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Utilization & CPT Codes

Utilization Management

The ACR Appropriateness Criteria(r) (AC) are evidence-based guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. Employing these guidelines helps providers enhance the quality of care and contribute to the most efficacious use of radiology. Visit the ACR website for the ACR Appropriateness Criteria Database.

For situations that are not addressed by the ACR or that require an individualized approach, please contact our radiologists via our physician hotline numbers to discuss workup strategies.

Protecting Access to Medicare Act (PAMA)

The Protecting Access to Medicare Act begins on January 1, 2021. To learn more visit:

CPT Codes

Wake Radiology has created guides based on current CPT codes to help referring providers and schedulers obtain authorization for radiology exams. This information is often necessary when requesting and scheduling an individual study or an associated family of studies.

CT & MRI CPT codes & indications

Wake Radiology has created CPT guides with indications for the most common CT and MRI exams we perform. These guides are broken down by radiology subspecialty.