myRadiologist

Symptom

Chronic neck pain WITH neurologic/radicular symptoms

ConsiderationsRichard Wasley, MD

First test is almost always C spine xray series. If there are neurologic symptoms associated then MRI is best next choice. IV gadolinium is generally NOT needed, unless destructive or suspicious lesion found on xray.

If MRI contraindicated, then CT myelogram or CT C spine appropriate.

§Suggested imagingIn listed order

  1. 01C spine xray seriesCPT 72040
  2. 02MRI C spine without gadoliniumCPT 72141
  3. 03CT cervical spine without IV contrast (post surgical)CPT 72125
  4. 04CT cervical myelogram (if MRI contraindicated)Several CPT codes
  5. 05MRI C spine with gadolinium (suspicious bone lesion)CPT 72156