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Physician orders and MRI.

Patricia Posted Thu 15th of October, 2015 10:10:26 AM

May a visit and MRI TC be billed when patient comes in for the results? Also what if the doctor phones in the results? Please let me know. Thanks,

SuperCoder Answered Fri 16th of October, 2015 05:26:26 AM

"Thanks for your question.

If the patient comes to the clinic for interpretation of MRI results, you can code MRI service with modifier 26 (Professional Component).
We do not have any specific code for telephone service for result interpretation, but we can code this with E/M code series 99441-99443 as per time spent with patient over phone."

Patricia Posted Fri 16th of October, 2015 16:24:10 PM

TO CLARIFY AND MAKE SURE I HAVE THIS CORRECTLY. WE MAY BILL THE MRI CODE WITH THE PROFESSIONAL COMPONENT MODIFIER 26. PLEASE LET ME KNOW WHICH MRI CODE IS USED AND MAY WE CHARGE THE OFFICE VISIT ALSO? IF SO WILL IT NEED THE 25 MODIFIER?

THANKS,

SuperCoder Answered Mon 19th of October, 2015 02:03:22 AM

Hi,

The question is not clear which part of the MRI has been done, so please provide the necessary information
Yes, we can code office visit as an additional code with MRI with adding modifier 25 with E/M office visit code.
Thanks

Patricia Posted Mon 19th of October, 2015 12:42:16 PM

Sorry I was not clear. Since this is the first time the office will be billing this the MRI, I was asking for the MRI CPT code, please. Also I assume the diagnosis is used that we ordered the MRI, correct? Thanks so much.

SuperCoder Answered Tue 20th of October, 2015 08:32:44 AM

Hi Patricia

I can understand your concern. MRI CPT is based on the anatomical location of the body part like- head, spine, limb, chest etc. Select the code from MRI radiology range (eg. 70540-70559 for head and neck region). ICD code depends on the definitive diagnosis mentioned in the physician's note.

Patricia Posted Tue 20th of October, 2015 12:23:56 PM

THANKS PLEASE EXCUSE THE LAST QUESTION, NOT SURE WHERE MY HEAD IS... OVERLOADED THAT IS FOR SURE.

THANKS,

SuperCoder Answered Fri 23rd of October, 2015 00:07:33 AM

Happy to help.

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