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It is necessary for most users of the CPT code (principally providers of services) to pay license fees for access to the code. [19] In the past, AMA offered a limited search of the CPT manual for personal, non-commercial use on its web site. [20] CPT codes can be looked up on the AAPC (American Academy of Professional Coders) website. [21]
Contrast agents are sometimes used in CT scans of the chest to accentuate or enhance the differences in radiopacity between vascularized and less vascularized structures, but a standard chest CT scan is usually non-contrasted (i.e. "plain") and relies on different algorithms to produce various series of digitalized images known as view or "window".
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
An intravenous cannula is required for the administration of iodinated contrast. The typical dose is 30-40 g of iodine (corresponding to 20–30 cc of 370 mg/ml iodine solution). [10] However, for patients at high risk of contrast-induced nephropathy, it is possible to reduce the required amount of contrast using dual energy CT.
A CT pulmonary angiogram, in this case showing pulmonary embolism of saddle-type, which becomes more radiolucent than the radiocontrast filled blood surrounding it (but it may be indistinguishable without radiocontrast). Contrast CT, or contrast-enhanced computed tomography (CECT), is X-ray computed tomography (CT) using radiocontrast.
Level II codes are maintained by the US Centers for Medicare and Medicaid Services (CMS). There is some overlap between HCPCS codes and National Drug Code (NDC) codes, with a subset of NDC codes also in HCPCS, and vice versa. The CMS maintains a crosswalk from NDC to HCPCS in the form of an Excel file. The crosswalk is updated quarterly. [2]
SNOMED is a highly detailed terminology designed for input not reporting, without a specific use case. ICD-11 and SNOMED, are clinically based, and document whatever is needed for patient care. In contrast to SNOMED, ICD-11 allows full clinical documentation while permitting internationally agreed statistical aggregation for specific use cases.
Low-dose high-resolution (1.25 mm) chest CT. HRCT is performed using a conventional CT scanner. However, imaging parameters are chosen so as to maximize spatial resolution: [1] a narrow slice width is used (usually 1–2 mm), a high spatial resolution image reconstruction algorithm is used, field of view is minimized, so as to minimize the size of each pixel, and other scan factors (e.g. focal ...