Radiologic examination procedure	Appropriateness rating	Comments
Multidetector CT urography	8	This is becoming the method of choice for hematuria, supplanting intravenous pyelography, even though their appropriateness ratings are the same
Radiography, intravenous urography (intravenous pyelogram, excretory urography)	8	—
Ultrasonography, kidney and bladder, transabdominal	6	May miss ureteral and urothelial lesions; abdominal radiography, retrograde pyelography, and cystoscopy are useful adjuncts
Radiography, retrograde urography	5	—
MRI urography	4	—
CT, abdomen and pelvis	4	CT may follow intravenous pyelogram or ultrasonography if initial findings are ambiguous
Kidney, angiography	4	Rarely, vascular malformations may cause hematuria and require angiography for diagnosis
Radiography, abdomen, KUB	2	It is assumed that a plain film of the abdomen will be part of the indicated intravenous pyelogram; if an intravenous pyelogram is not performed, KUB may be performed with ultrasonography
MRI, abdomen, and pelvis	2	—
Urinary tract scintigraphy	2	—
Virtual cystoscopy	2	—