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Pre-MRI Orbits Orders

  1. #1
    Default Pre-MRI Orbits Orders
    Medical Coding Books
    I have a question that hopefully someone can provide some insight on.

    Standard process in the radiology department has been to screen patients for a possible exposure to metal prior to an MRI. If the patient is of high risk then a pre-MRI orbits x-ray is taken. The order on file is for the MRI. According to Medicare there needs to be an order for the pre-MRI orbits and MRI on file to make these testings appropriate.

    Does anyone have experience with ordering pre-MRI orbits and having the proper order on file for that particular test? I'm hearing some radiology departments have orders on file for these tests and some do not.

    Any suggestions on how to appropriately go back to have the proper orders on file for the past pre-MRI orbits?

    Thank you in advance for any information!
    Jill Tom, COC, CPC, CPMA, CPC-I
    East Valley Kachina Coders
    East Valley Mesa, AZ AAPC Local Chapter
    President 2011
    President-Elect 2010
    New Member Development Officer 2009

  2. #2
    The problem we have seen is using the correct Dx code for the screening. We use the
    V71.89 and 870.4. Then only the 870.4 if a foreign body is found. I know we also normally do a CT and not an MRI for the screening which is less costly. Hope this helps.

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