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CPT®
0159T

CPT® Code 0159T
Deleted

Code deleted, see 77048, 77049

Official Description

Computer-aided detection, including computer algorithm analysis of MRA image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation, breast MRA (List separately in addition to code for primary procedure)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Computer-aided detection (CAD) is a sophisticated imaging technology that utilizes computer algorithms to analyze magnetic resonance angiography (MRA) image data specifically for the purpose of detecting and characterizing lesions in the breast. This process involves a systematic approach where MRI images of the breast are processed through advanced computer software, which meticulously examines the data displayed on a screen to identify any unusual or suspicious areas that may indicate the presence of a lesion. The CAD system enhances the MRI imaging by marking regions of interest that warrant further investigation. It is important to note that these marked areas do not automatically indicate malignancy; rather, they highlight regions that require additional scrutiny by a qualified medical professional. Following the computer analysis, a physician, typically a radiologist, conducts a thorough review of the original MRI images alongside the CAD-generated analysis. This dual review process allows the radiologist to assess the depth, location, and characteristics of the identified lesions within the breast tissue. By comparing the original imaging data with the CAD analysis, the physician can make informed interpretations regarding the potential presence of malignancies, ensuring a comprehensive evaluation of the patient's condition.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure is indicated for the following conditions:

  • Lesion Detection The CAD system is utilized to assist in identifying breast lesions that may not be easily visible through standard imaging techniques.
  • Lesion Characterization CAD aids in characterizing the features of detected lesions, providing additional information that may assist in diagnosis.
  • Follow-Up Imaging This procedure is indicated for patients requiring follow-up imaging to monitor previously identified lesions or abnormalities in the breast.

2. Procedure

The procedure involves several key steps to ensure accurate detection and characterization of breast lesions:

  • Step 1: Image Acquisition The initial step involves obtaining high-quality MRI images of the breast. This is typically performed using a dedicated breast MRI machine that captures detailed images of the breast tissue.
  • Step 2: Computer Algorithm Analysis Once the MRI images are acquired, they are processed through a computer-aided detection system. The CAD software employs advanced algorithms to analyze the image data, systematically scanning for any areas that appear abnormal or suspicious.
  • Step 3: Marking Regions of Interest During the analysis, the CAD system marks regions of interest on the MRI images. These markings indicate areas that may require further evaluation, although they do not confirm the presence of malignancy.
  • Step 4: Physician Review After the CAD analysis is complete, a qualified physician, usually a radiologist, reviews both the original MRI images and the CAD-marked images. This step is crucial for interpreting the findings accurately.
  • Step 5: Comparative Analysis The physician conducts a comparative analysis of the original images and the CAD results. This thorough review allows the radiologist to assess the marked regions in the context of the overall imaging data.
  • Step 6: Interpretation of Findings Finally, the physician interprets the findings based on the comparative analysis, determining the significance of the marked areas and making recommendations for further action if necessary.

3. Post-Procedure

Post-procedure care involves monitoring the patient for any immediate reactions to the MRI contrast agent, if used, and providing instructions regarding follow-up appointments. The physician will discuss the results of the CAD analysis and the MRI findings with the patient, outlining any further diagnostic steps or treatments that may be necessary based on the interpretation of the imaging data. Patients may be advised to schedule additional imaging or consultations with specialists if any suspicious lesions are identified. Overall, the post-procedure phase is essential for ensuring that patients receive comprehensive care based on the results of the CAD-enhanced MRI evaluation.
Short Descr CAD BREAST MRI
Medium Descr COMPUTER AIDED DETECTION BREAST MRI
Long Descr Computer-aided detection, including computer algorithm analysis of MRA image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation, breast MRA (List separately in addition to code for primary procedure)
Status Code Carriers Price the Code
Global Days ZZZ - Code Related to Another Service
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I4B - Imaging/procedure - other
MUE Not applicable/unspecified.
CCS Clinical Classification 198 - Magnetic resonance imaging
Date
Action
Notes
2019-01-01 Deleted Code deleted, see 77048, 77049
2007-01-01 Added Added
Code
Description
Code
Description
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