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Topics - Jpersak

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« on: May 19, 2019, 10:27:35 am »
Regarding CT r/o renal stone protocols (CT abdomen and pelvis without contrast) for initial diagnosis.

Is it advisable medical legally and/or  for coding/billing purposes to do any of the following alone or in combination.

1).  Decrease the scan coverage. e.g. cut off/not imaging the cephalad portion of liver and spleen.

2). Decrease mas/ technique. If so what amount is acceptable. What SD or noise level.

3). The need to specifically state any of the above in the report.


4). The need to Include any diagnostic disclaimer in the report if using 1 or 2 .

5). What would an example diagnostic disclaimer look like.

6). Is such disclaimer legally acceptable, coding acceptable and clinically/practically acceptable.

General Questions / Does modulation for CT scan of the brain.
« on: March 04, 2019, 03:14:11 pm »
 Dr. Fishman,

 Any experience or recommendations for Dose modulation of CT scans of the brain.   Increase mas for Improve resolution/noise  of the posterior fossa/brainstem  with decreased mas for supratentorial structures.  And overall decrease CDTI compared to standard helical imaging.

Joe Persak MD

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