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.
Related Articles RSS Feed
Coding Multiple Levels of Spine During Surgery one View
Viewed 1065 times since Thu, Dec 20, 2012
Definition of "Per Study Dose" for Cardiolite A9500
Viewed 3977 times since Wed, Nov 17, 2010
Soft Tissue Ultrasound
Viewed 4456 times since Wed, Nov 17, 2010
Viewed 1426 times since Fri, Nov 30, 2012
New Nuclear Medicine Codes
Viewed 1651 times since Sat, Jan 21, 2012
Modifier 52 On Mammogram Code
Viewed 2824 times since Tue, Apr 26, 2011
CT Order With or Without Contrast
Viewed 5747 times since Sun, Feb 17, 2013
Nuclear Medicine 78452 Followup
Viewed 3634 times since Wed, Feb 9, 2011
Nuclear Bone Scans and SPECT
Viewed 1837 times since Wed, Jan 5, 2011
Pricing the Combined CT Abdomen & Pelvis
Viewed 1641 times since Fri, Jan 7, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506