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:

Certified Interventional Radiology Cardiovascular Coder CIRCC

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.

John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered 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, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

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John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered 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, and a member of the Asheville-Hendersonville AAPC Local Chapter.

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