An expertly aggregated resource to overcome 2025 CT and MR coding challenges while helping to ensure accurate revenue
Medicare payments may be under threat again in 2025 and your facility generates substantial revenue from high-volume CT and MR procedures making these services vulnerable to your bottom line. Miscoding and noncompliant billing continue to be rampant across the country, according to our radiology experts. Certain areas, such as combination studies (e.g., CTA with CT, MRA with MRI) and the documentation required for CTA studies, are especially problematic.
Our CT/MR Coder book is specifically focused on empowering you to capture every dollar of revenue that’s rightfully yours — regardless of the complexity involved. Using easy-to-understand language, we define and dissect every CPT® code: what it is, what it isn’t, exactly how it should be used, and the documentation needed to support its assignment. Augmenting these explanations are actionable tips, case examples, at-a-glance tables and other timesaving tools to give you the answers you’re seeking.
Features and Benefits
- Full, expert-guided insight into any new, deleted, and revised codes for CT/MR services in 2025
- Information on the status of the AUC/CDSM program
- Updated tips, guidance and FAQs addressing common problem areas
Our experts address common questions, concerns, and problem areas:
- In-depth guidance with commonly miscoded procedures and areas of confusion, including 3D post-processing, reconstructed spines, CT guidance, CT vs. CTA, CTA of the abdominal aorta, MRA and whole-body scans
- Guidance with codes for breast MRI, breast CT and MR elastography
- Answers to frequently asked questions, such as “What documentation is needed to code CTA”
Clear, step-by-step guidance through the tasks you perform every day:
- Coding for a full range of CT and MR procedures, including CTA, CTC, MRI, MRA, MRS and MRV
- Covers code assignments by both hospital (technical) and physician (professional) entities
- Help with accurately interpreting physician documentation to determine correct coding
A proven quick-reference approach for busy professionals:
- Codes are grouped by body system (e.g., head and neck) and then by code sequence
- Each section includes:
- Procedure definitions with corresponding CPT/HCPCS codes
- Coding guidelines and billing tips
- Payment tables with codes, MPFS status, RVUs, OPPS APC information and payment rates
- Numerous case examples to help you make the connection between procedures and correct code assignments
Looking for more valuable coding education and news? Check out our new Diagnostic Radiology All-Access Pass and/or our Comprehensive Radiology All-Access Pass for a full range of comprehensive resources.
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Introduction
- Navigating this Publication
- Understanding CT and MRI
- Billing for CT and MRI
- National Correct Coding Initiative
- Medically Unlikely Edits
- MUE Adjudication Indicator
- PTP Edits
- NCCI PTP Modifier Indicators
- Modifier Descriptions
- Modifier 59
- Modifier 50
- X{EPSU} Modifiers
- JW Modifier Guidance
- Administration or Injection of Contrast Materials
- Billing for Contrast Material
- LOCM Codes
- HOCM Codes
- MR Contrast Codes
- Injections and Infusions of Drugs and Substances with CT/MR Procedures
- Contiguous Body Part Imaging and Multiple Procedure Payment Reduction
- Ordering of Diagnostic Tests
- ICD-10 Coding System
- 2022 MPFS RVUs and Hospital OPPS Rates
Computed Tomography
- Head and Neck
- Chest/Cardiac
- Spine and Pelvis
- Upper Extremities
- Lower Extremities
- Abdomen
- Aorta and Arteries
- Transcatheter Procedures
- Other Procedures (Percutaneous Vertebroplasty, Kyphoplasty or Sacroplasty)
- Other Procedures (3-D Rendering)
- Other Procedures (CT Follow-up)
- Other Procedures (CT Unlisted—Diagnostic, Interventional)
- Other Procedures (CT Guidance)
- Other Procedures (Guidance for Radiation Therapy)
- Other Procedures (Bone Density)
- Other Procedures (Breast CT)
- Surgical Planning
- Frequently Asked Questions
Magnetic Resonance Imaging
- Head and Neck
- Chest
- Spine and Pelvis
- Upper Extremities
- Lower Extremities
- Abdomen
- Heart
- Other Procedures
- Frequently Asked Questions
Appendices
- Appendix A: Ordering Diagnostic Tests
- Appendix B: Reporting ICD Diagnosis and Procedure Codes
- Appendix C: Computed Tomography
- Appendix D: Magnetic Resonance Imaging (Including Spectroscopy and Magnetic Resonance Angiography)
- Appendix E: CT Procedures, (including LOCM) and MRI Procedures
- Appendix F: Appropriate Use Criteria for Advanced Diagnostic Imaging
- Appendix G: A Note About COVID-19