MRI Brain with and Without Contrast CPT: All You Need to Know

Introduction

Magnetic resonance imaging (MRI) is a medical imaging technique that uses a strong magnetic field and radio waves to create detailed images of the inside of the body. MRI brain scans are used to diagnose a wide range of conditions, including brain tumors, strokes, and multiple sclerosis.

MRI brain scans can be performed with or without contrast. Contrast agents are injected into the bloodstream before the scan to help enhance the visibility of certain tissues and structures. Contrast-enhanced MRI brain scans are often used to diagnose brain tumors and other conditions that affect the blood-brain barrier.

CPT Codes for MRI Brain with and Without Contrast

The Current Procedural Terminology (CPT) code for MRI brain without contrast is 70551. The CPT code for MRI brain with contrast is 70553.

Reimbursement for MRI Brain with and Without Contrast

The reimbursement for MRI brain with and without contrast varies depending on the insurance carrier and the patient's location. However, the following are some general guidelines:

• MRI brain without contrast: $500-$1,000
• MRI brain with contrast: $600-$1,200

When to Order MRI Brain with and Without Contrast

MRI brain with contrast is typically ordered when the doctor suspects that there may be a brain tumor or other condition that affects the blood-brain barrier. MRI brain without contrast is typically ordered when the doctor wants to rule out other conditions, such as stroke or infection.

Benefits of MRI Brain with Contrast

MRI brain with contrast offers several benefits over MRI brain without contrast, including:

• Improved visualization of brain tumors and other lesions
• Increased sensitivity for detecting brain metastases
• Better evaluation of the blood-brain barrier

Risks of MRI Brain with Contrast

MRI brain with contrast is generally safe, but there are some risks associated with the procedure, including:

• Allergic reaction to the contrast agent
• Kidney damage (in patients with kidney disease)
• Gadolinium deposition in the brain (a rare but serious condition)

Tips for Preparing for MRI Brain with Contrast

• Tell your doctor if you have any allergies, especially to contrast agents.
• Drink plenty of fluids before the scan.
• Avoid eating or drinking for 4-6 hours before the scan.
• Wear comfortable clothing.
• Bring a book or other form of entertainment to keep you occupied during the scan.

What to Expect During MRI Brain with Contrast

During MRI brain with contrast, you will lie on a table that will be moved into a large magnet. A contrast agent will be injected into your veins. The scan will take about 30-60 minutes.

After MRI Brain with Contrast

After MRI brain with contrast, you will be able to go home. You may experience some side effects from the contrast agent, such as nausea, vomiting, or dizziness. These side effects should go away within a few hours.

Common Mistakes to Avoid

• Do not eat or drink for 4-6 hours before the scan.
• Do not wear any metal objects during the scan.
• Tell your doctor if you have any allergies, especially to contrast agents.
• Drink plenty of fluids after the scan to help flush the contrast agent out of your system.

Conclusion

MRI brain with and without contrast are valuable diagnostic tools that can help doctors diagnose a wide range of brain conditions. If your doctor recommends an MRI brain, be sure to ask if contrast will be used.