Pediatric Head Imaging Guidelines

This policy covers pediatric head imaging decision-making for advanced modalities (CT, MRI, nuclear/PET) in individuals <18 years for a wide range of childhood head disorders — e.g., headache, head/face trauma, seizures/epilepsy, macrocephaly/hydrocephalus, craniosynostosis, Chiari/skull base malformations, pediatric stroke, pituitary dysfunction, and many other pediatric-specific indications. Major limitations/requirements: advanced imaging generally requires a prior pertinent clinical evaluation (detailed neurologic exam when appropriate), basic imaging/labs as indicated, is not supported for asymptomatic screening, repeat studies need evidence of progression or documented impact on management, and atypical or unlisted presentations require individual physician review.

"Moyamoya Disease (see PEDHD-12."

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