Pediatric Spine Imaging Guidelines

This policy covers pediatric spine imaging (plain radiography and advanced modalities such as CT, MRI, nuclear medicine/SPECT, and ultrasound) for evaluation and surveillance of spinal conditions in individuals 18 years and younger. It applies to presentations including back/neck pain, trauma, spondylolysis, scoliosis/kyphosis, spinal dysraphism and infectious causes, and requires appropriate clinical evaluation with basic imaging (plain x‑ray or ultrasound) before advanced imaging (age‑ and modality‑specific limits apply); atypical presentations require physician review and imaging to screen asymptomatic individuals is not supported.

"Basilar Impression (PEDSP-7."

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