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
Bilateral X-Rays
Viewed 6689 times since Tue, Aug 21, 2012
A9541 MUE
Viewed 2221 times since Wed, Oct 26, 2011
Drainage with Imaging Guidance and Catheter
Viewed 7660 times since Wed, Nov 17, 2010
New Nuclear Medicine Codes
Viewed 1909 times since Sat, Jan 21, 2012
Echocardiography
Viewed 1782 times since Wed, Nov 17, 2010
When To Charge Fluoroscopy (76000) With an OR Procedure
Viewed 22000 times since Mon, Dec 20, 2010
Radiology
Viewed 2692 times since Fri, Nov 30, 2012
ABD X-Ray To Confirm Urinary Stent Placement
Viewed 1452 times since Wed, Jul 25, 2012
Mammograms
Viewed 1980 times since Sat, Mar 12, 2011
FNA of Thyroid with U/S Guidance
Viewed 2381 times since Mon, May 23, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506