Breast Magnetic Resonance Imaging

Breast Magnetic Resonance Imaging Contrast-enhanced magnetic resonance imaging (MRI) is being used with increasing frequency for the evaluation of breast abnormalities (especially for younger women with dense breasts), which previously could only be evaluated using mammographic or ultrasound imaging. Clinical History Abnormal mammogram and indeterminate ultrasound Technique 76094 MRI imaging was performed utilizing the following sequences: Coding Tips To report a unilateral breast MRI, submit CPT code 76093 , Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral, should be used. There is no code to describe computer-aided detection (CAD) software analysis used in conjunction with breast MRI (...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains breast magnetic resonance imaging from a coding and reporting perspective. It covers the clinical context for breast MRI, common technique and finding examples, CPT and HCPCS Level II billing considerations, contrast-agent reporting, MRI-guided needle placement, and payer coverage notes relevant to radiology coders and billing staff.

Why This Topic Matters

Breast MRI coding can involve multiple procedure and supply/reporting elements, and coverage may vary by payer and setting. This article helps coding professionals understand the applicable reporting framework and the general topics tied to breast MRI claims.

Article Sections

  1. Clinical History

    Brief clinical context for the example case and the imaging workup that led to breast MRI.

  2. Technique

    General MRI technique information and sequence information for the breast study.

  3. Findings

    Imaging findings from the breast MRI exam, including the overall pattern of enhancement and associated observations.

  4. Impression

    Summary interpretation of the breast MRI exam and recommended next steps described in the case.

  5. How to Code

    Coding and billing guidance related to reporting the breast MRI exam and associated contrast or procedure elements.

  6. Coding Tips

    Additional coding notes addressing breast MRI reporting, computer-assisted analysis, subtraction imaging, and coverage-related considerations.

  7. Discussion

    Overview of clinical uses of breast MRI and the general relationship between unilateral and bilateral study reporting.

  8. Medicare Reporting

    Background on Medicare-era reporting of magnetic resonance contrast agents and related billing considerations.

  9. Resources

    Referenced professional and coding resources related to breast MRI guidance.

What You Will Learn

  • The clinical and billing context for breast MRI studies
  • How breast MRI is discussed in relation to unilateral and bilateral reporting
  • What topics are addressed for contrast-agent coding and supply reporting
  • How the article frames MRI-guided needle placement reporting
  • What payer and Medicare-related considerations are mentioned for breast MRI services

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Compliance professionals
  • Physician practices
  • Radiology department staff

Codes Discussed


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