Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
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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