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!
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