Home » Categories » Imaging/Radiology Coding

Foot vs. Ankle MRI


When our physicians order a foot MRI, our Rad department is charging CPT#73721.   The explanation given by the rad department is as follows:  "When a patient is positioned for MRI of foot &/or ankle, the positioning is the same, the images and sequences are the same.  The CPT billing code is the same and defined as:  MRI lower ext. joint (any) without contrast.  73721.  The radiologist describes both ankle & foot tendons and ligaments within the body of the report." 


The index in the CPT book for "MRI, foot" takes me to CPT#73718.   Is it appropriate for the radiology department to have a written order from the physician stating "MRI, foot" and to be charging CPT#73721?


If the radiology department is going to change the exam, then the ordering physician should be asked to revise the order.  If the order is for a foot MRI, then the correct CPT code is 73718.  Even though your radiology department does the exam in the same method, there may be payers who pay differently based on the CPT code.  They may also be medical necessity issues that are different for the different CPT codes.

Disclaimer: All articles intended for general guidance only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.

Attachments Attachments
There are no attachments for this article.
Comments Comments
There are no comments for this article. Be the first to post a comment.
Related Articles RSS Feed
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 12935 times since Mon, Dec 20, 2010
Nuclear Medicine
Viewed 4644 times since Fri, Nov 16, 2012
MRI Coding
Viewed 689 times since Mon, Aug 20, 2012
Ultrasound Guidance for Vascular Access
Viewed 3832 times since Wed, Nov 17, 2010
Computer Aided Detection
Viewed 1106 times since Thu, Mar 3, 2011
MR Shoulder Arthrography
Viewed 5813 times since Wed, Nov 17, 2010
Transvaginal and Pelvic Sonogram
Viewed 1212 times since Thu, Mar 10, 2011
Drainage with Imaging Guidance and Catheter
Viewed 5581 times since Wed, Nov 17, 2010
New Nuclear Medicine Codes
Viewed 1393 times since Sat, Jan 21, 2012
Modifier 52 On Mammogram Code
Viewed 1971 times since Tue, Apr 26, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506