Question:
Are C-codes still applicable for MRI breast with or without contrast? If computer-aided detection (CAD) is done, what C-code would I use?
Answer:
For MRI breast with contrast or without and with contrast, hospitals billing under OPPS will continue to bill the appropriate C-codes (C8903, C8905, C8906, C8908), and, if CAD is done, then you would bill the following new code:
| C8937 | CAD, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure) |
The CAD code is packaged and not paid separately but should be reported.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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