Most Commonly Used MRI CPT Codes

Most Commonly Used MRI CPT Codes

Magnetic resonance imaging (MRI) has greatly advanced medical diagnostics by offering highly detailed images of internal body structures. Knowing the relevant codes for this imaging technique is essential for healthcare providers to manage the billing process smoothly. This article provides an in-depth look at frequently used MRI CPT codes, serving as a valuable resource for informed decision-making.

What is a CPT Code

Current Procedural Terminology (CPT) codes are a standardized set of alphanumeric codes that represent specific medical procedures and services. For MRI procedures, these codes describe the type of scan conducted, the body area examined, and whether contrast material is utilized.

What is the Significance of CPT Codes in Medical Coding and Billing

CPT codes play a crucial role in facilitating clear communication among healthcare providers, insurance companies, and billing agencies. They ensure precise documentation and help secure appropriate reimbursement for the medical services provided. Understanding CPT codes also helps patients gain a clearer understanding of the medical procedures they will undergo and the potential costs involved.

Common MRI CPT Codes

Brain and Neck

• 70551: MRI of the brain, without the use of contrast. This code is used for standard brain imaging to detect abnormalities.
• 70553: MRI of the brain, with contrast. This enhanced scan provides detailed images to identify issues not visible without contrast.
• 70540: MRI of the orbit (eye socket), without contrast. Used to examine the eye and surrounding structures for abnormalities.
• 70543: MRI of the orbit, with contrast. This scan offers a more detailed view of the eye area, highlighting any issues more clearly.
• 70336: MRI of the temporomandibular joint (TMJ). This code is used for imaging the jaw joint to diagnose TMJ disorders.

Spine

• 72141: MRI of the lumbar spine (lower back), without contrast. Utilized for evaluating lower back pain and other lumbar spine conditions.
• 72156: MRI of the thoracic spine (middle back), without contrast. This code is used for imaging the mid-back region to diagnose spine issues.
• 72148: MRI of the cervical spine (neck), without contrast. Commonly used to assess neck pain and cervical spine disorders.
• 72157: MRI of the thoracic spine, with contrast. An enhanced scan for detailed imaging of the mid-back.
• 72158: MRI of the cervical spine, with contrast. Provides a more detailed view of the neck area for diagnosing more complex conditions.

Joints

• 73221: MRI of the shoulder, without contrast. This scan assesses shoulder injuries and conditions.
• 73223: MRI of the shoulder, with contrast. Offers a detailed view of the shoulder joint, highlighting issues not visible without contrast.
• 73721: MRI of the knee, without contrast. Used to evaluate knee injuries and conditions.
• 73723: MRI of the knee, with contrast. Provides an enhanced view of the knee joint for more accurate diagnosis.
• 73131: MRI of the ankle, without contrast. This scan is used to assess ankle injuries and conditions.
• 73133: MRI of the ankle, with contrast. Offers a detailed view of the ankle joint, highlighting issues not visible without contrast.

Extremities

• 73718: MRI of the thigh, without contrast. This scan is used to evaluate thigh muscles, tendons, and other structures.
• 73720: MRI of the thigh, with contrast. Provides a more detailed image to identify issues not visible in non-contrast scans.
• 73218: MRI of the forearm, without contrast. Used to assess injuries and conditions affecting the forearm.
• 73220: MRI of the forearm, with contrast. Offers enhanced imaging for a clearer diagnosis of forearm issues.
• 73505: MRI of the foot, without contrast. This scan examines the bones, joints, and soft tissues of the foot.
• 73507: MRI of the foot, with contrast. Provides detailed images for diagnosing complex foot problems.

Breast

• 77059: MRI of the breast, bilateral (both sides). Used for comprehensive breast imaging, often for detecting or monitoring breast cancer.
• 77021: MRI of the breast, unilateral (one side). Focuses on one breast for targeted imaging, useful in diagnosing localized breast issues.

Conclusion

Correctly using MRI CPT codes is fundamental to the medical billing and coding process. Without knowing the right code for a specific procedure, the entire billing process can become a chaotic mess. Stat Medical Consulting, with 30 years of experience in medical billing and coding, is a renowned expert in the industry. We know medical coding inside and out and can offer a free billing analysis to help you pinpoint issues that lead to claim rejections or suboptimal reimbursement. Our expert billers are well-versed in each specialty and adhere to the best practices in the field. Always rely on professionals to deliver results. Consult us now if you want to increase your revenue and cut costs.