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
Multiple Breast Biopsies
Viewed 7297 times since Wed, Nov 17, 2010
Screening and Diagnostic Mammogram on Same Day
Viewed 3036 times since Wed, Nov 17, 2010
A9541 MUE
Viewed 2166 times since Wed, Oct 26, 2011
Limited CT Sinuses
Viewed 2892 times since Wed, Nov 17, 2010
Radiology
Viewed 2499 times since Fri, Nov 30, 2012
MRA Lower Extremities
Viewed 5925 times since Wed, Apr 20, 2011
Port Access Prior to CT Scan
Viewed 1828 times since Wed, Nov 17, 2010
Excision of Keratosis
Viewed 1624 times since Wed, Nov 17, 2010
Bladder Ultrasound
Viewed 14936 times since Wed, Nov 17, 2010
Bladder Scan
Viewed 4627 times since Wed, Nov 17, 2010
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506