Summary & Overview
CPT 70547: Magnetic Resonance Angiography of Neck Without Contrast
CPT code 70547 is a nationally recognized billing code for magnetic resonance angiography (MRA) of the neck, performed without contrast material. This diagnostic radiology procedure is essential for evaluating the carotid and vertebral arteries, helping clinicians detect vascular abnormalities and guide treatment decisions. The code is widely used in outpatient hospital and office settings, reflecting its importance in routine vascular imaging.
Major payers covering this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, Medicare, and UnitedHealthcare. Understanding coverage policies and billing practices for these insurers is crucial for providers and healthcare administrators seeking to optimize reimbursement and compliance.
This publication provides a comprehensive overview of CPT code 70547, including clinical context, payer coverage, and related policy updates. Readers will gain insights into typical sites of service, common billing modifiers, and associated diagnostic codes. The report also highlights related CPT codes for head and neck MRA procedures, offering a broader perspective on diagnostic imaging trends. By reviewing benchmarks and policy changes, stakeholders can stay informed about evolving practices in radiology billing and reimbursement.
CPT Code Overview
CPT code 70547 represents a magnetic resonance angiography (MRA) of the neck, specifically targeting vessels such as the carotid and vertebral arteries, performed without contrast material. This procedure falls under diagnostic radiology (diagnostic imaging) procedures of the head and neck. It is typically conducted in an outpatient hospital or office setting, most commonly billed in outpatient environments such as place of service 19 or 11. The MRA of the neck is a non-invasive imaging technique used to evaluate vascular structures and detect abnormalities without the use of contrast agents.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult presenting to an outpatient hospital or office setting with symptoms suggestive of vascular pathology in the neck, such as transient ischemic attacks, stroke-like symptoms, or evaluation of known or suspected neoplasms affecting the carotid or vertebral arteries. The ordering physician requests a magnetic resonance angiography (MRA) of the neck, specifically without contrast material, to assess the patency and anatomy of the neck vessels. The radiologist interprets the images to assist in diagnosis and management, often in coordination with neurology or oncology teams.
Coding Specifications
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Modifiers:
26- Professional Component: Used when only the interpretation and report are provided by the physician.TC- Technical Component: Used when only the technical portion (equipment, staff, etc.) is provided.59- Distinct Procedural Service: Used to indicate a procedure or service was distinct or independent from other services performed on the same day.76- Repeat Procedure by Same Physician: Used when the same physician repeats the procedure on the same patient.
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Provider Taxonomies:
2085R0700X- Diagnostic Radiology: Represents providers specializing in diagnostic imaging, including radiologists who interpret MRA studies.