MRI protocol for pediatric osteonecrosis

I believe Methodist has screening wbmri protocol- limited billing- only 2D stirs

Our WBMRI is comprehensive protocol- 3stations stirs (lesion finding)- corresponding T1Dixons pre and post contrast- for lesion and bone marrow characterization
Three station DWI- for lesion cellularity and response to treatment
we bill for neck/chest/abd/pelvis with and without contrast
i/c- nf, schwannomatosis, myeloma, le fraumeni, bone mets.
1hr10min scan time.

I guess just for avn screen- you can do three station coronal dixons- 6-7 min scan with sms and get done with it.

Best!
AC

Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>


EXTERNAL MAIL

Good morning, OCADers

We are looking at putting in place a screening MRI protocol for osteonecrosis. Plan to primarily use for pediatric oncology patients post-treatment at risk for AVN.

I was wondering if a) people had details of their protocols and b) for the Americans, how you code and bill it for insurance / out-of-pocket. (Ex: If we do a quick screen fast MR of b/l knees, b/l hips and b/l shoulders I’d prefer the patient not get charged for 6 full MRs)

Any comments appreciated.

Thanks

pete young

Peter C. Young, MD
Section Head, Division of Musculoskeletal Radiology
University Hospitals Cleveland Medical Center
Case Western Reserve University
11100 Euclid Avenue Cleveland, OH 44102
(216) 844-1542

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