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BETA v.3.0

2025 CPT code 72196

Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)

Modifiers 26 (professional component) and TC (technical component) can be used to report the professional or technical aspects of the procedure separately. Modifier 59 may be used to indicate a distinct procedural service.

Medical necessity for this procedure must be established by demonstrating the clinical need for imaging to evaluate a specific medical condition. The documentation must support the use of contrast to enhance the diagnostic value of the study.

The physician performing the MRI is responsible for supervising the technical performance of the scan, administering the contrast material, interpreting the images, and generating a report detailing the findings.

In simple words: An MRI of your pelvis will be performed using a special dye to help create clearer pictures. You will lie inside a large tube while the machine takes pictures. The doctor will then examine these images to help diagnose any problems.

This procedure involves magnetic resonance imaging (MRI) of the pelvis using contrast material. The patient is positioned within the MRI scanner, and images are acquired after the administration of contrast. The radiologist then interprets the images and prepares a report.

Example 1: A patient presents with chronic pelvic pain. An MRI of the pelvis with contrast is ordered to evaluate for masses, inflammation, or other abnormalities., A patient with a history of prostate cancer undergoes an MRI of the pelvis with contrast to assess for local recurrence or metastasis., Following a traumatic pelvic injury, an MRI with contrast is performed to evaluate the extent of soft tissue damage and bony fractures.

Documentation should include the reason for the MRI, the type and dose of contrast material used, the findings of the interpretation, and any relevant clinical information.

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