© Copyright 2025 American Medical Association. All rights reserved.
Quantitative magnetic resonance image (MRI) analysis of the brain, as described by CPT® Code 0865T, involves a sophisticated process that utilizes advanced software to evaluate brain lesions. This procedure is particularly relevant in monitoring conditions such as multiple sclerosis, where changes in the brain can be subtle yet significant over time. The analysis begins with the acquisition of new MRI images, which are then compared to previously obtained MRI studies. This comparison is crucial for identifying and characterizing lesions, as it allows for the quantification of changes in the brain's structure and volume. The software overlays the new images with prior segments, facilitating a detailed examination of the brain's condition. The process includes the identification of diseased areas, which are analyzed to assess their progression or regression. The quantitative analysis not only focuses on lesion identification but also includes brain volume quantification and severity scoring, when applicable. This comprehensive approach ensures that the results are contextualized against normative data based on age and gender, providing a benchmark for comparison. Once the analysis is complete, a detailed report is generated, summarizing the findings and highlighting any significant changes observed. This report is then transmitted to the physician or qualified professional for further review and interpretation. It is important to note that this procedure is performed without a diagnostic MRI examination of the brain during the same session, ensuring that the analysis is distinct and focused solely on the quantitative assessment of previously acquired images.
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The quantitative magnetic resonance image analysis of the brain using CPT® Code 0865T is indicated for the following conditions:
The procedure for quantitative MRI analysis of the brain involves several key steps:
Post-procedure care for the quantitative MRI analysis typically involves the physician reviewing the generated report and images. The physician may discuss the findings with the patient, including any implications for treatment or further diagnostic testing. If the quantitative analysis is performed concurrently with a diagnostic MRI examination of the brain, the final report can be generated and returned within 30 minutes, allowing for real-time interpretation. This timely review facilitates immediate clinical decision-making based on the most current data available. Additionally, any necessary corrections to the report can be made by the physician before finalization, ensuring accuracy in the documentation of the patient's condition.
| Short Descr | QUAN MRI ALYS BRN W/O DX MRI | Medium Descr | QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS | Long Descr | Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the brain during the same session | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 4 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic imaging 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 | 88 - | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. |
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| 2024-01-01 | Added | Code Added. |
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