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Breast MRI

Date: Dec 21, 2018

Question:

I wanted to ask about the CPT code update for breast MRI for 2019. The one thing I notice with regard to the descriptors is that the new codes describe "without and with contrast", but do not seem to make allowance for "with contrast" alone, whereas the old codes (77058 and 77059) described "without and/or with contrast". Am I misinterpreting this to mean that there isn't a way to report a study for this where only contrast is used, and not "with and without" contrast? Also, CAD is only applicable with use of contrast materials? Does this align with current practice?

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