Wiki MRI without contrast performed on 1 day, then patient returns in 1 to 2 days for MRI with contrast

areinart

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Question about billing for MRI w/ and w/o contrast:

Day 1 - patient has an MRI without contrast completed due to staff unavailable to administer contrast (example CPT code 73221)
Day 2 or 3 - patient comes back for MRI with contrast (example CPT code 73222)

Full reports/reads are completed by the radiologist for both studies.

How should this be billed?
1. MRI without contrast (example 73221) with date of service Day 1 AND MRI with contrast (example 73222) on date of service Day 2 or 3? (2 separate claims)
2. MRI with and without contrast code (example 73223) billed together?
If so, what is the date of service? Day 1? Day 2 or 3?
OR would the claim have a date range to include Day 1 AND Day 2 or 3?
3. In either scenario, are there any applicable modifiers?


Is there a limitation on the number of days between when the without contrast and with contrast tests can be performed?
 
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