MRI Reimbursement
2017 MRI Payment Information
The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the MRI services discussed. Payment will vary by geographic region.
The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2017. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.
MRI Procedures |
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| CPT CODE | DESCRIPTION | GLOBAL REIMBURSEMENT |
| TM Joint | ||
| 70336 | Non contrast | $325.87 |
| Chest | ||
| 71550 | Non contrast | $420.62 |
| 71552 | W&WO Contrast | $587.14 |
| Cervical Spine | ||
| 72141 | Non contrast | $227.53 |
| 72156 | W&WO Contrast | $385.09 |
| Thoracic Spine | ||
| 72146 | Non contrast | $227.89 |
| 72157 | W&WO Contrast | $385.80 |
| Lumbar Spine | ||
| 72148 | Non contrast | $226.82 |
| 72158 | W&WO Contrast | $383.65 |
| Abdomen | ||
| 74181 | Non contrast | $336.99 |
| 74183 | W&WO Contrast | $513.21 |
| Pelvis/Sacrum (S-I Joints) | ||
| 72195 | Non contrast | $380.06 |
| 72197 | W&WO Contrast | $512.13 |
| Extremity - Upper (Arm, Hand, Fingers) | ||
| 73218 | Non contrast | $370.01 |
| 73220 | W&WO Contrast | $506.39 |
| Extremity - Upper Joint (Shoulder, Elbow, Wrist) | ||
| 73221 | Non contrast | $240.45 |
| 73223 | W&WO Contrast | $476.24 |
| Extremity - Lower (Thigh, Leg, Foot) | ||
| 73718 | Non contrast | $369.29 |
| 73720 | W&WO Contrast | $508.90 |
| Extremity - Lower Joint (Hip, Knee, Ankle) | ||
| 73721 | Non contrast | $240.10 |
| 73723 | W&WO Contrast | $476.60 |