ICD-10 Guide to Ordering Diagnostic Imaging
Clinical Documentation to Support Medical Necessity
Our goal is to be a strong, collaborative partner with you as we all move to ICD-10, making the transition as easy as possible for your team and ours.
The expansion in diagnosis codes means that health care providers will be required to supply more specificity at every step along the patient’s continuum of care. Referring providers are responsible for providing the reasons why a study or procedure is being ordered.
As your imaging partner, we will be asking you for more information during the referral and scheduling process to ensure that we have the proper medical necessity information for your patient.
Reason for Study
When ordering an imaging exam for your patient, consider the following elements: symptoms, onset, location and duration/severity to describe why an imaging exam or procedure is needed. The acronym SOLD details the elements that are key to specificity in imaging. All of the elements may not apply for every patient and exam type, but thinking through the relevancy of each one will help support the medical necessity of the exam. Reasons such as “rule-out,” “suspected” and “evaluate for…” are not sufficient alone.
Thank you for your help in making the transition to ICD-10 a smooth one. We hope this guide provides useful information to you when ordering imaging for your patients. If we have questions after receiving an order, we will contact your office. If you have questions about what exam to order for a patient or what information is needed to order an exam, we are happy to help. Please contact us at:
Greater Waterbury Imaging Center