AMA Clinical Examples in Radiology - 2018 Issue 4 (Fall)
Magnetic Resonance Elastography
Magnetic Resonance Elastography CLINICAL DATA A 78-year-old female patient presents with a known fatty liver. Please assess for fibrosis of the liver. PROCEDURE 76499 Magnetic resonance elastography (MRE) is performed. COMPARISON None FINDINGS Liver fat fraction measures 14.7%, consistent with mild steatosis. Liver elasticity measures 2.47 kPa consistent with normal or F0 fibrosis. Incidental note is made of a 1.5-cm T2-weighted hyperintense focus in hepatic segment VIII that has been previously characterized as a hemangioma. IMPRESSION Liver fat fraction measures 14.7%, consistent with mild steatosis. Liver elasticity measures 2.47 kPa, consistent with normal or...
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Article Overview
This article covers magnetic resonance elastography as a diagnostic imaging service and explains the associated coding context across dates of service before and after a 2019 CPT code change. It is relevant to coders, radiology staff, and compliance teams who need to understand the general documentation, diagnosis reporting, and source guidance referenced in the article.
Why This Topic Matters
It helps readers identify whether the article applies to liver elastography cases and understand the broad coding references discussed in the source material.
Article Sections
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Clinical Data and Procedure
Presents the patient context and the imaging service performed. The section frames the case as a liver evaluation and introduces the study addressed in the article.
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Findings
Summarizes the imaging results and the broad interpretive categories referenced in the case. It also notes an incidental liver finding mentioned in the report.
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Impression
Restates the overall interpreted results from the study in concise form. This section reflects the concluding radiology impression.
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Reference Ranges
Provides the measurement ranges used to interpret the study results. The section is limited to the article’s general reference framework.
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How to Code
Outlines the coding context by date of service and identifies the code sets referenced for the service and associated diagnoses. It also includes a short documentation note related to diagnosis certainty.
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Discussion
Reviews the broader coding background for magnetic resonance elastography, including the transition to a newer CPT code and the related imaging context. It also mentions source guidance and general applications of the technology.
What You Will Learn
- How magnetic resonance elastography is discussed in a coding context
- Which code sets and guidance sources are referenced for the service
- How the article organizes coding discussion by date of service
- What general types of diagnosis reporting considerations are highlighted
- What broad clinical applications of the imaging technology are mentioned
Who Should Read This
- Medical coders
- Radiology billing staff
- Compliance professionals
- Clinical documentation specialists
- Radiology practices
Codes Discussed
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