C8900 |
 |
Magnetic resonance angiography with contrast, abdomen
short | Mra w/cont, abd |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
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C8901 |
 |
Magnetic resonance angiography without contrast, abdomen
short | Mra w/o cont, abd |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
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C8902 |
 |
Magnetic resonance angiography without contrast followed by with contrast, abdomen
short | Mra w/o fol w/cont, abd |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8903 |
 |
Magnetic resonance imaging with contrast, breast; unilateral
short | Mri w/cont, breast, uni |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction | OPH | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
|
|
C8904 |
 |
Magnetic resonance imaging without contrast, breast; unilateral
short | Mri w/o cont, breast, uni |
|
|
C8905 |
 |
Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
short | Mri w/o fol w/cont, brst, un |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction | OPH | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
|
|
C8906 |
 |
Magnetic resonance imaging with contrast, breast; bilateral
short | Mri w/cont, breast, bi |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction | OPH | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
|
|
C8907 |
 |
Magnetic resonance imaging without contrast, breast; bilateral
short | Mri w/o cont, breast, bi |
|
|
C8908 |
 |
Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
short | Mri w/o fol w/cont, breast, |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction | OPH | 1.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
|
|
C8909 |
 |
Magnetic resonance angiography with contrast, chest (excluding myocardium)
short | Mra w/cont, chest |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8910 |
 |
Magnetic resonance angiography without contrast, chest (excluding myocardium)
short | Mra w/o cont, chest |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8911 |
 |
Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
short | Mra w/o fol w/cont, chest |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8912 |
 |
Magnetic resonance angiography with contrast, lower extremity
short | Mra w/cont, lwr ext |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
C8913 |
 |
Magnetic resonance angiography without contrast, lower extremity
short | Mra w/o cont, lwr ext |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
C8914 |
 |
Magnetic resonance angiography without contrast followed by with contrast, lower extremity
short | Mra w/o fol w/cont, lwr ext |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
C8918 |
 |
Magnetic resonance angiography with contrast, pelvis
short | Mra w/cont, pelvis |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8919 |
 |
Magnetic resonance angiography without contrast, pelvis
short | Mra w/o cont, pelvis |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
C8920 |
 |
Magnetic resonance angiography without contrast followed by with contrast, pelvis
short | Mra w/o fol w/cont, pelvis |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
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