mri

  1. M

    Wiki MRI with contrast

    Please help me with this issue. I had a lidocaine and contrast injection into the hip through fluoroscopic guidance and had two images taken. Then I walked to an MRI machine for imagined of the hip labrum? My insurance is telling me I did not have an MRI with contrast but had a hip arthrogram. I...
  2. M

    Wiki Code 27093 confusion

    I had an MRI arthrogram ( contrast for hip labrum and joint) and it was coded 27093, 77002, and 73722. And then the pharmacy drugs. My insurance is trying to bill this a surgery as they say code 27093 is under the surgical code section in the CPT guidelines. Normally I would have 100 percent...
  3. M

    Wiki Coding contrast separate with 73722?

    Would an MRI of lower extremity with contrast ( code 73722) have the contrast injection billed separately from the 73722 even though this code states the “ administration” of contrast is included?
  4. S

    Wiki CTs and CTAs

    We have been getting more and more denials lately on 70450 when billed with 70496. I've found lots of different things saying both yes and no about them being billed together. Most of the time they are ordered together in the ER as a stroke protocol. It's kind of iffy on different things whether...
  5. R

    Wiki Is it appropriate to bill for sodium chloride

    We are a group of radiologist who own and operate an Imaging Center in MN. We are currently billing for sodium chloride however we are receiving a ton of denials and some of our claims wont even go through the clearing house. I have narrowed the issue down to the sodium chloride we bill out when...
  6. R

    Wiki MRI Hand Single VS MRI HAND Bilateral

    I am being told that when an MRI Hand with and without contrast is done, we should be billing 73220 but when a MRI hand Bilateral is done for rheumatology purposes we should be billing 73223. I am conflicted because why would we bill it as a joint only when done bilaterally? How are other places...
  7. R

    Wiki coding sodium chloride 0.9 % (NS) IV soln

    I am needing help with how to code sodium chloride 0.9% (NS) IV soln for pain injections and MRI/CT scans. We have recently started billing for an imaging center that also performs pain injections and I am just trying to figure it out but have no one to go to for guidance as I am the sole coder...
  8. B

    Wiki Caridovascular Codes - Help

    Please help me! :confused: My cardiovascular coder is out if the office this week and of course a client needs urgent coding for authorizations. Can someone help me with the below descriptions? Again, these are for obtaining authorizations so there is no procedure report. Separate cases: 1...
  9. R

    Wiki Radiology - "Black Bone" MRI Coding question

    Hello, Child patient in need of a "Black Bone" MRI w/o contrast of the head for metopic craniosynostosis. This is a new machine and we've not coded this before and I can find little to no information. I know the machine is different and images are better than the standard MRI for this...
  10. K

    Wiki Fracture Care pending MRI

    Sometimes a patient comes in with pain and a fracture is not visualized on the x-ray and they are sent for an MRI. If the MRI comes back with a definitive fracture diagnosis, would you bill the fracture care on the initial visit or when they come back in for their first follow up visit...
  11. T

    Wiki Needs med to get MRI done

    Pt requests Xanax to have MRI completed. She went twice and got claustrophobic. Dx: Lipoma--pt has huge lipoma on neck. RX for Xanax given. Advised not to drive while taking it. What's the best code for this visit? The reason for the visit is to get medication, not to have the lipoma...
  12. T

    Wiki Presenting Problem - Headache-suspect status migranious

    If the provider only documents Severe Headache-suspect status migranious,. He is ordering an MRI of the brain and suggesting Tylenol for now, but considering Sumatriptan following the MRI brain would this be considered a Moderate MDM?
  13. G

    Wiki knee "popped"

    Is this coded chronic or acute? Ex: A patient's knee popped while walking. Now he is in pain. He is coming to our facility for an MRI. Thanks
  14. G

    Wiki More "A" "D" questions regarding MRI studies

    I need some other opinions on utilizing the 7th character if the patient comes to our facility for an MRI SCAN of a body part do to a previous fracture. Patient was initially seen in the ER and had a CT Scan. Now they need an MRI SCAN. What is the appropriate coding from my standpoint. All...
  15. M

    Wiki Question Re: Radiology/MRI coding

    I have a situation that is new to me and I was hoping to get guidance. SCENARIO: A steel worker is having an MRI and it is protocol to have an orbit xray PRIOR to the MRI... How should the orbit xray be coded? (CPT & ICD9) I appreciate any help! Thanks!
  16. L

    Wiki MRI Brachial Plexus

    Does anyone do MRI Brachial Plexus? I am looking for guidance in CPT coding an MRI Brachial Plexus. It seams in my research that it is coded many different ways. (i.e. shoulder, chest, clavicle) What is correct? Thanks
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