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Yes you can bill both because the brain MRI looks at the struture of the brain and the MRA is focusing on the vasculature.
Moreover, eviCore Imaging Guidelines (2020) notes that \u201cAdults (\u2265 18 years) with a diagnosis of Li-Fraumeni syndrome (LFS) may be screened for malignancy with a whole body MRI (CPT 79498) on an annual basis\u201d.
CPT® 72196, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Spine and Pelvis. The Current Procedural Terminology (CPT®) code 72196 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Spine and Pelvis.
If not, when is it appropriate to report both brain MRI and brain MRA codes? A: No, it is not appropriate to report a magnetic resonance imaging (MRI) brain code for the axial source images acquired as part of a magnetic resonance angiography (MRA) study.
MRI CPT CODE LIST Brain and NeckJointsMRI Brain, IAC's or Pituitary w/wo Contrast70553MRI Shoulder, Elbow, Wrist or Clavicle w/wo ContrastMRA Brain w/o contrast70544MRI Hip, Knee and Ankle w/o ContrastMRA Neck w/o contrast70547MRI Hip, Knee or Ankle w/wo ContrastMRA Neck w/wo contrast70549Extremities16 more rows
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CPT® Code 72146 - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Spine and Pelvis - Codify by AAPC.
MRI Scans CodeDescription70553Mri brain stem w/o & w/dye70557Mri brain w/o dye70558Mri brain w/dye70559Mri brain w/o & w/dye9 more rows
A: No, it is not appropriate to report a magnetic resonance imaging (MRI) brain code for the axial source images acquired as part of a magnetic resonance angiography (MRA) study. The axial source images are an integral portion of the MRA examination.
MRI CPT CODE LIST Brain and NeckMRI Brain, IAC's or Pituitary w/o Contrast7055173221MRI Brain, IAC's or Pituitary w/wo Contrast7055373223MRA Brain w/o contrast7054473721MRA Neck w/o contrast705477372316 more rows
MRAs and MRIs are diagnostic tools used to view organs, bones, or tissues inside the body. Developed more recently than X-rays, which use radiation and produce less detailed images, MRAs and MRIs rely on a strong magnetic field to provide a more defined picture.

mri abdomen with and without contrast cpt