MRI CPT codes list – MRA

Procedure code and description

70540 – Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) -average fee amount– $360 – $370

70542 – Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)

70543 – Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences

MRI and MRA’s Procedure code
MRI spine screening to include 3 separate codes72146, 74141 72148
MRA abdomen; with or w/o contrast74185
MRA carotid w/o contrast70547
MRA carotid with contrast70548
MRA chest; with or w/o contrast71555
MRA head; w/o contrast70544
MRA head; w/o contrast followed by
contrast
70546
MRA head; with contrast70545
MRA pelvis; with or w/o contrast72198
MRA peripheral runoff73725, 72198 74185
MRA spinal canal & contents; with or
w/o contrast
72159
MRA upper extremity; with or w/o
contrast
73225
MRI abdomen; w/o contrast74181
MRI abdomen; w/o contrast followed by with contrast74183
MRI abdomen; with contrast74182
MRI brain; w/o contrast70551
MRI brain; w/o contrast followed by
contrast
70553
MRI brain; with contrast70552
MRI breast; bilateral77059
MRI breast; unilateral77058
MRI cardiac for morphology and function w/o contrast75557
MRI cardiac for morphology and function w/o contrast and with contrast75561
MRI cardiac velocity flow map75565
MRI cervical spine; w/o contrast72141
MRI cervical spine; w/o contrast followed by contrast72156
MRI cervical spine; with contrast72142
MRI chest; w/o contrast71550
MRI chest; w/o contrast followed by with
contrast
71552
MRI chest; with contrast71551
MRI Etris DVT Research scan; scan
involves both CPT codes
73718, 72198
MRI fetal76498
MRI lower extremity, any joint w/o
contrast
73721
MRI lower extremity, any joint w/o
contrast followed by with contrast
73723
MRI and MRA’s Procedure code
MRI lower extremity, any joint with
contrast
73722
MRI lower extremity, other than joint w/o contrast73720
MRI lower extremity, other than joint
with contrast
73719
MRI lower extremity, other than joint/o
contrast
73718
MRI lumbar spine; w/o contrast72148
MRI lumbar spine; w/o contrast followed
by contrast
72158
MRI lumbar spine; with contrast72149
MRI orbit, face and neck; w/o
contrast
70540
MRI orbit, face and neck; w/o contrast
followed by with contrast
70543
MRI orbit, face and neck; with
contrast
70542
MRI pelvis; w/o contrast72195
MRI pelvis; w/o contrast followed by
contrast
72197
MRI pelvis; with contrast72196
MRI temporomandibular joint(s)70336
MRI thoracic spine w/o contrast followed
by contrast
72157
MRI thoracic spine; w/o contrast72146
MRI thoracic spine; with contrast72147
MRI upper extremity, any joint w/o
contrast
73221
MRI upper extremity, any joint w/o
contrast followed by with contrast
73223
MRI upper extremity, any joint with
contrast
73222
MRI upper extremity, other than joint w/o contrast73218
MRI upper extremity, other than joint w/o contrast followed by with contrast73220
MRI upper extremity, other than joint
with contrast
73219
MRI pelvis; w/o contrast72195
MRI pelvis; w/o contrast followed by
contrast
72197
MRI pelvis; with contrast72196
MRI temporomandibular joint(s)70336
MRI thoracic spine w/o contrast followed
by contrast
72157
Infant upper extremity minimum 2
views
73092

What is the cpt code for mri foot ?

CPT 73718 – Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)
CPT 73719 – Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)
CPT 73720 – Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences

How often mri can be done ?

A new MRI can be indicated every 2–5 years and more frequent imaging is especially recommended for younger patients with progressive disease.
Depending on the size of the area being scanned and the number of images being taken

What is the cpt code for mri enterography?

There are no CPT codes for these procedures, as there is no defined technique. If the technique only documents the abdomen and if we believe that the pelvis is also done, then we need to get a confirmation with the radiologist for clarification.

How often does medicare pay for mri?

Yes, Medicare pays for the MRI based on the “Medically necessary” and ordered by the provider.

How often can cpt 77336 be billed?

Once every consecutive five treatments are delivered. This frequency should match the weekly radiation treatments billed. It is specific to the review of the weekly radiation treatment plan whole body mri scan cpt code

There is no specific CPT code for whole body MRI scan and so we can use an unlisted code 76498.

Medicare coverage and limitation

Magnetic Resonance Imaging (MRI) is a noninvasive diagnostic imaging modality used to diagnose a variety of central nervous system disorders. MRI provides superior tissue contrast when compared to CT, is able to image in multiple planes, is not affected by bone artifact, provides vascular imaging capability, and makes use of safer contrast media (gadolinium chelate agents). Its major disadvantage over CT is the longer scanning time required for study, making it less useful for emergency evaluations. Contraindications include patients with cardiac pacemakers, implanted neurostimulators, cochlear implants, metal in the eye and older ferromagnetic intracranial aneurysm clips. All of these may be potentially displaced when exposed to the powerful magnetic fields used in MRI.

