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How do you obtain approval for an MRI prostate for radiation planning?
2 Answers
Mednet Member
Radiation Oncology · Tennessee Oncology
Approval of another MRI using diagnostic CPT codes (e.g. 72197) is unlikely. CPT 76498 (unlisted MRI procedure) is commonly used for radiation treatment-planning MRIs, such as for brain and prostate. As an example, see eviCore's Onc-1.5 policy on this.
Have users seen repeated denials of CPT 76498 (...