Chest Imaging Guidelines

This policy covers chest imaging modalities (chest x‑ray, CT including high‑resolution CT, MRI, and targeted ultrasound) for a broad range of thoracic indications such as cough, dyspnea/shortness of breath, hemoptysis, solitary and multiple pulmonary nodules, COPD, interstitial lung disease, pneumonia, bronchiectasis, lymphadenopathy, asbestos exposure and other chest infections. Advanced imaging generally requires completion of pre‑imaging items (current history and physical, appropriate labs and non‑advanced imaging), a recent radiologist‑overread chest x‑ray usually within 60 days, and physician/medical review for atypical presentations or findings not addressed; chest MRI is infrequently indicated and mainly reserved for contraindications to CT contrast.

"CH-23: Pectus Excavatum and Pectus Carinatum"

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