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Get and Sign Ct Scan Request Form 2008-2022

Get and Sign Ct Scan Request Form 2008-2022

Use a pet ct request form 2008 template to make your document workflow more streamlined.

Brain (primary brain tumor protocol) 78608 ❑ Whole Body (head to toe protocol) 78816 ❑ Dementia 78608 ❑ Standard Body with Brain (for known or suspected brain mets) 78815 ❑ Characterization of a Solitary Pulmonary Nodule 78815 ❑ Limited Study (physician defined protocol) 78814 Reason for ordering a PET/CT scan: ❑ Diagnosis ❑ Restaging (post-treatment) ❑ Staging (pre-treatment) ❑ Treatment Monitoring/Treatment Assessment RE-STAGING: Using PET/CT after an entire course of therapy is...
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