Quantitative MRI tissue composition analysis for a single organ

Description

This service involves the quantitative analysis of tissue composition using MRI, focused on a single organ. It includes the acquisition, preparation, interpretation, and reporting of data, and is performed in conjunction with a diagnostic MRI of the same anatomical area.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

$950.50

Patient Copayment / Coinsurance

$190.10

Calculation breakdown:

Minimum (20% of rate)$190.10

Top Modifiers

Graph View

List View

HCPCS/CPT 26Professional component of diagnostic services(61.33%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(13.33%)

HCPCS/CPT X5Services rendered only as ordered by another clinician(2.67%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(2.67%)

HCPCS/CPT TCTechnical component of diagnostic imaging services(2.67%)

HCPCS/CPT MHClinical decision support mechanism consultation not documented(1.33%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)