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MRI Whole Body

Date: May 13, 2025

Question:

It has been ACR and your recommendation to use unlisted 76498 for MRI WB citing AMA Clinical Examples in Radiology Spring 2009. In a recent AMA CER Winter 2024 Q&A on the appropriate code to report a whole-body CT or MRI, the CPT codes for the relevant body parts of interest should be reported. When appropriate to report, modifier 52, Reduced Services, could be applied to designate a limited degree of anatomical overlap of the imaging range with the advice to check with local payers on the use of mod-52. What is your guidance on this?

Question ID : 22350
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