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BETA v.3.0

2025 CPT code 74183

MRI of the abdomen, without and with contrast.

This code is for the combined performance of an MRI of the abdomen without contrast followed by an MRI with contrast and further sequences. Modifier 26 should be appended for the professional component only, and TC for the technical component only.

Modifiers 26 (Professional Component) and TC (Technical Component) may be applicable.

Medical necessity for this procedure must be established by documenting the patient's symptoms, signs, and clinical history supporting the need for an MRI of the abdomen with and without contrast. The potential benefits of the MRI, such as ruling out a serious condition or guiding treatment decisions, should outweigh the risks.

In simple words: This procedure uses a powerful magnet, radio waves, and a computer to create detailed pictures of the organs and structures in your abdomen. It's done in two parts: first without, and then with, a special dye (contrast) injected into your vein to help highlight specific areas.

Magnetic resonance (e.g., proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences.

Example 1: A patient presents with right lower quadrant pain concerning for appendicitis. An abdominal MRI with and without contrast is ordered to evaluate the appendix and surrounding tissues., A patient with a history of liver cirrhosis requires an MRI of the abdomen with and without contrast to assess for the development of hepatocellular carcinoma., A patient experiencing unexplained abdominal pain and weight loss undergoes an MRI of the abdomen with and without contrast to evaluate for any masses, inflammation, or other abnormalities within the abdominal organs.

The medical record should document the clinical indication for the MRI, such as abdominal pain, suspected mass, or follow-up evaluation of a known condition. The report from the radiologist interpreting the MRI should include a detailed description of the findings, including measurements, location, and characteristics of any identified abnormalities.

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