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Radiology Compliance Question of the Week

July 26, 2010

Question:

Our radiologist requests the following: 75557, 75565, 71550, and 71555 when doing cardiac magnetic resonance imaging (MRI) procedures. But we get denials stating we are ordering duplicate exams. Can you shed some light on this?

Answer:

Codes 71550 and 71555 are not cardiac. Code 71550 is for a chest MRI and 71555 is for a MRA. So, unless there is a specific order from the referring physician and medical necessity for non-cardiac chest MRI and MRA along with the cardiac, the radiologist shouldn't be assigning those two codes.




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