2025 CPT code 74712
Effective Date: N/A Radiology - Diagnostic Radiology (Diagnostic Imaging) Feed
Magnetic resonance imaging (MRI) of the fetus, including placental and maternal pelvic imaging when performed; single or first gestation.
Modifiers are allowed. Modifier 26 is used for the professional component, TC for the technical component. Modifiers 51, 52, 59, 76, 77, 79, 80, 81, 82, 99, and others may also apply depending on specific circumstances.
Medical necessity for a fetal MRI must be established. It is typically justified when ultrasound findings are inconclusive or raise concerns about fetal development, placental abnormalities, or other relevant conditions. The specific medical reasons necessitating the MRI should be clearly documented.
In simple words: A fetal MRI uses a special machine to take detailed pictures of your unborn baby. It helps doctors check how the baby is developing and see if there are any problems. The pictures can also show the placenta and the mother's pelvis. This procedure is safe and uses magnets and radio waves, not X-rays.
Fetal magnetic resonance imaging (MRI) uses magnetic fields and radio waves to create detailed images of the unborn baby. A computer converts these signals into three-dimensional images, allowing examination of the fetus from different angles. This procedure helps identify any abnormalities in the developing fetus. Imaging of the placenta and the maternal pelvis may also be included. This code is specifically for the first gestation or a single fetus.
Example 1: A pregnant woman in her second trimester undergoes a fetal MRI due to concerns about potential fetal abnormalities detected on an ultrasound., A woman with a twin pregnancy undergoes a fetal MRI. Code 74712 would be reported for the first fetus, and add-on code 74713 would be reported for the second fetus., A pregnant woman with a suspected placenta accreta undergoes a fetal MRI to assess both the fetal development and the placenta's condition.
Documentation should include the indication for the fetal MRI, such as suspected fetal anomalies or placental concerns. Details about the imaging performed, including the areas imaged (fetus, placenta, maternal pelvis), should also be documented. Any findings or diagnoses based on the MRI should be clearly recorded.
- Modifier TC rule: TC modifier applies when only the technical component of the procedure is performed and billed.
- Specialties:Radiology, Obstetrics and Gynecology, Maternal-Fetal Medicine
- Place of Service:Outpatient Hospital