Breast MRI Coding Gets an Overhaul in 2019

Breast MRI Coding Gets an Overhaul in 2019

CPT® coding for breast magnetic resonance imaging (breast MRI) has changed completely for 2019. Although we cannot yet report on the final codes and guidelines, information about the changes has surfaced after the AMA announced its release of the new CPT® code set on September 5.
To begin, existing breast MRI codes 77058 Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral and 77059 Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral are deleted. These codes reported the use of MRI to obtain images of either a single (77058) or both (77059) breast, either with our without contrast (contrast is, essentially, a dye that in injected near the site of the imaging that allows for a more detailed look at certain structures).
In place of 77058 and 77059, CPT® will introduce four new codes (within the range 7704X) for breast MRI, which describe:

Unilateral (MRI imaging of one breast) without contrast
Unilateral (MRI imaging of one breast) with contrast
Bilateral (MRI imaging of both breasts) without contrast
Bilateral (MRI imaging of both breasts) with contrast

For more information on the breast MRI coding in 2019, and a complete rundown of the new, revised, and deleted codes and guidelines in CPT® 2019, be sure to catch AAPC’s comprehensive, four hour 2019 CPT Coding Updates Virtual Workshop on December 6 (by demand starting 12/7), presented by AAPC’s own Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC. Or, join Raemarie on Nov. 20 for a one-hour webinar that highlights the changes you can expect in CPT® 2019.

Certified Interventional Radiology Cardiovascular Coder CIRCC

John Verhovshek
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About Has 586 Posts

John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

2 Responses to “Breast MRI Coding Gets an Overhaul in 2019”

  1. Renee Johnston says:

    What about cpt C8908?

  2. Donna Coon says:

    How about updated a MRI breast code for preventive so the insurance companies can get build for the correct CPT so the patient does not get stuck with the bill it should be 100 percent covered under the preventive maintenance for women who have deep tissue and need to have the MRI done every 6 months.