Table BR2: Computerized Tomography (CT Scan) — Axial Skeleton, Except Skull and Facial Bones

Computer reformatted digital display of multiplanar images developed from the capture of multiple exposures of external ionizing radiation

Row 1

• Body Part: 0 Cervical Spine; 7 Thoracic Spine; 9 Lumbar Spine; C Pelvis; D Sacroiliac Joints; F Sacrum and Coccyx
• Contrast: 0 High Osmolar; 1 Low Osmolar; Y Other Contrast; Z None
• Qualifier: Z None
• Qualifier: Z None