Wiki MRI Brain/MRI IAC

miss407

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The coders in our office are having a discussion on how to bill MRI Brain and IAC with and w/o contrast. Some are stating 70553 and 70553 -76 and others think just 70553? :confused:
 
Clinical examples in radiology addressed this coding scenario in the Spring 2006 issue. It pretty much indicates that MRI of the Brain with an emphasis on IAC's is appropriately reported w / 70553 x 1 (w/w/o contrast).

It further indicates that on rare instances in which a complete MRI of the brain and a separate complete MRI of the IAC's are both medically necessary, ordered, and performed...it would be appropriate to report 2 units of 70553; one with the modifier -59 attached.
Anthony
 
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