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BETA v.3.0

2025 CPT code 70546

Magnetic resonance angiography of the head, without contrast, followed by contrast and further sequences.

When reporting only the physician’s interpretation, append modifier 26. When reporting only the technical component, append modifier TC (payer policies may vary). Do not append modifiers for global services.

Modifiers 26 (Professional Component) and TC (Technical Component) can be applied depending on who performed the service.

Medical necessity is established by the presence of signs, symptoms, or conditions that warrant evaluation of the head's vasculature. This could include suspected aneurysm, stroke, TIA, vascular malformation, or head trauma.

The patient lies still on a table that slides into the MRI machine. Images are taken without contrast, then contrast material is injected intravenously, and more images are taken. A radiologist interprets the images.

In simple words: This is a special type of MRI scan of your head that takes pictures of your blood vessels. It's done in two parts: first without dye, and then with dye injected into your arm to get clearer pictures.

Magnetic resonance angiography (MRA) of the head is performed to visualize the blood vessels. Initially, images are acquired without contrast material. Following this, a contrast agent, typically gadolinium-based, is administered intravenously, and additional sequences are obtained to enhance the visualization of the vasculature. This comprehensive approach allows for a detailed evaluation of both the anatomical structure and the blood flow dynamics within the head's circulatory system.

Example 1: A patient with suspected intracranial aneurysm undergoes MRA of the head with and without contrast to confirm the diagnosis and assess its size and location., A patient experiencing transient ischemic attacks (TIAs) undergoes MRA to evaluate for carotid artery stenosis or other vascular abnormalities that may be contributing to the symptoms., A patient with a history of head trauma undergoes MRA to assess for vascular injuries, such as dissection or arteriovenous malformations.

Documentation should include the reason for the MRA, clinical indications, and the results of the imaging study. Any relevant prior imaging or medical history should also be noted.

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