MRI Procedures Table
Anderson MRI Procedures List
|
Procedure |
CPT |
Contrast |
Prep |
MR1 |
MR2 |
|
BORE SIZE |
|
|
|
60cm |
70cm |
|
WEIGHT LIMIT |
|
|
|
350lbs |
500lbs |
|
Abdomen (MRI) |
74181 |
w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
|
74183 |
w/&w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
Abdomen (MRA Renal) |
74185 |
w/&w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
MRCP |
BC-879 |
w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
Abdomen + MRCP |
BC-1272 |
w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
|
BC-1273 |
w/&w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
60 |
|
Abdomen + Pelvis |
BC-342 |
w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
45 |
|
|
BC-344 |
w/&w/o |
NPO 4 hours/30 min arrival (water is fine) |
NO |
60 |
|
Enterography (Abd / Pelvis) |
BC-927 |
w/&w/o |
NPO 4 hours - Pt to arrive 1.5 hrs prior to scan to drink oral contrast |
NO |
60 |
|
Pelvis (MRI) |
72195 |
w/o |
NPO 4 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
72197 |
w/&w/o |
NPO 4 hours/30 min arrival (water is fine) |
45 |
60 |
|
Brain (MRI) |
70551 |
w/o |
No Prep/30 min arrival No Hairspray/Gel/Pins/Make-Up |
30 |
30 |
|
|
70553 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
45 |
45 |
|
Brain (MRI + MRA) |
BC-112 |
w/o |
No Prep/30 min arrival No Hairspray/Gel/Pins/Make-Up |
NO |
30 |
|
MRI Brain w/&w/o (70553) MRA head w/o (70544) |
BC-114
|
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
NO |
45 |
|
Brain MRA (Head / cranial arteries) |
70544 |
w/o |
No Prep/30 min arrival No Hairspray/Gel/Pins/Make-Up |
NO |
30 |
|
|
70546 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
NO |
|
|
Brain + Orbits (MRI) |
BC-110 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
45 |
45 |
|
Brain & IAC's (MRI) |
BC-348 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
45 |
45 |
|
Brain/Pituitary |
BC-349 |
w/&w/o |
NPO 2 hours /30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
NO |
60 |
|
Brain Seizure / Convulsions (MRI) |
BC-1388 |
w/&w/o |
NPO 2 hours /30 min arrival (water is fine) No Hairspray/Gel/Pins/Make-Up |
45 |
45 |
|
Neuroquant Brain MRI *** ALWAYS W/O CONTRAST *** |
70551 + 73677-MR |
w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
MRA Neck W/WO |
70549 |
w/&w/o |
NPO 2 hours /30 min arrival (water is fine) |
NO |
60 |
|
Neck (soft tissue MRI) |
BC-229 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
BC-228 |
w/&w/o |
NPO 2 hours /30 min arrival (water is fine) |
60 |
60 |
|
Cervical Spine (MRI) |
72141 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
72156 |
w/&w/o |
NPO 2 hours /30 min arrival (water is fine) |
45 |
45 |
|
Shoulder (MRI) |
Lt: BC-156 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
Lt: BC-154 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
|
Lt: BC-155 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-212 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
Rt: BC-210 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
|
Rt: BC-211 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Brachial Plexus (MRI) |
Lt: BC-551 |
Always w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
|
Rt: BC-552 |
Always w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
TMJ (MRI) |
70336 |
Always w/o |
No Prep/30 min arrival |
45 |
45 |
|
Elbow (MRI) |
Lt: BC-126 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-124 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Lt: BC-125 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-182 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-180 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-181 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Upper Extremity Non-Joint (MRI) (Forearm/Radius/Ulna & Humerus/Bicep) |
Lt: BC-549 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
Lt: BC-561 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
|
Rt: BC-562 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
Rt: BC-564 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
Wrist (MRI) |
Lt: BC-171 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-169 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Lt: BC-170 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-227 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-225 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-226 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Finger (MRI) |
BC-186 through BC-191 |
w/o |
No Prep/30 min arrival No Nail Polishes |
30 |
30 |
|
|
|
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Nail Polishes |
45 |
45 |
|
|
|
w/o |
No Prep/30 min arrival No Nail Polishes |
30 |
30 |
|
|
|
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Nail Polishes |
45 |
45 |
|
Hand (MRI) |
Lt: BC-144 |
w/o |
No Prep/30 min arrival No Nail Polishes |
30 |
30 |
|
|
Lt: BC-142 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Nail Polishes |
45 |
45 |
|
|
Rt: BC-200 |
w/o |
No Prep/30 min arrival No Nail Polishes |
30 |
30 |
|
|
Rt: BC-198 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) No Nail Polishes |
45 |
45 |
|
Thoracic Spine (MRI) |
72146 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
72157 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Lumbar Spine (MRI) |
72148 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
72158 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Sacrum / SI Joints (Pelvis MRI) |
BC-427 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
Hip - Bilateral (MRI) |
Bilat: BC-347 |
w/o |
No Prep/30 min arrival |
45 |
45 |
|
|
Bilat: BC-345 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
60 |
60 |
|
Hip (MRI) |
Lt: BC-147 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-145 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Lt: BC-146 |
w/ |
NPO 2 hours prior/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-203 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-201 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-202 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Knee (MRI) |
Lt: BC-153 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-151 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Lt: BC-152 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-209 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-207 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-208 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Lower Extremity Non-Joint (MRI) (Femur or Tib/Fib) |
Lt: BC-543 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-545 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-544 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-546 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Ankle (MRI) |
Lt: BC-123 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-121 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Lt: BC-122 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-179 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-177 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-178 |
w/ |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Foot (MRI) |
Lt: BC-138 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-136 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-194 |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-192 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Toe (MRI) |
Lt: BC-165 (joint) Lt: BC-167 (non-joint) |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Lt: BC-163(joint) Lt: BC-168 (non-joint) |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
|
Rt: BC-219 (joint) Rt: BC-222 (non-joint) |
w/o |
No Prep/30 min arrival |
30 |
30 |
|
|
Rt: BC-220 (joint) Rt: BC-223 non-joint |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
45 |
45 |
|
Run Off (MRA Abd+BLE) |
BC-230 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) |
NO |
60 |
|
Chest (MRI) |
71550 |
w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
|
71552 |
w/&w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
Chest (MRA) |
71555 |
w/&w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
Prostate Fusion (MRI) |
BC-1027 |
w/ |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
Prostate (MRI) |
BC-1280 |
w/ |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
|
BC-781 |
w&w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
Breast (Unilateral MRI) |
77046 |
w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
|
77048 |
w/&w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
Breast (Bilateral MRI) |
77047 |
w/o |
NOT AVAILABLE IN ANDERSON |
NO |
NO |
|
|
77049 |
w/&w/o |
NPO 2 hours/30 min arrival (water is fine) Per Angie -needs to be scheduled 10 days AFTER the FIRST day of their menstrual cycle |
NO |
45 |
|
Breast Biopsy (MR guidance) |
BC-1310 (CPT = 19085) |
n/a |
NPO 2 hours /30 min arrival (water is fine) |
60 |
60 |
|
Humerus *Only on MRI 2 |
|
w/o |
No Prep/30 min arrival |
NO |
45 |
|
Humerus *Only on MRI 2 |
Right BC-204 Left BC-148 |
w/wo |
NPO 2 hours/30 min arrival (water is fine) |
NO |
60 |