How To Use CPT Code 72149

CPT 72149 describes the diagnostic procedure of magnetic resonance imaging (MRI) of the lumbar spinal canal and contents using contrast material. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 72149?

CPT 72149 is used to describe the diagnostic procedure of MRI of the lumbar spinal canal and its contents using contrast material. This code is specifically used when the provider performs an MRI scan of the lower back to visualize the lumbar spine and its associated structures.

2. Official Description

The official description of CPT code 72149 is: ‘Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s).’ This code is used when the provider performs an MRI scan of the lumbar spinal canal and its contents using contrast material.

3. Procedure

1. The patient is positioned on the scanning table, which slides into a large tunnel-shaped magnetic scanner.
2. The provider instructs the patient to hold their breath and remain still while the MRI images of the lumbar spine are taken.
3. If necessary, the provider administers contrast material to the patient to enhance the visibility of internal structures or organs.
4. The provider captures the radiofrequency signals generated by the body, and the computer generates a series of images that display slices of the lumbar spine.
5. The provider reviews the images, analyzes them, and interprets the results.
6. Finally, the provider prepares a written report of their findings based on the MRI scan.

4. Qualifying circumstances

CPT 72149 is used when the provider performs an MRI scan of the lumbar spinal canal and its contents using contrast material. This procedure is typically performed to diagnose, manage, and treat diseases or conditions affecting the lumbar spine. The contrast material is administered to improve the visibility of internal structures or organs during the MRI scan.

5. When to use CPT code 72149

CPT code 72149 should be used when the provider performs an MRI scan of the lumbar spinal canal and its contents using contrast material. This code is appropriate when the contrast material is administered to enhance the visibility of internal structures or organs during the MRI scan. If the MRI scan does not involve the use of contrast material, a different CPT code, such as 72158, should be used.

6. Documentation requirements

To support a claim for CPT code 72149, the provider must document the following information:

• Indication for the MRI scan of the lumbar spinal canal and its contents
• Administration of contrast material, if applicable
• Date and time of the MRI scan
• Interpretation and analysis of the MRI images
• Written report of the findings

7. Billing guidelines

When billing for CPT code 72149, ensure that the provider performs an MRI scan of the lumbar spinal canal and its contents using contrast material. If the provider only provides the interpretation of the radiology service, append modifier 26 to the CPT code. If the provider only provides the technical component of the radiology service, append modifier TC to the CPT code. However, note that payer policies may exempt hospitals from appending modifier TC. It is important to review individual payer policies for specific guidelines on reporting CPT code 72149 and any associated modifiers.

8. Historical information

CPT code 72149 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes an MRI scan of the lumbar spinal canal and its contents using contrast material to evaluate a suspected disc herniation.
2. An individual with chronic lower back pain receives an MRI scan of the lumbar spine with contrast material to assess the presence of any abnormalities.
3. A provider orders an MRI scan of the lumbar spinal canal and its contents with contrast material to investigate the cause of sciatica symptoms in a patient.
4. A postoperative patient undergoes an MRI scan of the lumbar spine with contrast material to assess the healing progress and identify any potential complications.
5. A provider performs an MRI scan of the lumbar spinal canal and its contents using contrast material to evaluate the extent of spinal stenosis in a patient.
6. An individual with suspected spinal infection undergoes an MRI scan of the lumbar spine with contrast material to aid in the diagnosis and treatment planning.
7. A patient with a history of lumbar disc degeneration receives an MRI scan with contrast material to assess the progression of the condition.
8. A provider orders an MRI scan of the lumbar spinal canal and its contents with contrast material to evaluate the effectiveness of a previous surgical intervention.
9. An individual with suspected spinal tumor undergoes an MRI scan of the lumbar spine with contrast material to aid in the diagnosis and treatment planning.
10. A patient with a history of trauma to the lumbar spine receives an MRI scan with contrast material to assess the extent of any associated injuries.