MRI of the Orbit, Face, and/or Neck will be considered medically reasonable and necessary when used to diagnose and characterize pathology of the nasopharynx, oropharynx, and neck including tumors, infection, soft tissue pathologies, and congenital abnormalities.

The MRI is not covered when the following patient-specific contraindications are present:

•MRI is not covered for patients with cardiac pacemakers or with metallic clips on vascular aneurysms unless the Medicare beneficiary meets the provisions of the following exceptions:

Effective for claims with dates of service on or after July 7, 2011, the contraindications will not apply to pacemakers when used according to the FDA-approved labeling in an MRI environment, or effective for claims with dates of service on or after February 24, 2011, CMS believes that the evidence is promising although not yet convincing that MRI will improve patient health outcomes if certain safeguards are in place to ensure that the exposure of the device to an MRI environment adversely affects neither the interpretation of the MRI result nor the proper functioning of the implanted device itself. We believe that specific precautions (as listed below) could maximize benefits of MRI exposure for beneficiaries enrolled in clinical trials designed to assess the utility and safety of MRI exposure. Therefore, CMS determines that MRI will be covered by Medicare when provided in a clinical study under section 1862(a)(1)(E) (consistent with section 1142 of the Act) through the Coverage with Study Participation (CSP) form of Coverage with Evidence Development (CED) if the study meets the criteria in each of the three paragraphs in CMS Pub 100-03, CMS National Coverage Determination Manual, Chapter 1, Section 220.2.C.1

•MRI during a viable pregnancy is also contraindicated at this time.

•The danger inherent in bringing ferromagnetic materials within range of MRI units generally constrains the use of MRI on acutely ill patients requiring life support systems and monitoring devices that employ ferromagnetic materials.

•In addition, the long imaging time and the enclosed position of the patient may result in claustrophobia, making patients who have a history of claustrophobia unsuitable candidates for MRI procedures.

Nationally Non-Covered Indications:

CMS has determined that MRI of cortical bone and calcifications, and procedures involving spatial resolution of bone and calcifications, are not considered reasonable and necessary indications within the meaning of section 1862(a)(1)(A) of the Act, and are therefore non-covered.

When Magnetic Resonance Imaging is used for an investigational purpose, an acceptable advance notice of denial of payment must be given to the patient when the provider does not want to accept financial responsibility for the service.

In some instances, MRI of the brain, as well as MRI of the orbit, face, and/or neck may be medically necessary on the same day. The medical record should document the medical necessity for these two procedures being performed on the same day.

Initial imaging of the thyroid should be done with ultrasound or nuclear medicine, unless there is a known carcinoma present.

This policy addresses standard CT and MR imaging. Magnetic Resonance Angiography (MRA) is not addressed in this policy.

Computerized Tomography (CT)

Computerized tomography (CT scanning) uses the attenuation of an x-ray beam by an object in its path to create cross-sectional images. As x-rays pass through planes of the body, the photons are detected and recorded as they exit from different angles. Computers process the signals to produce a cross-sectional view of the body. The signal data may be subjected to a variety of post-acquisitional processing algorithms to obtain a multiplanar view of the anatomy.

Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic scanning technique that employs a powerful and highly uniform static magnetic field, rather than ionizing radiation, to produce images. Fluctuations in the strength of the magnetic field alter the motion and relaxation times of hydrogen molecules, which are related to the density of molecules and reflect the physicochemical properties of the tissues. Reconstructed images can be displayed in multiple planes to facilitate analysis. See national non-coverage in CMS section above.

Coverage is limited to those CT and MRI machines that have received pre-market approval by the FDA. Such units must be operated within the parameters specified by the approval.

Medicare coverage for CT scans is allowed provided the service is medically reasonable and necessary.

Inconclusive findings on a CT scan may warrant a MRI study and, conversely, findings of a MRI study may be further clarified (under certain circumstances) with a subsequent CT scan. The information provided by the two modalities may be complementary.

Cancer Staging. Clinicians commonly use CT and MRI of the brain when metastatic involvement is suspected.

Non-covered indications: esophagus, oropharynx, and prostate, and non-melanoma skin cancer in the absence of symptoms of brain involvement. “Certain tumors almost never metastasize to the brain parenchyma. These include carcinomas of the esophagus, oropharynx, and prostate, and non-melanoma skin cancers.” (DeVita, Chapter 52.1) Accordingly, the related diagnoses found in the following diagnosis code list do not justify brain scans for “staging” purposes unless a patient has signs or symptoms suggesting brain involvement. Covered: In contrast, for those malignancies that commonly metastasize to the brain, staging in the absence of neurological findings may be appropriate.

Payment will be allowed for reasonable and necessary scans of different areas of the body that are performed on the same day.