tci Outpatient Facility Coding Alert - 2019 Issue 2

Reader Question: Consider this C Code for MRI Breast With Contrast

Question: How should I report a magnetic resonance imaging (MRI) scan of the breast with contrast? Oklahoma Subscriber Answer: When billing under Medicare Part B, the answer to this question is much more nuanced. Since the code description for CPT® codes between 77048 (Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral) and 77049 (Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral) include with and without contrast, pro-fee coders are...

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