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MRI billing pelvic and sacroiliac area

  1. #1
    Default MRI billing pelvic and sacroiliac area
    Medical Coding Books
    Our Radiology manager is asking if we can code an MRI exam of the pelvic area and the sacroiliac area and bill 72195 twice with a modifier 59?

    I am not sure if we can bill this code twice because it is in the same area.

    Please help.


  2. #2
    This is the guideline we use from CSI:
    You should report exams of the sacrum and sacroiliac joints with a pelvis MRI code (72195-72197).
    Because the study was “without contrast,” choose 72195 (Magnetic resonance [e.g., proton] imaging, pelvis; without contrast material[s]).
    One pelvis code should cover both the sacrum and coccyx MRI.Does that help?

  3. #3
    Yes this helps do you know where I can I print out some general rules regarding the billing of these two areas?


  4. #4
    Google CPT codes MRI and you will find worthy answers from trusty sources to print out.

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