Radiology Coding Alert

Question: I have a report that states the provider performed magnetic resonance angiography (MRA) on a patient’s right arm to check for an aneurysm. The documentation states that the provider used 2D TOF imaging. I’ve reread this report several times and I’m not seeing any indication regarding the use of contrast or not.

What procedure codes should I use to report the MRA?

Florida Subscriber

Answer: You only need one code, 73225 (Magnetic resonance angiography, upper extremity, with or without contrast material(s)), to report the MRA procedure. CPT® designates this code for an MRA of an upper extremity, which is the patient’s right arm in this case. You’ll also notice that the descriptor lists “with or without contrast material(s),” which means you’ll report this code regardless of whether the provider administered contrast during the procedure.

This could be a great opportunity to open a dialogue with the provider regarding documentation. While a documented use of contrast seemingly doesn’t matter when it comes to reporting 73225, if the provider did administer contrast and didn’t document it, they could be missing out on additional reimbursement from the contrast manufacturer. Plus, if you document the type of contrast, dosage, and administration method documented, your provider will find this helpful information if the patient ends up having an adverse reaction to the contrast after the appointment.