tci Outpatient Facility Coding Alert - 2019 Issue Q4

Reader Question: Verify 3-D Reconstruction for MRCP Services

Question: I’m working on an exam header that states MRI/MRCP Abdomen with and without contrast. Does there need to be documentation of 3D reconstruction in order to bill as an MRCP? Delaware Subscriber Answer: It’s redundant to label the exam header as magnetic resonance imaging (MRI) scan of the abdomen and magnetic resonance cholangiopancreatography (MRCP) since the MRI of the abdomen is included in the MRCP. However, the underlying difference between the two studies is that a true MRCP involves 3-dimensional (3-D) reconstruction. So, when 3-D reconstruction is documented (in addition to with and without contrast), you...

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