tci Part B Insider - 2011 Issue 37

Reader Question: Keep A Handle on KX With This MRI

Question: Do the new rules on coverage for MRI with pacemaker affect coding?Answer: Yes. Medicare released instructions via MLN Matters MM7441 describing how to code MRIs for patients with implanted pacemakers. Remember that the pacemaker must be used according to FDA-approved labeling for MRI scans. For dates of service July 7, 2011, or after, you should report:The relevant MRI code Modifier KX, Requirements specified in the medical policy have been met V45.01, Cardiac pacemaker in situ. Don't forget to report the appropriate ICD-9 code(s) for any findings or for the symptoms prompting the test if the physician...

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