Guidelines When Ordering ALL Exams:
According to CMS guidelines, the following information must have the following written on any scripts that are sent to our center:
- Patient Name
- Date script was written (if date is missing, we will call the office to verify the proper date)
- CPT code or exact exam physician ordered
- ICD9 code or diagnosis (ICD9 code cheat sheet can be found above)
- Physician signature on a designated signature line (We CANNOT accept any scripts signed by physician staff other than a PA or ARNP, scripts with no signature at all, or stamped signatures. We ARE accepting electronic signatures. Sorry for any inconvenience this may cause you.) An ICD9 Code is not necessary for routine exams, such as screening mammograms and bone density scans.
Guidelines for Mammography:
A screening mammogram is performed on a patient having a yearly or first time mammogram. The patient must be asymptomatic and cannot have implants or a history of breast cancer.
A diagnostic mammogram is performed on a patient with any of the following:
- Personal history of breast cancer
- All unilateral exams
- Call back after a screening (findings on a screening exam that requires additional views)
- All short term follow-ups (findings on a screening exam that requires a 6 month return for follow-up images)
- Symptoms of:
- Nipple inversion or discharge
- Skin changes
- Enlarged, red, hot or sore breast tissue
Fibrocystic changes- may be either screening or diagnostic per physician/radiologist request
All diagnostic mammography orders must include a diagnosis. The registration staff will attempt to obtain a revised order from the physician’s office if necessary. If after 30 minutes they are unable to have the order revised the patient will be rescheduled until the correct order is received.
Exams Requiring Contrast
Patients over 55 must have BUN and creatinine lab results drawn within seven days of the exam. If the patient is diabetic they should not take glucophage (metformin) medication for 48 hours after contrast has been injected. Patients should be instructed to contact their personal physician regarding lab studies prior to resuming diabetic medication.
In most cases, these labs can be done at Osceola Imaging Center on our Istat machine the same day as their appointment. Please make sure the patient brings an order for BUN and creatinine lab work along with their exam order.