Coastal Diagnostic Imaging – 877.361.4757
Referral forms may be downloaded and printed by selecting the form below. For all other inquiries, please email your marketing representative for assistance.
Referral Form
Online Referral Form - Fillable online (then save a copy to your computer, print, sign and fax)
Marketing Manager – Heather Fillinger
We have the ability to send images through PowerShare. Images are sent to PowerShare and can be accessed from your PowerShare account or internal PACS system if connected to your EHR system.
If you are interested in learning more about PowerShare or having an account set up, please reach out to your marketing manager at 910.937.7226 or by email
We are dedicated to achieving the highest levels of quality and safety in outpatient imaging. Our Medical Director consulted the ACR recommendations to develop these Imaging Indication Guidelines to help you choose the most appropriate imaging examinations for your patients.
We hope they will assist you in the pre-authorization and Medicare Appropriate Use Criteria processes.
The book will open in a new window
TIPS:
You can download the book to your device by clicking on the small PDF icon in the toolbar.
The far left icon under each book will take you to the Table of Contents.
Coastal Diagnostic Imaging requires that all radiology orders include ICD-10 diagnosis code(s).
ICD-10 code(s)must be written on the order so we can expedite your patient’s authorization. Failure to include ICD-10 code(s) may result in a callback to your office for an updated order, thus delaying your patient’s appointment.
TIPS:
You can download the book to your device by clicking on the small PDF icon in the toolbar.
The far left icon under each book will take you to the Table of Contents.
Physician Links
Patient Links
Get To Know Us
Interpretation services
Get To Know Us
Patient Links
Physician Links
Interpretation services
© Coastal Diagnostic Imaging, All Rights Reserved
Translation services on this website are provided via Google™ Translate, a free automated translation service that can translate text into different languages. This tool is for your convenience only, and should not be considered exact and may in some cases include incorrect language. No warranty of any kind is made as to the accuracy, correctness, or reliability of any information translated by Google™ Translate. Please know that when a translation is requested, you will be leaving the the Coastal Diagnostic Imaging website and any person or entity who relies on these translation services does so at his or her own risk. If you have any questions about Google™ Translate, please click the following link: Google™ Translate FAQs.