2025 CPT code 74713
(Active) Effective Date: N/A Revision Date: N/A Diagnostic Radiology - Magnetic Resonance Imaging (MRI) Radiology Feed
Add-on code for fetal MRI; each additional gestation after the first.
Modifiers may apply depending on the circumstances of the service.Consult the CPT manual and payer guidelines for more details. Common modifiers include 26 (professional component), 59 (distinct procedural service), and TC (technical component).
Medical necessity for fetal MRI is established by the presence of high-risk factors in the pregnancy, such as suspected fetal anomalies or malformations, or a maternal condition that may affect fetal development.The physician's clinical judgment plays a key role in establishing the need for the procedure.
The radiologist is responsible for performing and interpreting the fetal MRI, including imaging of the placenta and maternal pelvis if performed.
In simple words: This code is an extra charge for an MRI scan of an unborn baby during pregnancy. It's only billed if there are multiple pregnancies (twins, triplets etc.) and is added to the main cost of the first scan.
This CPT code, 74713, represents the add-on charge for fetal magnetic resonance imaging (MRI) for each additional gestation beyond the first.It includes imaging of the fetus, placenta, and maternal pelvis when performed. This code is always reported in addition to the primary procedure code 74712 (for the first gestation) and should not be used with codes 72195, 72196, or 72197.
Example 1: A patient is pregnant with twins.Code 74712 is used for the first gestation's MRI, and 74713 is added for the second gestation's MRI., A patient is pregnant with triplets. Code 74712 is used for the first gestation and 74713 is added twice for the second and third gestations., A patient presents with a high-risk pregnancy and requires fetal MRI. The scan reveals abnormalities in fetal development, and additional imaging of the placenta and maternal pelvis is conducted. Code 74712 is reported for the initial fetal MRI and no additional codes are needed if the placenta and maternal pelvis are imaged.
Detailed physician order specifying the need for fetal MRI, including any concerns about fetal development or anomalies.Radiology report detailing the findings of the fetal MRI, including images and measurements.Gestational age of the fetus(es).
** This add-on code is used only for additional gestations beyond the first. The primary code, 74712, should be reported for the first gestation.Imaging of the placenta and maternal pelvis, when performed, is included in both 74712 and 74713.
- Revenue Code: I2D (ADVANCED IMAGING - MRI: OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply in certain situations, typically when the technical component is billed separately. Refer to specific payer requirements for TC modifier usage.
- Specialties:Obstetrics, Gynecology, Radiology
- Place of Service:Office, Hospital, Ambulatory Surgical Center