Magnetic Resonance Angiography Policy Update

Effective for dates of service on or after April 1, 2012, Magnetic Resonance Angiography (MRA) reimbursement policy will be updated. Multiple (different) anatomic sites performed at the same session/time on the same date are reimbursed as follows; for the professional component (modifier 26) is 100 percent for the first, second and subsequent MRAs and reimbursement for the technical component (modifier TC) is 100 percent for the first MRA and 50 percent for the second and subsequent MRAs. Reimbursement for a subsequent MRA session for the same anatomical area, same date of service, will be 100 percent for both the technical (modifier TC) and professional (modifier 26) components. For second and subsequent sessions, enter the times of the scans and the CPT codes in Box 19 of the claim. Reimbursement for a subsequent session for an MRA of a different anatomic site, different time, same day is 100 percent for both the professional (modifier 26) and technical (modifier TC) components. For second and subsequent sessions, enter the times of the scans and the CPT codes in Box 19 of the claim. Source: General Medicine | March 2012 | Bulletin 453