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Thread: medicare rule on mri and mras

  1. #1

    Question medicare rule on mri and mras

    AAPC: Back to School
    :Hello Radiology coders!

    I have been asked a confusing question. Can an MRI Brain, 70551-70553, MRA Brain (70544-70546) and a MRA Neck (cervical) (70547-70549) be billed to Medicare on the same date of service?

    I don't know of a specific rule regarding this for Medicare. If anyone can help shed light on this subject, I would greatly appreciate it.


  2. #2


    Have you thought about checking out the ACR website? Perhaps they could offer you some guidance.

    But I think you can bill for all three, but I would double check CCI edits and of course don't forget the payment rules such as the multiple procedure reduction payment policy and the DRA caps to payments.

  3. #3


    As long as you have an order for each exam and have met medical necessity for each exam, I don't know why you couldn't.

  4. #4
    Join Date
    Apr 2007
    Fort Worth TX


    I have not had any denials on tbilling all three. You cannot bill two MRI's of the brain or an MRA and a MRV on the same day. I hope this helps.

  5. #5


    My company has radiology centers in several states and we have no problem billing all 3 when necessary.

  6. #6

    Wink medicare rules on mri and mra billing

    Thank all of you so much for your help. I had never heard of such a rule either but wanted to verify that.
    You know as they say, power in numbers.
    ClaudiaK, CPC

  7. #7
    Join Date
    Apr 2007
    Jackson, Tn

    Default All 3

    You should put a 59 modifier on the 70544 when you bill.

  8. #8
    Join Date
    Apr 2007
    Columbus GA


    The 59 modifier msut be added to the 70544 for medicare.

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