Radiology Test Case Answer

Spring 2024 page 26 RADIOLOGY TEST CASE ANSWER: Magnetic Resonance Urography HOW TO CODE 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences A9579 x14 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml C65.1 Malignant neoplasm of right renal pelvis Z90.6 Acquired absence of other parts of urinary tract Z90.5 Acquired absence of kidney Z90.79 Acquired absence of other genital organ(s) DISCUSSION Magnetic resonance urography (MRU)...

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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 article reviews a radiology test case involving magnetic resonance urography and discusses how the examination is represented in coding terms across CPT, HCPCS Level II, and ICD-10-CM. It is useful for coders, auditors, and radiology staff who need to understand how the reported anatomy, contrast use, and diagnosis coding categories are handled in this type of case. The article also references prior Clinical Examples in Radiology guidance as background for naming conventions and protocol documentation.

Why This Topic Matters

Radiology reports often use protocol language that does not map directly to code selection, so articles like this help readers interpret the coding framework used for MRI-based urography studies. It also highlights the need to separate imaging, contrast, and diagnosis reporting within the applicable code sets.

Article Sections

  1. Spring 2024 page 26

    Identifies the source issue and page for the radiology test case answer.

  2. Radiology Test Case Answer: Magnetic Resonance Urography

    Introduces the case topic and the coding areas addressed in the article.

  3. Discussion

    Provides background on the exam type, references related coding guidance, and summarizes the broader reporting considerations discussed in the case.

  4. Sources

    Lists the reference materials cited for the article.

What You Will Learn

  • How the article frames a magnetic resonance urography case for coding review.
  • Which medical code sets are relevant to this type of radiology scenario.
  • How the article organizes imaging, contrast, and diagnosis reporting topics at a high level.
  • What kinds of prior published radiology guidance are referenced as context.

Who Should Read This

  • Radiology coders
  • Medical coding auditors
  • Revenue cycle staff
  • Radiologists and imaging documentation staff
  • Compliance and coding educators

Codes Discussed


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