Imaging Codes for Physicians
Trust your patients' needs to the skilled medical imaging professionals at Vertical Plus MRI. For your convenience, we've provided a list of imaging options and their codes, as well as indications for the particular study.
| Body Part |
Procedure for Pre-Authorization |
CPT Code |
Indications for Exam or Study |
Contrast |
| BRAIN |
MRI Brain Without Contrast |
70551 |
Alzheimer's, Stroke/CVA, Mental Status Changes, TIA, Confusion, Trauma, Dementia, Dizziness/Vertigo, Memory Loss, Headaches, & Suspected MS |
No Contrast |
| BRAIN |
MRI Brain With & Without Contrast |
70553 |
Tumor/Mass/Cancer, Pituitary Lesion, Cranial Nerve Lesions, Acoustic Neuroma, HIV/AIDS, Syringomyelia (Syrinx), Infection, Visual Change, MS (Multiple Sclerosis), Metastases Neurofibromatosis, Vascular Lesions (AVM), Hearing Loss, IAC Mass, Elevated Prolactin, & Bell's Palsy (Facial Weakness) |
Contrast |
| MRA BRAIN |
MRA Brain With Contrast |
70544 |
Aneurysm, Family History TIA (Transient Ischemic Accident), Stroke/CVA (Cerebrovascular Accident), & Venous Thrombosis |
No Contrast |
| MRI ORBITS |
MRI Brain With & Without Contrast |
70553 |
Trauma, Pseudo Tumor, Grave's Disease, Tumor/Mass/Cancer/Mets, Exophthalmos/Proptosis, & Vascular Lesions (Hemangioma) |
Contrast |
| MRI NECK |
MRI Orbits/Face/Neck With & Without Contrast |
70543 |
Infection, Tumor, Mass, Cancer, Mets Pain, & Vocal Cord Paralysis |
Contrast |
| MRI SPINE: Cervical |
MRI Cervical Spine Without Contrast |
72141 |
Neck Pain, Numbness, Arm/Shoulder Pain, Degenerative Disk Disease, Disk Herniation, & Radiculopathy |
No Contrast |
| MRI SPINE: Cervical |
MRI Cervical Spine Without & With Contrast |
72156 |
Syringomyelia (Syrinx), Myelopathy, Discitis (Disk Infection), MS (Multiple Sclerosis), Osteomyelitis, Tumor, Mass, Cancer, & Mets |
Contrast |
| MRI SPINE: Thoracic |
MRI Thoracic Spine Without Contrast |
72146 |
Back Pain, Trauma, Degenerative Disk Disease, Compression Fracture, Disk Herniation, Radiculopathy, & No History Of Malignancy |
No Contrast |
| MRI SPINE: Lumbar |
MRI Lumbar Spine Without & With Contrast |
72158 |
Discitis (Disk Infection), Post-Op Hx Of Back Surgery, Osteomyelitis, Tumor, Mass, Cancer, & Mets |
Contrast |
| MRI PELVIS |
MRI Pelvis Without Contrast |
72195 |
Fracture, Trauma, Hip/Pelvis Pain, & Muscle or Tendon Tears |
No Contrast |
| MRI PELVIS |
MRI Pelvis With & Without Contrast |
72197 |
Tumor, Mass, Cancer, Mets, Osteomyelitis, Septic Arthritis, Ovarian Mass, Fibroid, Endometrioma, Adenomyosis, & Infertility |
Contrast |
| MRI UPPER EXTREMITY NON-JOINT |
MRI Non-Joint Upper Extremity Without Contrast |
73218 |
Fracture, Muscle or Tendon Tear, & Stress Fracture |
No Contrast |
| MRI UPPER EXTREMITY NON-JOINT |
MRI Non-Joint Upper Extremity Without & With Contrast |
73220 |
Abscess, Myositis, Ulcer, Osteomyelitis, Soft Tissue Tumor, Mass, & Mets |
Contrast |
| MRI LOWER EXTREMITY NON-JOINT |
MRI Non-Joint Lower Extremity Without Contrast |
73718 |
Fracture, Muscle or Tendon Tear, & Stress Fracture |
No Contrast |
| MRI LOWER EXTREMITY NON-JOINT |
MRI Non-Joint Lower Extremity Without & With Contrast |
73720 |
Abscess, Myositis, Ulcer, Osteomyelitis, Tumor/Mass/Mets, Morton's Neuroma, Soft Tissue Tumor or Mass, & Plantar Fasciitis |
Contrast |
| MRI UPPER EXTREMITY JOINT |
MRI Joint Upper Extremity With Our Contest |
73221 |
Arthritis, Muscle Tear, Avascular Necrosis (AVN) Ligament Tear, Stress Fracture, & Joint Pain |
No Contrast |
| MRI UPPER EXTREMITY JOINT |
MRI Joint Upper Extremity Without & With Contrast |
73223 |
Abscess, Osteomyelitis, Inflammatory Arthritis, Ulcer Septic Arthritis, Cellulitis Tumor, Mass, Cancer, Mets, Myositis & Osteochondritis Dissecans |
Contrast |
| MRI Lower Extremity Joint |
MRI Joint Lower Extremity Without Contrast |
73721 |
Arthritis, Muscle Tear, Avascular Necrosis (AVN) Ligament Tear, Stress Fracture, Joint Pain, Internal Derangement, Meniscal Tear, Cartilage Tear, & Osteochondritis Dissecans |
No Contrast |
| MRI Lower Extremity Joint |
MRI Joint Lower Extremity Without & With Contrast |
73723 |
Abscess, Osteomyelitis, Ulcer, Inflammatory Arthritis, Cellulitis, Septic Arthritis, Tumor, Mass, Cancer, Mets, & Myositis |
Contrast |
|
|
|
