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MRI brain for cancer treatment planning

Date: Aug 2, 2021

Question:

If the physician orders an MRI of the brain for cancer treatment planning, one of our insurance plans suggests we bill with the unlisted code 76498 instead of the site-specific code. I'm not sure I agree, and I can't find any specific guidelines from CMS or the AMA on this. Should we use code 70552 with a -52 modifier or the unlisted code 76498?

Question ID : 15772
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