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

 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

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