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Coding MRI with Arthrogram

Shannon Posted Mon 04th of April, 2011 17:27:44 PM

I am confused on this subject need help. When coding an MRI w/contrast such as 73222, would you bill for the 23350, and 77002
This would be done in the MD office

SuperCoder Answered Mon 04th of April, 2011 20:57:47 PM

When a radiographic study is done after shoulder is injected, then 23350 and 73040. When they use fluoro guidance to inject joint and only a spot film taken to verify contrast within the joint, then you should code 23350 and 77002.

After shoulder arthrography, if an MRI is performed, then the CPT to be coded is MR UE w/ contrast 73222.

See the documentation, if arthrogram is not performed in the said encounter, and it is evident that it is a post-arthrogram visit,and only an MRI is performed, then we should code 73222 only.

Shannon Posted Mon 04th of April, 2011 21:11:35 PM

so per your last sentence I would bill the 23350 & 77002 it would be inclusive of the 73222?

SuperCoder Answered Mon 04th of April, 2011 21:59:42 PM

No, I think what Sanjit wants to say is that if Injection under fluoroguidance is performed and then MRI is also performed and documented in the same report, then you would code 23350, 77002, and 73222.

Problem comes when you code 73040(arthrography) when you code this, then don't code 77002.

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