AMA Clinical Examples in Radiology - 2009 Issue 2 (Spring)
Cardiac Magnetic Resonance Imaging
Cardiac Magnetic Resonance Imaging Procedure Pre- and postcontrast cardiac magnetic resonance imaging for morphology and function Clinical History 66-year-old man with myotonic dystrophy and cardiomyopathy with arrhythmias, including high-grade heart block Comparison: None available Diagnostic Technique and Findings A9579 75562 Multisequence, multiplanar magnetic resonance imaging of the heart was performed, including long- and short-axis cine imaging. 10 ml of intravenous gadolinium-based contrast agent was then administered, and delayed contrast-enhanced images of the myocardium were obtained. Qualitative assessment The right and left ventricles are thick walled, with enlargement of the right ventricle. There is poor global left ventricular systolic function...
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Article Overview
This premium article covers a cardiac magnetic resonance imaging case and the accompanying coding discussion for how the exam is represented in CPT and HCPCS. It is aimed at coders, radiology staff, and billing teams who need to understand the scope of the study, the related contrast administration, and the broader context of cardiac MRI code selection and coverage considerations.
Why This Topic Matters
Cardiac MRI coding can depend on study components such as contrast administration and functional quantification. This article helps readers identify the coding framework and the type of documentation that supports accurate reporting for these services.
Article Sections
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Procedure
Introduces the imaging study and its overall purpose in evaluating cardiac morphology and function.
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Clinical History
Summarizes the patient context that prompted the exam.
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Diagnostic Technique and Findings
Describes the imaging approach, the observed cardiac findings, and the areas evaluated on the study.
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Impression
Provides the radiology interpretation of the cardiac MRI findings.
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How to Code
Presents the coding discussion tied to the cardiac MRI study and related reporting elements.
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Discussion
Reviews broader background on cardiac MRI code development, use cases, and coverage context.
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Coding Tip
Highlights a Medicare-related coverage note connected to certain cardiac MRI services.
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Footnotes
Lists guideline and reference citations supporting the article.
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References
Provides source references cited in the article.
What You Will Learn
- How the article frames a cardiac MRI exam within a coding context
- Which code sets are discussed for the procedure and contrast administration
- How the article situates cardiac MRI within broader imaging and coverage updates
- What types of supporting references are included with the case and discussion
Who Should Read This
- Radiology coders
- Coding auditors
- Revenue cycle staff
- Radiologists
- Cardiology practice staff
Codes Discussed
Code Ranges Discussed
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