Musculoskeletal

Imaging

Select Sub-section

Indicates Non-Covered Service

-Aetna-

-FloridaBlue-

Whole Body Computed Tomography Scan as a Screening Test

-Humana-

Magnetic Resonance Spectroscopy

Magnetic Resonance Spectroscopy for Discogenic Pain

MRI Low Field

Positional

 MRI

Videofluoros-copy, Dynamic MRI for Musculoskel-etal Indications

-Humana-

-Humana-

Nuclear Medicine Imaging

-Anthem-

-Aetna-

Ultrasound

Spine

-UHC-

-FloridaBlue-

-Humana-

Computerized Motion Diagnostic Imaging

Aetna

Thermography

-Aetna-

-UHC-

Whole Body Dual X-ray Absorptiometry (DEXA) to Determine Body Composition

91110, 91111, 0355T, 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492,70496, 70498, 71250, 71260,71270, 71275, 72125, 72126,72127, 72128, 72129, 72130,72131, 72132, 72133, 72191, 72192, 72193, 72194, 73200,73201, 73202, 73206, 73700,73701, 73702, 73706, 74150,74160, 74170, 74174, 74175,74176, 74177, 74178, 74261,74262, 75572, 75573, 75574,75635, 76380, 70544, 70545, 70546, 70547, 70548, 70549, 71555, 72159, 72198, 73225, 73725, 74185, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8931, C8932, C8933, C8934, C8935, C8936, 70336, 70540, 70542, 70543, 70551, 70552, 70553, 70554, 70555, 71550, 71551, 71552, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, 74183, 74712, 75557, 75559, 75561, 75563, 77046, 77047, 77048, 77049, 77084, C8903, C8905, C8906,C8908, C9762, C9763, S8037, S8042, 78451, 78452, 78453, 78454, 78466, 78468, 78469, 78472, 78473, 78481, 78483, 93350, 93351, C8928, C8930, 93303, 93304, 93306, 93307, 93308, C8921, C8922, C8923, C8924, C8929, 36245, 36246, 36247, 78429, 78430, 78431, 78432, 78433, 78459, 78491, 78492, 78608, 78609, 78811, 78812, 78813, 78814, 78815, 78816, G0219, G0235, G0252, 78494, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93355, C8925, C8926, C8927,

 

 

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