QUESTION: How should an MRI of the abdomen performed
in conjunction with an MRCP study be reported?
ANSWER: If imaging of the abdomen is performed concurrently
with a magnetic resonance cholangiopancreatography
(MRCP) study, it is appropriate to report one of the MRI of
the abdomen codes (74181, 74182, or 74183) plus a 3-D
reconstruction code (76376 or 76377). An additional MRI of
the abdomen code should not be reported, as performance of
an additional sequence or two would be considered part of the
base procedure code.
A magnetic resonance cholangiopancreatography (MRCP)
study includes MIP cholangiographic images, as well as any
axial and/or coronal abdominal MR cross-sectional images.