ࡱ> IKHc !bjbj 4(xY\xY\122222FFF8~DF.(P.R.R.R.R.R.R.$03nv.-2v.22.IIIv22P.IP.II*+ ¹xW(*<..0.*33$++J32+lIv.v.m.3> :  EPIC Exam to OrderReason for ExamExam DescriptionCPT CodeDexa Bone Density, Axial Skeleton RAD0104 Women aged 65 and older For post-menopausal women younger than age 65 a bone density test is indicated if they have a risk factor for low bone mass such as; Low body weight Prior fracture High risk medication use Disease or condition associated with bone loss. Women during the menopausal transition with clinical risk factors for fracture, such as low body weight, prior fracture, or high-risk medication use. Men aged 70 and older. For men < 70 years of age a bone density test is indicated if they have a risk factor for low bone mass such as; Low body weight Prior fracture High risk medication use Disease or condition associated with bone loss. Adults with a fragility fracture. Adults with a disease or condition associated with low bone mass or bone loss. Adults taking medications associated with low bone mass or bone loss. Anyone being considered for pharmacologic therapy. Anyone being treated, to monitor treatment effect. Anyone not receiving therapy in whom evidence of bone loss would lead to treatment.Dexa77080Dexa Bone Density, Peripheral (eg, Radius, wrist) RAD0106 Adult above the weight limit of the table: Lunar Prodigy Advance: 350 lbs Lunar IDXA: 450 lbs Spine AND hips not evaluable due to prior surgery. Inability due to physical limitations to perform a DXA Axial skeleton exam Hyperparathyroidism 77081Dexa Bone Density, Vertebral Fracture Assessment RAD0105* *Perform RAD0104, axial skeletal survey, prior to starting the VFA if baseline for T-score has not been performed. T-score is < -1.0 and of one or more of the following is present: Women age e" 70 years or men e" age 80 years Historical height loss > 4 cm (>1.5 inches) Self-reported?@jk   ' ( @ A o  g h i m n s t u  κ짟ُy *ht`h?CJaJhCJPJaJhCJaJh!IvCJaJh?CJaJh#=QCJaJh#=Qh#=QCJaJh#=QCJaJhhnCJ\aJhhnCJaJhhnCJaJhnCJaJhnhhn5CJaJhtw+%6?@Dkd$$Ifl\Wx%f]  | t0644 laytn $$Ifa$gd $IfgdYN-@bjk  ( A q    i   & Fdd$-DIfM [$\$gdn & Fdd$-DIfM [$\$gdn$If i n t u -kd$$Ifl\Wx%f]  | t0644 laytn $$Ifa$gd$If & Fdd$-DIfM [$\$gd#=Qu  B $$Ifa$gd & F$If^`gd & F$Ifgd$If $Ifgd!Iv   468  T V !!!&!||zqfZfOhh#=QCJaJhhCJ\aJhhCJaJhCJ\aJUhP(hCJaJhP(hCJ\aJhhCJaJhP(hCJ\aJhh5CJ\aJh?%VCJaJh!B!N!P!\!^!`!b!j!l!!!!!!!!!չhh PhCJaJht`0JmHnHu h0Jjh0JUh Ph0JCJaJhDjhDUh h#=QB!!!!!$a$gd P21h:ptw/ =!"#$% $$If!vh#vf#v] #v #v|:V l t065f5] 5 5|ytn$$If!vh#vf#v] #v #v|:V l t065f5] 5 5|ytn$$If!vh#vf#v] #v #v|:V l t065f5] 5 5|ytn$$If!vh#vf#v] #v #v|:V l t065f5] 5 5|ytns2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj  Table Grid7:V044 Header  !4 @4 Footer  !J/!J  Header CharOJQJ_HaJmH sH tH .)@1.  P Page NumberHBH  Balloon TextCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ( 0003 &!! @ u &!B!!  +-3!8@0(  B S  ? %%?jkhimnst%%?jkhimnsta dR'v vg }jKlpՈPvh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohp^p`OJQJo(hHh@ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohP^P`OJQJo(hH^`CJOJQJo(^`CJOJQJo(opp^p`CJOJQJo(@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(^`CJOJQJo(^`CJOJQJo(opp^p`CJOJQJo(@ @ ^@ `CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(^`CJOJQJo(PP^P`CJOJQJo(^`OJQJo(hH^`OJQJ^Jo(hHo pp^p`hH. @ @ ^@ `hH. ^`hH. ^`hH. ^`hH. ^`hH. PP^P`hH.vKlp}jva Pv @f~= ~=~=Wc~Xqd                                    I[!|.$$y<b%};  : D : P"\twQ+fn !L"["D:k[%n1Ga^7 eG|w)GWqzY2QB?ak'b]|^N9K"x#C-x{rv/Aczn}~_{#+M@,;> pP!u3Rmh@(@ UnknownG*Ax Times New Roman5Symbol3. *Cx Arial7.@Calibri5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math"1h\'\'!t !t x4 3qKP ?2!xx CT Ordering GuideBruce Addy, Pamela$      Oh+'0  4 @ L Xdlt|CT Ordering GuideBruce Normal.dotmAddy, Pamela2Microsoft Office Word@F#@X4c@~x@~x!t՜.+,0 hp  Sutter Health  CT Ordering Guide Title  !"#$%&'()*+,-./012345679:;<=>?ABCDEFGJRoot Entry FCŹxLData 1Table4WordDocument4(SummaryInformation(8DocumentSummaryInformation8@CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q