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70544 and 70553 unbundled???

  1. #1
    Detroit Chapter
    Default 70544 and 70553 unbundled???
    Medical Coding Books
    A provider is billing for a 70544-26,59 and 70553-26 for the same pt on the same day. CCI edits say that these codes are bundled together. can these be unbundled?

  2. #2
    Salt Lake City
    Yes you can bill both because the brain MRI looks at the struture of the brain and the MRA is focusing on the vasculature. I have been told by Radiologists that the MRI is used more to check for a bleed or stroke vs the MRA. Our protocl has been if they are doing the exam for "stroke protocol" we bill the MRI alone.
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Alexandria, LA
    If both are ordered and performed and medically necessary both can be coded. Documentation must be clear that there were 2 separate technical exams - not one set of images that was interpreted as an MRI and then reformatted for MRA. See the CMS NCCI Policy Manual, Chapter 9; and ACR Coding Source Q & A.

  4. #4
    Detroit Chapter
    thanks everyone

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