HealingWell
Search Close Search
☰

CPT code for a 3T prostate MRI

Support Forums
>
Prostate Cancer
✚ New Topic ✚ Reply
❬ ❬ Previous Thread |Next Thread ❭ ❭
Posted 12/12/2019 5:16 PM (GMT 0)
Can somebody post what is the CPT code for a 3T prostate MRI? I am trying to check with my insurance my cost related to 3T MRI? does the CPT code distinguish between a traditional (1.5T) vs 3T MRI? Thanks

Here is my previous posting:

[url] https://www.healingwell.com/community/default.aspx?f=35&m=4119102&g=4121945#m4121945 [url]

Post Edited (Ray-Texas) : 12/12/2019 10:22:42 AM (GMT-7)

Posted 12/12/2019 7:50 PM (GMT 0)
In looking over my EOB statements from my insurance company, it looks like the CPT code is 72197. Mine also has a "TC" attached at the end of it and I was on a 3T machine. It is my understanding that this covers the abdominal/prostate scan with/without contrast.
Posted 12/12/2019 8:08 PM (GMT 0)
After my last post, I recalled that I had a scan on a 1.5 MRI machine at the same facility (without contrast) about three months later as part of the planning process for SBRT. I found that EOB and the CPT number was slightly different: 72195 TC. I'm not sure what the letters are for, but it does look like they used different number codes for the two machines. The billing charge for the two different machines was higher for the 3T machine.
Posted 12/12/2019 8:36 PM (GMT 0)
Thank you so much, looking up the codes, I found the following:

72195 Magnetic resonance (e.g., proton) imaging, pelvis, without contrast material(s)

72196 Magnetic resonance (e.g., proton) imaging, pelvis, with contrast material(s)

72197 Magnetic resonance (e.g., proton) imaging, pelvis, without contrast material(s), followed by contrast material(s) and further sequences

Post Edited (Ray-Texas) : 12/12/2019 1:43:07 PM (GMT-7)

Posted 12/13/2019 10:56 AM (GMT 0)
Only too glad to help out. Best wishes.
✚ New Topic ✚ Reply