AMA CPT® Assistant - 2011 Issue 12 (December)

Radiology (Q&A) (December 2011)

December 2011 page 17 Radiology Question 1: What is the correct way to bill for additional sequences rendered on magnetic resonance imaging (MRIs) without contrast? Is it appropriate to append modifier 22 to the base code? Alice J. Johnson, RN, BSN, PHN, CPC Answer 1: If a few additional pulse sequences are acquired or dynamic positional changes are made in a given anatomic region, they are included in the base procedure code and not coded separately. If the work for these additional dynamic position changes is greater than the work usually provided, then it should be appropriate to append...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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