Wiki Mri heel..joint or non-joint coding

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88fingers54

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I have an ongoing dispute regarding the proper cpt coding for an mri of the heel. Some referring physicians obtain authorization for l/e non-joint 73718 while others are authorizing 73721. Since i am the cpc coder for this radiology practice, i have to deal with this issue every day and have never found a concrete answer documented. I personally feel that a heel is a non-joint but many mri technicians are scanning the heel with an ankle and therefore insist that this exam is coded as a joint. Any and all help would be appreciated. Thanks. Paul lawrence, cpc
 
The intent of the study is the heel. There may be an overlap into the ankle but that is not the area of focus.
 
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