I need a CPT code for an outpatient hospital scenario, Radiology Report. Examination: MRI of brain with contrast. Clinical symptoms: Slurred speech, right arm weakness. Magnetic resonance examination of the brain was performed prior to contrast utilizing T1-weighted sagittal views as well as spin density and T2-weighted sequences in the axial plane. These were supplemented with axial T1-weighted sequence following intravenous infusion of paramagnetic contrast material. Diffusion sequence was also performed. In the spin density and T2-weighted sequences (images 17 and 18 of series 3), there is a small localized area of occipital cortex that shows increased intensity. This is also bright in the diffusion sequence. This area is not hyperintense in the ADC map. I do not appreciate significant abnormal increased or decreased intensity within brain parenchyma of the remainder of the supratentorial brain. However, there is bilateral irregularly shaped increased intensity within the pontine tegmentum. This is not hyperintense in the diffusion sequence. Ventricles are of normal size. Normal gray-white matter delineation. No abnormal contrast enhancement of brain parenchyma. Impression: Small hyperintense area of the cortex of the right occipital lobe, as described above. This is also hyperintense in the diffusion sequence but not in the ADC map. This would indicate that this represents limited subacute infarction. I do not appreciate other areas of subacute infarction. Remainder of supratentorial portion of the brain is unremarkable. Hazy increased intensity within the pontine tegmentum. This is not unusual in the older age group (8th and 9h decades) and is sometimes thought to represent evidence of microvascular ischemic change. However, it is rarely indeterminate. In this case, I do not appreciate evidence of enlargement of the brainstem, nor is there abnormal enhancement to suggest neoplasm. I cannot elucidate further. Provide the CPT code.

Question

I need a CPT code for an outpatient hospital scenario, Radiology Report. Examination: MRI of brain with contrast. Clinical symptoms: Slurred speech, right arm weakness. Magnetic resonance examination of the brain was performed prior to contrast utilizing T1-weighted sagittal views as well as spin density and T2-weighted sequences in the axial plane. These were supplemented with axial T1-weighted sequence following intravenous infusion of paramagnetic contrast material. Diffusion sequence was also performed. In the spin density and T2-weighted sequences (images 17 and 18 of series 3), there is a small localized area of occipital cortex that shows increased intensity. This is also bright in the diffusion sequence. This area is not hyperintense in the ADC map. I do not appreciate significant abnormal increased or decreased intensity within brain parenchyma of the remainder of the supratentorial brain. However, there is bilateral irregularly shaped increased intensity within the pontine tegmentum. This is not hyperintense in the diffusion sequence. Ventricles are of normal size. Normal gray-white matter delineation. No abnormal contrast enhancement of brain parenchyma. Impression: Small hyperintense area of the cortex of the right occipital lobe, as described above. This is also hyperintense in the diffusion sequence but not in the ADC map. This would indicate that this represents limited subacute infarction. I do not appreciate other areas of subacute infarction. Remainder of supratentorial portion of the brain is unremarkable. Hazy increased intensity within the pontine tegmentum. This is not unusual in the older age group (8th and 9h decades) and is sometimes thought to represent evidence of microvascular ischemic change. However, it is rarely indeterminate. In this case, I do not appreciate evidence of enlargement of the brainstem, nor is there abnormal enhancement to suggest neoplasm. I cannot elucidate further. Provide the CPT code.

Answer 1

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Answer 2

To determine the appropriate CPT code for an outpatient hospital scenario involving a MRI of the brain with contrast, you would need to consult the Current Procedural Terminology (CPT) manual. The CPT code is a five-digit code used to describe medical, surgical, and diagnostic services provided by healthcare providers.

In this case, based on the provided information, the CPT code for an MRI of the brain with contrast would likely be 70553. Code 70553 specifically describes an MRI of the brain with contrast, including at least one of the following: pre-contrast, post-contrast, and/or delayed images.

Remember that CPT codes can vary based on factors such as the facility, region, insurance requirements, and any additional specific circumstances. It's always best to consult the CPT manual or seek guidance from a medical coding professional to ensure accurate coding for billing purposes.