    
Final Comments Avail
Board Administrator
Username: Admin
Post Number: 71
Registered: 10-2002
| | Posted on Wednesday, February 04, 2009 - 01:49 pm: | 
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Comments:
for Cardiac MRI DRAFT LCD RAD-024
Request that the Cardiac MRI stress series of codes (75559, 75563) be moved to the
cardiac perfusion LCD CV-017. Currently the indications for a stress MRI
are not addressed in either the new draft or prior LCD RAD-024. Do we need to obtain an ABN every time and inform the patient that Medicare does not cover this? Directive in the LCD would be appreciated.
Response:
CPT codes 75558, 75560, 75562 and 75564 are deemed non-payable by Medicare and have been removed from this LCD.
If a beneficiary wishes a non-covered service to be performed, no ABN is needed. However, the decision whether to perform the service and/or to bill for it is not a Medicare issue.
Comments:
from WPS received requests for the addition to RAD-024 of multiple ICD-9 codes
Response:
WPS has evaluated requests for inclusion of multiple ICD-9-CM codes and determined the following codes valid for inclusion in RAD-024;
MRI Head 70336, 70540, 70542, 70543, 70551, 70552:
ICD-9 code 255.0 will be added to RAD-024.
MRI Cervical Spine
ICD-9 code 781.2 will be added to RAD-024
MRI Cardiac 75557, 75559, 75561, 75563:
ICD-9 codes 429.3 and 441.2 will be added to RAD-024
MRI Lower Extremity (73718-73723)
ICD-9 codes 094.0, 713.5 and 781.2 will be added to RAD-024
Comments:
A request was received to add to RAD -024 the ICD-9 codes for diabetes mellitus. (250.00-250.93).
Response:
Although diabetes can lead to medical problems that may require an MRI, diabetes by itself is not a primary indication for this diagnostic imaging service.
Comments:
A comment was received concerning the performance of a MRI procedure during a viable pregnancy or on a patient that has a pacemaker
Response:
The decision to perform MRIs during pregnancy or for a patient that has a pacemaker is a decision best left to the physicians involved in the patients' care.
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