Abdomen Imaging Guidelines

This policy covers abdominal imaging studies—primarily CT abdomen and CT abdomen/pelvis (including CT enterography), ultrasound and related advanced imaging—for evaluation of common abdominal symptoms and defined clinical conditions. It applies to presentations such as abdominal pain, suspected abscess/sepsis, renal/ureteral stones, blunt trauma, postoperative pain (within a 60‑day window), vascular aneurysms, masses, hernias and other specified indications, but requires a current clinical evaluation within 60 days, documentation of conservative management where applicable, physician review for atypical presentations, and generally uses IV contrast unless contraindicated (eg, renal insufficiency or contrast allergy).

"AB-27: MR Cholangiopancreatography (MRCP)"

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