Wiki cpt code for mrcp - Hello Radiology Experts out there

[claudiak]

Hello Radiology Experts out there

Can somebody please give me the CPT code for an MRCP (magnetic resonance cholangiopancreatography)?

Thanks so much in advance
Claudia K, CPC

 

[dmaec]

I'm looking at 74181-74185 area...what do you think??

 

[claudiak]

That's the way I was thinking also, just wanted another opinion.
Thanks so much

ClaudiaK, CPC:

 

[bhann]

Mrcp

MRCP is an MRI of the abdomen with special emphasis on the biliary ducts. This would be reported with the CPT code for MRI Abdomen further defined by the use of IV contrast.

 

[asrctc]

Suppose we do a MRI Abdomen and MRCP on the same day? I have found that most carriers do not recognize the S code.

 

[prabha]

I think S8037 would be appropriate,but it also depends on the carrier..

 

[chembree]

Per July 2009 Cpt Assistant:

"When an MRCP study is performed, it is appropraite to report one of the MRI of the abdomen codes (74181, 74182, and 74183 depending on whether contrast is administered) and a three-demensional (3-D) reconstruction code. (76376 or 76377) These codes accurately describe the procedure performed. An MRCP study includes a standard MR of the abdomen, along with MIP (maximum intensity projection) images to better delineate the bile ducts."



Hope this helps!
Christy, CPC

 

[Dr.T.Sugathan]

Cpt mrcp

Magnetic Resonance Cholangiopancreatography CPT code 74181

 

[Dr.T.Sugathan]

Cpt mrcp

Magnetic Resonance Cholangiopancreatography CPT code 74181

Dr.T.Sugathan CPC-H

 

[tmlbwells]

I use the 74181-74183 codes.

 

[kavithava]

Does MRCP includes MIP or 76376/76377 should be documented separately for MIP?

 

[kavithava]

Any idea on this?

 

[srinivas r sajja]

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.

http://www.acr.org/~/media/ACR/Documents/PDF/Pubs/Bulletin Archive/2006/October_2006.PDF

 

[kavithava]

Thanks Sreenivas. Plz correct me if my understanding is correct, if 3D with MRCP, code MRI abdomen code with 76376/76377, If MIP with MRCP, code only MRCP.

 

[srinivas r sajja]

A magnetic resonance cholangiopancreatography (MRCP)
study includes MIP(3D) cholangiographic images, as well as any
axial and/or coronal abdominal MR cross-sectional images.

 

[suemt]

76377 3D Reconstruction - Script Q

Does anyone know how the order is handled on this? Often it's not in the original order because it isn't warranted until the initial findings are developed.