Reporting Brain qMRI Analysis With Comparison (0865T, 0866T) (June 2024)

June 2024 page 9 Reporting Brain qMRI Analysis With Comparison (0865T, 0866T) Two new Category III codes (0865T, 0866T) were established in the CPT 2024 code set for reporting quantitative magnetic resonance imaging (qMRI) analysis of the brain. Although the procedure is typically used in the diagnosis and management of patients with multiple sclerosis (MS) and Alzheimer disease (AD), it may also be used for dementia, epilepsy, Parkinson disease, or other types of brain disorders. New instructional parenthetical notes were added to direct users to the appropriate code(s) when other related or similar services are performed. Before 2024, there...

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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 June 2024 CPT Assistant article explains newly established Category III reporting for brain quantitative MRI analysis with comparison. It is relevant to radiology, neurology, and coding staff who need to understand the scope of the new brain qMRI services, how they fit with diagnostic brain MRI, and how they differ from other related quantitative imaging code families.

Why This Topic Matters

The article helps coders and clinicians recognize newly available CPT reporting options for a specialized brain imaging workflow that had previously been reported with unlisted codes. It also clarifies the general relationship between the new services, associated brain MRI procedures, and other nearby quantitative imaging categories.

Article Sections

  1. Category III Codes

    Introduces the new brain qMRI reporting category and places it in the context of CPT 2024. The section outlines the general scope of the services and the related code groupings referenced by the article.

  2. Clinical Example (0865T)

    Presents a representative clinical scenario for the standalone brain qMRI analysis service. It is paired with a procedural narrative showing the overall workflow from image handling through report generation.

  3. Description of Procedure (0865T)

    Describes the workflow associated with the standalone brain qMRI analysis service, including image transfer, processing, review, and reporting. The section focuses on the operational steps involved in the service.

  4. Clinical Example (0866T)

    Presents a representative clinical scenario for the add-on brain qMRI analysis service. It highlights the same broad clinical context while distinguishing the add-on reporting framework.

  5. Description of Procedure (0866T)

    Describes the workflow associated with the add-on brain qMRI analysis service. The section covers the same general processing and reporting pathway in the setting of a primary MRI study.

What You Will Learn

  • The overall purpose and scope of the new brain qMRI reporting category
  • How the article situates the new services within CPT 2024
  • The general workflow associated with brain qMRI analysis and comparison
  • How the article frames the relationship between these services and other quantitative imaging categories
  • The kinds of clinical contexts for which the services are discussed

Who Should Read This

  • Medical coders
  • Coding auditors
  • Radiologists
  • Neurologists
  • Clinical documentation staff
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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