AMA Clinical Examples in Radiology - 2007 Issue 1 (Winter)
Radiology Test Case Answer
Radiology Test Case Answer (See page 7 for test case) How to Code 70543 Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without followed by contrast material(s) and further sequences Q9952 Injection, gadolinium-based magnetic resonance contrast agent, per ml Discussion Coding Tips For MRI procedures, which require the administration of the paramagnetic contrast agent gadolinium, it is appropriate to report one of the HCPCS Level II Q codes ( Q9952 -9954). Because of the passing of the Part D drug bill that mandates separate payment for contrast as a drug and the 2007 change in methodology from a...
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Article Overview
This article explains a radiology coding test case focused on MRI reporting and contrast-agent billing considerations. It is relevant to radiology coders, billing staff, and compliance readers who need to understand the scope of imaging studies, how related contrast items are discussed in the coding source, and how CMS policy changes are framed in the article.
Why This Topic Matters
The article helps readers recognize how radiology documentation and payer policy context affect reporting of MRI studies and associated contrast supplies. It is especially useful for understanding the type of guidance that may apply when multiple imaging areas or contrast administration are involved.
Article Sections
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How to Code
Introduces the coding focus of the test case and identifies the main imaging and contrast items discussed in the article.
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Discussion
Provides narrative coding context for the imaging scenario, including payer-policy background and references to related radiology coding source material.
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Coding Tips
Summarizes general radiology coding considerations tied to MRI studies, contrast administration, and CMS-related payment context.
What You Will Learn
- The radiology imaging scenario addressed in the test case
- How the article frames MRI reporting questions in a coding context
- The general policy background discussed for contrast-agent payment
- The organizations and source materials referenced in the coding discussion
Who Should Read This
- Radiology coders
- Medical billers
- Coding auditors
- Compliance staff
- Radiology practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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