AMA Clinical Examples in Radiology - 2023 Issue 4 (Fall)
Functional Brain Magnetic Resonance Imaging
Fall 2023 pages 16-20 CLINICAL EXAMPLE 2: Functional Brain Magnetic Resonance Imaging PROCEDURE Brain magnetic resonance imaging (MRI), including resting-state functional MRI (fMRI) and diffusion tensor imaging (DTI) without and with intravenous contrast Task-based motor and language fMRI of the brain without contrast Three-dimensional (3D) post-processing for resting-state fMRI and DTI tractography, performed at a separate workstation by the radiologist CLINICAL INDICATION A 54-year-old male with anaplastic oligodendroglioma, status post-resection with chemotherapy and radiation therapy. Most recent surveillance imaging demonstrated new enhancing lesions, which may represent radiation necrosis or disease progression. TECHNIQUE Brain MRI was performed to include non-contrast blood...
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Article Overview
This premium article reviews a clinical example involving brain MRI with functional imaging, associated 3D post-processing, and related diagnosis coding. It is aimed at radiology coders, auditors, and billing professionals who need to understand how the case is documented and how the cited coding references apply. The discussion also touches on documentation, coverage references, and distinctions among imaging and neurofunctional testing services.
Why This Topic Matters
Functional brain MRI cases can involve multiple reportable services and supporting diagnosis codes, so accurate interpretation of the documentation matters for compliant radiology coding and reimbursement review.
Article Sections
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Clinical Example 2: Functional Brain Magnetic Resonance Imaging
A single clinical example covering brain MRI with functional imaging, post-processing, and the associated imaging documentation.
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How to Code
Coding references and billing-related guidance associated with the case, including imaging, functional testing, 3D post-processing, and diagnosis coding references.
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Discussion
Narrative discussion of the case, documentation considerations, and related coding and coverage references for radiology reporting.
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Sources
Source references cited by the article.
What You Will Learn
- The general structure of a functional brain MRI clinical example
- How the article ties imaging documentation to coding references
- What types of supporting diagnosis and coverage references are discussed
- How the case relates to radiology reporting and documentation review
Who Should Read This
- Radiology coders
- Medical billers
- Coding auditors
- Radiologists
- Compliance professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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