New CPT codes for MRI Fetal exam
From 2016, we have new CPT codes 74712 and 74713 in the Gynecological and Obstetrical subsection to report fetal magnetic resonance imaging (MRI). These codes allow accurate reporting for MRI exam for acquisition and evaluation of the fetus, placenta and maternal pelvis, when performed. Earlier, we were using CPT codes 72195, 72196, or 72197, for reporting these exams, but now on these MRI CPT codes will only describe acquisition and evaluation of a confined part of the body (the pelvis) in a child or adult lying supine or prone with straightforward orthogonal acquisition of planes.
CPT code 74712 and 74713 in detail
MRI is a radiation-free noninvasive technique to produce high quality sectional images of the inside of the body in multiple planes. MRI uses the natural magnetic properties of the hydrogen atoms in our bodies that emit radiofrequency signal when exposed to radiowaves within a strong eletro-magnetic field. CPT codes 74712 and 74713 were established to reflect accurate resource consumption and physician work involved. The CPT code 74712 is used for the single or first gestation, while CPT code 74713 is an add-on code used for additional gestation. The detail description of these CPT Codes is given below
74712 – Magnetic resonance imaging, fetal, including placenta and maternal pelvic imaging when performed; single or first gestation
+74713– Each Additional gestation (list separately in addition to primary code
Do and Don’t for CPT code 74712 and 74213
Do not report CPT code 74712, 74713, in conjunction with 72195, 72196, 72197.
If only placenta or maternal pelvis is imagined without fetal imaging , use CPT codes 72195, 72196 or 72197. Report, 72195 if no contrast is used, 72196 if performed with contrast and 72197 if performed first without contrast and again following the injection of contrast.