Medical Coding

Category - Radiology

The patient with possible brain damage received a functional MRI of the brain with administration of repetitive body part movements and visual stimulation. Due to the type of brain injury, the physician was required to administer all of the neurofunctional tests. The physician reviewed the test results and reported his findings to the patient’s primary care physician. What is the correct code for this visit?
  1. 96020, 70554
  2. 96020, 70555
  3. 96020
  4. 70555
Explanation
Answer: B - The correct code for this visit is 96020 (Neurofunctional Testing Selection and Administration During Non-Invasive Imaging Functional Brain Mapping, with Test Administered Entirely by a Physician, with Review or Test Results and Report) and 70555 (Magnetic Resonance Imaging, Brain, Functional MRI; Requiring Physician or Psychologist Administration of Entire Neurofunctional Testing).The physician administered the entire tests, therefore the correct code is 70555 not code 70554. In parenthesis, under the code, there is a note that states that code 96020 can only be used with code 70555.
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