How To Use CPT Code 74182

CPT 74182 describes the use of magnetic resonance imaging (MRI) with contrast material to examine the structures and organs of the abdomen. 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 74182?

CPT 74182 is used to describe the performance of an MRI scan on the abdomen using contrast material. This code is specifically used when the MRI scan is performed with the administration of contrast material, which helps improve the visibility of internal structures or organs in the abdomen. The contrast material is typically injected intravenously through a small catheter placed in the vein of the arm or hand.

2. Official Description

The official description of CPT code 74182 is: ‘Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s).’ This code specifically refers to the use of MRI to examine the structures and organs of the abdomen, with the addition of contrast material to enhance the visibility of certain structures.

3. Procedure

1. The patient is prepared for the MRI scan by being asked to refrain from eating or drinking for a few hours before the test.
2. The patient is positioned on the scanning table, and the technician ensures that the patient’s abdomen is inside the MRI machine’s strong magnetic field.
3. The technician operates the MRI machine from a separate room, monitoring the patient throughout the exam.
4. The MRI machine uses a powerful magnetic field, radiofrequency pulses, and the natural magnetic properties of hydrogen atoms in the body to generate detailed 3D tomographic images of the abdomen.
5. If necessary, a contrast material is injected intravenously to improve the visibility of certain structures or organs in the abdomen.
6. The technician captures the radiofrequency signals emitted by the body, and a computer generates a series of images that display slices of the abdomen.
7. The images are reviewed by a radiologist, who analyzes the findings and prepares a written report.

4. Qualifying circumstances

CPT 74182 is used when an MRI scan of the abdomen is performed with the administration of contrast material. This code is applicable when the contrast material is used to enhance the visibility of specific structures or organs in the abdomen. The contrast material is typically injected intravenously, and it helps the radiologist observe certain structures more clearly.

5. When to use CPT code 74182

CPT code 74182 should be used when an MRI scan of the abdomen is performed with the administration of contrast material. This code is not appropriate for MRI scans of the abdomen without the use of contrast material. It is important to accurately report the use of contrast material to ensure proper billing and documentation.

6. Documentation requirements

To support a claim for CPT 74182, the following documentation is required:

• Indication for the MRI scan of the abdomen
• Documentation of the use of contrast material
• Date and time of the procedure
• Specific findings or observations made during the scan
• Diagnostic interpretation by the radiologist
• Written report of the radiologist’s findings

7. Billing guidelines

When billing for CPT 74182, it is important to ensure that the procedure meets the criteria for this specific code. The use of contrast material should be clearly documented, and the appropriate modifiers should be applied if necessary. It is also important to follow payer policies regarding the reporting of professional and technical components, as well as any specific guidelines for hospitals.

8. Historical information

CPT 74182 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes an MRI scan of the abdomen with contrast material to evaluate a suspected liver tumor.
2. An individual with abdominal pain receives an MRI scan with contrast material to assess the presence of any abnormalities in the abdomen.
3. A patient with a known kidney condition undergoes an MRI scan of the abdomen with contrast material to monitor the progression of the disease.
4. An individual with gastrointestinal symptoms receives an MRI scan with contrast material to investigate potential causes within the abdomen.
5. A patient with a history of abdominal trauma undergoes an MRI scan with contrast material to assess any internal injuries or damage.
6. An individual with a suspected pancreatic disorder receives an MRI scan of the abdomen with contrast material to evaluate the condition of the pancreas.
7. A patient with a known abdominal mass undergoes an MRI scan with contrast material to determine the nature and extent of the mass.
8. An individual with a suspected bowel obstruction receives an MRI scan of the abdomen with contrast material to assess the presence and location of the obstruction.
9. A patient with a history of liver disease undergoes an MRI scan with contrast material to monitor the progression of the condition.
10. An individual with a known abdominal aneurysm receives an MRI scan with contrast material to assess the size and characteristics of the aneurysm.