Read carefully to find out if any discrepancies in contrast material. Check for the anatomical site of MRI before reviewing other details in the report. 
Check applicable modifiers with each CPT. Apply NCD/LCD guidelines when coding ICDs with MRI codes. Check MUE (medically unlikely edits) when applying units. Use units with 74713 if the number of fetus is more than 2. CPT 74713 is to be used for additional fetus as add on code with 74712. In the same scenario if there is setup for both study, code both joint and non-joint codes (73718-73720). When provider orders for ankle study but radiologist does an expansion study to foot, it should be coded as joint (73721-73723). Report in one line with 2 units or in two lines with modifier RT/LT Do not use modifier 50 for bilateral services. CPT codes with and without contrast – Images taken without contrast followed by with contrast. 
Only IV contrast is coded as “with contrast” as radiology services include both oral and rectal contrast.
Type of contrast material – When there is oral or rectal contrast used, it should be coded as “without contrast”. With and without contrast material, bilateral With and without contrast material, unilateral : for morphology with and without contrast material, with stress imaging : for morphology with and without contrast material : for morphology without contrast material, with stress imaging : for morphology without contrast material MRI Face (orbit), neck : without contrast materialĬardiac imaging : for velocity flow mapping MRI Brain during open surgery on brain : without contrast material Brain and head CPT Codeįunctional MRI of brain not requiring physician or psychologistįunctional MRI of brain requiring physician or psychologist Knowing anatomy and physiology will help in coding more accurate CPT and related ICD codes while coding for MRI. All sets of codes are arranged based on the use of contrast material. MRI CPT Codes can be found in Radiology section of CPT book. 
A contrast or dye is used in MRI sometimes to improve the diagnostic accuracy. MRI can detect few diseases (eg: prostate cancer, uterine cancer) which CT can not detect. It is a three dimensional scan using magnetic and radio waves to study any parts of the body including head or brain. MRI (Magnetic Resonance Imaging) is used in radiology to find out any abnormalities inside the organ.
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