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Radiology Coding Alert

You Be the Coder:

Check Payer Preferences For Screening MRI

Question: Our physician wants to schedule a breast MRI for a Medicare patient who is BRCA2 positive. According to Medicare this service is covered only if it is medically necessary. Can we submit a Medicare claim for this screening MRI? Delaware Subscriber Answer: According to the description shared, Medicare will not pay for a screening breast MRI. You have to establish that [...]

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