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
Billing Edits-Drugs
Viewed 5060 times since Fri, Feb 4, 2011
Modifier 26
Viewed 2804 times since Wed, Nov 17, 2010
Orders From Chiropractors
Viewed 1292 times since Fri, Sep 2, 2011
Nuclear Medicine-Myocardial SPECT
Viewed 1442 times since Wed, Feb 9, 2011
CT Order With or Without Contrast
Viewed 6244 times since Sun, Feb 17, 2013
Port Access Prior to CT Scan
Viewed 1781 times since Wed, Nov 17, 2010
MR Shoulder Arthrography
Viewed 9340 times since Wed, Nov 17, 2010
Modifier-Cardiac Cath
Viewed 43426 times since Wed, Oct 26, 2011
Transvaginal and Pelvic Sonogram
Viewed 1475 times since Thu, Mar 10, 2011
Viewed 2361 times since Wed, Aug 24, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506