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Professional fees for cpt code 76498

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danielleaholi

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ROSENBERG, TX
Hi all,
I am trying to find out if professional fees for a whole body limited MRI w/wo contrast 1-4 areas can billed out on a claim.

Thank you
Danielle
 
Clear guidance for reporting modifiers for unlisted codes is provided by the American Medical Association’s CPT Assistant: “Because unlisted codes do not include descriptor language that specifies the components of a particular service, there is no need to ‘alter’ the meaning of the code."

You can bill this out on a professional claim, assuming of course that your provider read the imaging and wrote a report. Payers vary as to whether they will reimburse for this code.
 
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