How To Use CPT Code 0697T

CPT 0697T describes the quantitative magnetic resonance analysis of tissue composition using multiparametric data acquisition, preparation, transmission, interpretation, and reporting. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0697T?

CPT 0697T can be used to describe the quantitative analysis of tissue composition using magnetic resonance imaging (MRI) without a diagnostic examination of the same anatomy during the same session. This code represents the acquisition, preparation, and transmission of data, as well as the interpretation and reporting of the results. It is used when multiple organs are involved in the analysis.

2. Official Description

The official description of CPT code 0697T is: ‘Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure) during the same session; multiple organs.’

3. Procedure

1. The provider positions the patient appropriately in the MRI machine and acquires images and data.
2. The software and technique allow for the characterization of tissue composition using various parameters, such as mapping and analysis for inflammation, iron, and fat quantification.
3. The provider prepares the acquired data and transmits it for analysis.
4. The code also includes the interpretation of the results and the preparation of a report.

4. Qualifying circumstances

CPT 0697T is used when there is a quantitative analysis of tissue composition using MRI for multiple organs. It should not be reported in conjunction with codes for diagnostic MRI of the same anatomy. The code should not be used when evaluating the same organ, gland, tissue, or target structure as codes 70540, 70542, 70543, 70551, 70552, 70553, 71550, 71551, 71552, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, 74183, 75557, 75559, 75561, 75563, 76390, 76498, 77046, 77047, 77048, 77049, or 0398T.

5. When to use CPT code 0697T

CPT code 0697T should be used when there is a quantitative analysis of tissue composition using MRI for multiple organs, and there is no diagnostic MRI of the same anatomy during the same session. It is important to ensure that the analysis is performed without a diagnostic examination and that the code is not reported with other codes for diagnostic MRI of the same anatomy.

6. Documentation requirements

To support a claim for CPT code 0697T, the provider must document the following information:

• Reason for the quantitative analysis of tissue composition
• Specific organs involved in the analysis
• Date and duration of the session
• Details of the acquired data and the parameters used for analysis
• Interpretation of the results
• Preparation of a report

7. Billing guidelines

When billing for CPT code 0697T, ensure that the analysis is performed for multiple organs using quantitative magnetic resonance. Do not report this code in conjunction with codes for diagnostic MRI of the same anatomy. It is important to follow the specific guidelines provided by the payer and to accurately document the services provided.

8. Historical information

CPT code 0697T was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a quantitative analysis of tissue composition using MRI for the liver and spleen, obtaining multiparametric data and preparing a report.
2. A patient undergoes a quantitative analysis of tissue composition using MRI for the brain and spinal cord, with interpretation and reporting of the results.
3. A provider conducts a quantitative analysis of tissue composition using MRI for the kidneys and adrenal glands, including data acquisition, preparation, transmission, interpretation, and report.
4. A patient receives a quantitative analysis of tissue composition using MRI for the heart and lungs, with multiparametric data acquisition and interpretation of the results.
5. A provider performs a quantitative analysis of tissue composition using MRI for the muscles and bones, preparing a report based on the acquired data.
6. A patient undergoes a quantitative analysis of tissue composition using MRI for the prostate and bladder, with interpretation and reporting of the results.
7. A provider conducts a quantitative analysis of tissue composition using MRI for the breasts and lymph nodes, including data acquisition, preparation, transmission, interpretation, and report.
8. A patient receives a quantitative analysis of tissue composition using MRI for the gastrointestinal tract and liver, with multiparametric data acquisition and interpretation of the results.
9. A provider performs a quantitative analysis of tissue composition using MRI for the thyroid and parathyroid glands, preparing a report based on the acquired data.
10. A patient undergoes a quantitative analysis of tissue composition using MRI for the reproductive organs and pelvic region, with interpretation and reporting of the results.