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Radiology Mri Brain w/Attn Pituitary Gland

  1. #1
    Unhappy Radiology Mri Brain w/Attn Pituitary Gland
    Medical Coding Books
    HI New to Radiology now and was wondering about how Mri Brain w/attn to
    the Pituitary Gland is being coded? Are they being billed with one cpt code or
    two. Cpt 70553 and 70553 with a modifer?

    Please Expert Radiology coders out there, please help.

    Thanking you in advance


  2. Default Radiology MRI Brian w/attn pituitary gland
    We code it as one code 70551 w/o or 70553 with/without contrast

  3. Default
    We coded these as 70552 for the mri pituitary with Contrast and 70553 mri Brain wo w contrast

  4. Default
    Per the ACR, if MRI brain and MRI pituitary are separately ordered and performed w/a full series of sequences specifically of the pituitary gland, then MRI brain CPT should be reported two times w/a mod 59 on the second study. There needs to be "clear, separate, and distinct" indications for the two studies. However, very few 3rd party payors will reimburse for two MRIs of the brain during same encounter. Some providers have chosen to report a single MRI w/mod 22, but 22 can not be used on hospital outpatient claims.

    This information is from the 2003 AMA CPT Coding Symposium and is stated in the CSI Navigator for Diagnostic Radiology 2008 edition.

    Hope that helps!
    from the aapc forums posted by vanelver
    Sreenivas Sajja-CPC,CCS

  5. Default
    We use the 70551-70553 range.

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