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Quantitative magnetic resonance image (MRI) analysis of the brain involves the use of advanced software to assess and compare newly acquired MRI images with previously obtained MRI studies. This procedure is particularly useful in identifying and analyzing lesions in the brain, which may be indicative of various neurological conditions, such as multiple sclerosis. By overlaying multiple images, the software allows for a detailed examination of changes in the brain over time, facilitating the detection and characterization of diseased areas. The analysis includes quantifying brain volumes and, when applicable, providing a severity score. The process begins with the upload of the most recent MRI study, which is then compared to earlier images to highlight any significant changes. The output images generated from this analysis are carefully reviewed for quality assurance before being processed to quantify the observed changes. Additionally, the results are benchmarked against normative data based on age and gender to provide context for the findings. A comprehensive report is subsequently generated, summarizing the analysis and findings, which is then transmitted to the physician or qualified professional for further evaluation. When this analysis is performed concurrently with the diagnostic MRI examination of the brain, the final report can be produced and made available for real-time review within a 30-minute timeframe, allowing the physician to assess the quantitative data alongside the MRI images and make any necessary adjustments before finalizing the report.
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The quantitative magnetic resonance image analysis of the brain is indicated for the following conditions:
The procedure for quantitative magnetic resonance image analysis of the brain involves several key steps:
Post-procedure care for patients undergoing quantitative MRI analysis typically involves the review of the generated report by the physician. The physician will assess the quantitative findings alongside the MRI images, making any necessary corrections before finalizing the report. Patients may not require any specific post-procedure care related to the MRI analysis itself, but they should be informed about the results and any potential follow-up actions based on the findings. It is essential for the physician to communicate the results effectively to the patient, discussing any implications for treatment or further diagnostic evaluations if needed.
| Short Descr | QUAN MRI ALYS BRN W/DX MRI | Medium Descr | QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI | Long Descr | Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the brain (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 | Procedure or Service, Not Discounted when Multiple | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 70551 | MPFS Status: Active Code APC Q3 ASC Z3 Physician Quality Reporting PUB 100 CPT Assistant Article Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | 70552 | MPFS Status: Active Code APC Q3 ASC Z3 Physician Quality Reporting PUB 100 CPT Assistant Article Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) | 70553 | MPFS Status: Active Code APC Q3 ASC Z2 Physician Quality Reporting PUB 100 CPT Assistant Article Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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. | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area |
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| 2024-01-01 | Added | Code Added. |
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