Radiology Question for the Week of September 17, 2018

Question:

We perform treatment-simulation planning in our magnetic resonance imaging (MRI) for brain and prostate radiation procedures. The radiologist does not interpret these exams; they are performed just to send the images to other systems for their use. Is there an appropriate charge code for this type of imaging? In the past we have used 76498 but our charge-master coordinator does not think that is appropriate. Any guidance you can give is appreciated.

Answer:

Code 76498—unlisted magnetic resonance procedure (e.g., diagnostic, interventional—is the code recommended for MRI for radiation therapy treatment planning by the American Medical Association and American College of Radiology (ACR) in Clinical Examples in Radiology.

However, if the images are obtained for simulation, then they are included in the simulation codes (77280–77290). The CPT^® book includes the following information:

“Simulation is the process of defining relevant normal and abnormal target anatomy, and acquiring the images and data necessary to develop the optimal radiation treatment process for the patient.”

CPT^® is a registered trademark of the American Medical Association.