Cpt code 72142 Aetna considers intermediate and low field strength MRI units Accurate coding is non-negotiable for radiology claims. Aug 8, 2021 · Learn how AI automation can simplify medical billing and coding, including understanding the nuances of CPT code 72142 and modifiers like 26 vs 52. 5 d. CPT® code 76776 is an ultrasound for a transplanted kidney, including real-time and duplex Doppler with image documentation. . 3. Precertification of Outpatient Cervical Spine Magnetic Resonance Imaging (MRIs) (CPT codes include: 72141, 72142 and 72156) Capital Health Plan provides coverage for outpatient cervical MRI for members 13 years of age or older who meet the medical necessity criteria below. without contrast with contrast with & without contrast without contrast 72148 72149 72158 72146 72147 72157 72141 with contrast with & without contrast 72142 72156 72157 72148 72149 72158 72141, 72146, 72148 72142, 72147, 72149 72156, 72157, 72158 Nov 8, 2018 · Surgery, therapy, medication? They’re all on the table when treating these patients. What CPT Modifiers Are Used for Anesthesia Procedures?August 8, 2021 Heather Dasgupta, DMD, MHA CPT® Jul 27, 2025 · MRI Cervical Spine CPT Codes: Decoding Costs & What to Expect An MRI of the cervical spine (neck) is a common diagnostic imaging procedure used to evaluate the bones, discs, and soft tissues of the neck. The addition of contrast dye helps to enhance the visibility of certain structures or abnormalities, making Feb 3, 2022 · All sets of codes are arranged based on the use of contrast material. what are the CPT and ICD-10-CM codes for the supervision and interpretation of this procedure? a. These are used to drive improvement eforts surrounding best practices. Aug 22, 2025 · MRI Thoracic Spine With Contrast: CPT Code 72142 The CPT code for an MRI of the thoracic spine with contrast material is 72142. Keep in mind in our CPT code books, radiology codes by anatomical location are grouped together based on the type of image used (MRI, CT, x-ray, etc. Learn about key changes, compliance strategies, and how these updates will impact your workflow, billing and revenue cycle. Medical Necessity Aetna considers magnetic resonance imaging (MRI) and computed tomography (CT) of the spine Applicable Codes The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. This matrix is designed to assist in the resolution of claims adjudication and claims questions related to those services authorized by Evolent The “Allowable Billed Groupings” is Medicare Appropriate Use Criteria - HCPCS Advanced Imaging Procedure Codes Magnetic Resonance Imaging/Magnetic Resonance Angiography CT scan, brain, without contrast material, followed by contrast material (s), and further sections. CPT code 72142 is used to describe an MRI (Magnetic Resonance Imaging) procedure of the neck spine that is performed with the use of a contrast dye. This code covers the procedure when a contrast agent, typically gadolinium-based, is injected intravenously to enhance the visibility of certain tissues and structures. ALSO SEVERAL QUESTIONS FROM SURGERY SECTION AND 1 ICD-9-CM QUESTION. ) 70390-26, K11. Study with Quizlet and memorize flashcards containing terms like a contrast radiography pf the salivary glands and ducts is performed, resulting in a diagnosis of salivary fistula. Study with Quizlet and memorize flashcards containing terms like What position is the body placed in when it is in an oblique position?, Which plane divides the body into anterior and posterior sections?, A 63-year-old female is having a hip arthroplasty due to severe rheumatoid arthritis in the hip. CPT codes are used by healthcare providers for reporting, billing, and administration purposes. ) manages on behalf of Common Ground Healthcare Cooperative (CGHC). Current Procedural Terminology (CPT) codes are a standardized system used to describe and document medical procedures, diagnostic services, and outpatient care. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that How To Use CPT Code 72156 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. Because the ankle X-ray was taken in the physician's office (meaning the office owns the equipment) and the physician reads the X-ray and provides a report, the CPT® code is reported without a modifier. Utilization Review Matrix 2022 Highmark Wholecare Medicare NIA has developed the following matrix in an effort to help its clients set up their claim processing systems. Check out these breakdowns: Diagnostic procedures: Your provider might suspect a surgical disc disorder, which could result in Where a specific clinical indication is not directly addressed in this guideline, medical necessity determination will be made based on widely accepted standard of care criteria. vzma qyw hijld yew lwcauhww amgkab jnsnw kijjh ceeimg jkvj heb rkpy chbgo ibz wcvtt