How To Use CPT Code 74713

CPT 74713 describes the use of magnetic resonance imaging (MRI) to examine the unborn baby and identify any abnormalities in its development. 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 74713?

CPT 74713 can be used to describe the use of MRI to examine the unborn baby and identify any abnormalities in its development. This code is an add-on code and should be reported in conjunction with the primary code, CPT 74712, for a single or first gestation.

2. Official Description

The official description of CPT code 74713 is: ‘Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure).’ This code should be used in conjunction with CPT code 74712.

3. Procedure

1. The patient is placed on a scanning table that slides into a large tunnel-shaped magnetic scanner.
2. The magnetic field produced by the MRI temporarily realigns the hydrogen atoms in the body, producing radiofrequency signals.
3. A computer receives these signals, analyzes them, and converts them into three-dimensional digital images.
4. The provider may also choose to image the placenta and maternal pelvis.

4. Qualifying circumstances

CPT 74713 is used when performing MRI on each additional gestation after the first. It is important to note that this code should be reported in conjunction with the primary code, CPT 74712, for a single or first gestation.

5. When to use CPT code 74713

CPT code 74713 should be used when performing MRI on each additional gestation after the first. It is important to report this code in conjunction with the primary code, CPT 74712, for a single or first gestation.

6. Documentation requirements

To support a claim for CPT 74713, the provider must document the following information:

• The need for MRI on each additional gestation after the first
• The specific findings or abnormalities identified during the MRI
• The date and time of the procedure
• Any additional imaging performed, such as placental and maternal pelvic imaging
• The signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 74713, ensure that the procedure is performed on each additional gestation after the first. This code should be reported in conjunction with the primary code, CPT 74712. Do not report CPT 74712 and 74713 in conjunction with CPT codes 72195, 72196, or 72197. It is important to note that payers will not reimburse for CPT 74713 if it is reported without the primary code, CPT 74712.

8. Historical information

CPT 74713 was added to the Current Procedural Terminology system on January 1, 2016. There have been no updates to the code since its addition.

9. Examples

1. An obstetrician performing an MRI on a second gestation to examine the unborn baby’s development.
2. A radiologist using MRI to identify any abnormalities in the development of an unborn baby during a third gestation.
3. A maternal-fetal medicine specialist performing an MRI on a fourth gestation to assess the structure of the organs in the unborn baby.
4. A perinatologist using MRI to examine the placenta and maternal pelvis during a fifth gestation.
5. A gynecologist performing an MRI on a sixth gestation to identify any abnormalities in the unborn baby’s development.
6. A radiology technician assisting in the MRI of a seventh gestation to assess the growth and development of the unborn baby.
7. A fetal medicine specialist using MRI to examine the placenta and maternal pelvis during an eighth gestation.
8. An obstetrician performing an MRI on a ninth gestation to identify any abnormalities in the unborn baby’s development.
9. A radiologist using MRI to assess the structure of the organs in the unborn baby during a tenth gestation.
10. A maternal-fetal medicine specialist performing an MRI on an eleventh gestation to examine the placenta and maternal pelvis.