremity
Vascular	3196590	Varicose veins, lower extremity, treatment	All	18 - 150	Lower extremity
Vascular	3157888	Vascular malformation suspected, ankle	All	18 - 150	Lower extremity
Vascular	3157880	Vascular malformation suspected, elbow	All	18 - 150	Upper extremity
Vascular	3157889	Vascular malformation suspected, foot	All	18 - 150	Lower extremity
Vascular	3157881	Vascular malformation suspected, forearm	All	18 - 150	Upper extremity
Vascular	3157883	Vascular malformation suspected, hand	All	18 - 150	Upper extremity
Vascular	3157884	Vascular malformation suspected, hip	All	18 - 150	Lower extremity
Vascular	3157886	Vascular malformation suspected, knee	All	18 - 150	Lower extremity
Vascular	3157887	Vascular malformation suspected, lower leg	All	18 - 150	Lower extremity
Vascular	3157878	Vascular malformation suspected, shoulder	All	18 - 150	Upper extremity
Vascular	3157885	Vascular malformation suspected, thigh	All	18 - 150	Lower extremity
Vascular	3157879	Vascular malformation suspected, upper arm	All	18 - 150	Upper extremity
Vascular	3157882	Vascular malformation suspected, wrist	All	18 - 150	Upper extremity
Vascular	3157900	Vascular murmur, ankle	All	18 - 150	Lower extremity
Vascular	3157892	Vascular murmur, elbow	All	18 - 150	Upper extremity
Vascular	3157901	Vascular murmur, foot	All	18 - 150	Lower extremity
Vascular	3157893	Vascular murmur, forearm	All	18 - 150	Upper extremity
Vascular	3157895	Vascular murmur, hand	All	18 - 150	Upper extremity
Vascular	3157896	Vascular murmur, hip	All	18 - 150	Lower extremity
Vascular	3157898	Vascular murmur, knee	All	18 - 150	Lower extremity
Vascular	3157899	Vascular murmur, lower leg	All	18 - 150	Lower extremity
Vascular	3157890	Vascular murmur, shoulder	All	18 - 150	Upper extremity
Vascular	3157897	Vascular murmur, thigh	All	18 - 150	Lower extremity
Vascular	3157891	Vascular murmur, upper arm	All	18 - 150	Upper extremity
Vascular	3157894	Vascular murmur, wrist	All	18 - 150	Upper extremity
Vascular	3196517	Vascular steal syndrome suspected, lower extremity, cardiac failure, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196518	Vascular steal syndrome suspected, lower extremity, ischemic symptoms, initial imaging, guide IR therapy	All	18 - 150	Lower extremity
Vascular	3196519	Vascular steal syndrome suspected, upper extremity, cardiac failure, initial imaging, guide IR therapy	All	18 - 150	Upper extremity
Vascular	3196520	Vascular steal syndrome suspected, upper extremity, ischemic symptoms, initial imaging, guide IR therapy options	All	18 - 150	Upper extremity
Vascular	3196592	Venous leg ulcer, lower extremity, initial imaging	All	18 - 150	Lower extremity
Vascular	3196594	Venous leg ulcer, lower extremity, treatment	All	18 - 150	Lower extremity

Total Records: 3890

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