How to document a ct scan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the type of exam requested. Check the appropriate box for PET/CT Skull Base to mid-thigh, Whole Body, or Brain PET/CT based on your needs.
3. Indicate the exam status by marking Stat, Urgent, or Routine as applicable.
4. Fill in the requesting physician's details including their name, office number, and fax number.
5. Complete patient information: name, date of birth, sex, height, weight, and address. Ensure all fields are accurately filled out.
6. Provide contact numbers for the patient’s home and cell phone.
7. Document medical history and include any relevant ICD-9 codes. Answer questions regarding diabetes and previous treatments honestly.
8. If applicable, note any recent surgeries or treatments such as chemotherapy or radiation therapy.
9. Indicate if the patient has had recent scans and provide details if necessary.
10. Finally, complete insurance information including carrier name and policy number. Ensure pre-certification details are filled out if required.

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