Home » Categories » Imaging/Radiology Coding

Foot vs. Ankle MRI


Question

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?


Answer


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
Inspiration and Expiration PA Chest Films
Viewed 8830 times since Wed, Nov 17, 2010
Bilateral Modifier For Radiological Exams
Viewed 4689 times since Fri, Feb 25, 2011
FNA of Thyroid with U/S Guidance
Viewed 2090 times since Mon, May 23, 2011
Ultrasound Code 93922 and 93923
Viewed 40272 times since Wed, Nov 17, 2010
Nuclear Medicine
Viewed 5385 times since Fri, Nov 16, 2012
A9541 MUE
Viewed 1972 times since Wed, Oct 26, 2011
MRI’s and Contrast Injection
Viewed 3979 times since Mon, Feb 14, 2011
Transvaginal and Pelvic Sonogram
Viewed 1417 times since Thu, Mar 10, 2011
MRA Lower Extremities
Viewed 5375 times since Wed, Apr 20, 2011
Conscious Sedation-Radiology Procedure
Viewed 3791 times since Mon, Feb 28, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506