decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Radiology Services / MRIs and CTs supporting diagnosis codes
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Article Overview
This page is a coding reference for radiology billing professionals who need to understand which diagnosis code groupings are associated with MRI and CT medical necessity support, including a separate set of codes for thorax/chest MRI. It also includes general billing notes about claim quantity, RVUs, and contrast-related payment considerations. The article is relevant to coders, radiology billing staff, and compliance teams working with MRI and CT documentation requirements.
Why This Topic Matters
Radiology claims often depend on diagnosis support and documentation. This article helps users identify whether their cases fall within the broad diagnosis categories discussed and notes additional billing considerations tied to MRI and CT reimbursement.
Article Sections
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Diagnosis codes supporting MRI or CT billing
This section presents broad ICD-9-CM diagnosis groupings tied to MRI and CT medical necessity support. It focuses on non-cardiac radiology claims and associated documentation expectations.
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Diagnosis codes for MRI scan of the thorax/chest
This section lists a separate set of ICD-9-CM diagnosis groupings associated with thorax/chest MRI billing. It distinguishes these claims from other non-cardiac MRI or CT references in the article.
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General billing notes for MRI procedures
This section provides high-level billing guidance related to MRI procedure claims, sequence-based payment concepts, and contrast-related reimbursement considerations.
What You Will Learn
- Which broad diagnosis categories are discussed for MRI and CT medical necessity support
- How the article distinguishes thorax/chest MRI diagnosis support from other MRI or CT references
- What general billing topics are noted for MRI procedure claims and contrast-related payment
- What documentation-related considerations accompany the diagnosis code groupings
Who Should Read This
- Radiology coders
- Radiology billing staff
- Compliance professionals
- Revenue cycle teams
- Physician office billing staff
Codes Discussed
Code Ranges Discussed
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