tci Part B Insider - 2013 Issue 41

Reader Question: Get to Know What Each Exam Measures

Question: Our radiologist obtains MR assisted 3D images in a patient with suspected CSF leak in the sinuses. This procedure has been documented as a MR cisternogram. We are not sure if we should report this as an MR procedure or just cisternography. Please help. Answer: The best approach is to select a code based on what was performed rather than going by the name of the examination. Since you radiologist is obtaining MR images, code 70551 (Magnetic resonance [e.g., proton] imaging, brain [including brain stem]; without contrast material) may be more appropriate than 78630 (Cerebrospinal fluid flow...

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