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Coding brachial plexus

  1. Default Coding brachial plexus
    Medical Coding Books
    Help! I've always told my imaging centers to use MRI Chest when an MRI Brachial Plexus is ordered because that was what I was taught. However, our new radiologist suggested a better code would be to use MRI of the Soft tissue of the neck. What do you think? Thanks, your help is appreciated!

  2. #2
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    Which specific CPT code is he suggesting and what were you using in the past? This would help in looking at it anatomically and thanks!

  3. Smile
    We are currently using 71550 and the RAD suggested that we use 70540. Thanks.

  4. #4
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    The brachial plexus is located primarily in the neck. I don't see any chest involvement at all, therefore I think 70540 is the better code. I'm not a radiology expert, however. :-)
    Walker Bachman, CPC, CPPM

  5. #5
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    Sioux Falls South Dakota
    Posts
    358
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    Since the brachial plexus nerves originate in the cervical/thoracic spine, wouldn't an MRI of the spinal canal be the more appropriate code?
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  6. Default
    Thanks for all your help. I have one of the techs checking to see what the ACR standard is. But I think since we are dealing with nerves that S.T. neck would be better and since that is what the rad suggested.....Thanks.

  7. #7
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    I use the neck code as well
    Stephanie Phillips, CPC-H
    sphillips@orhmi.com

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