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McLaren MRI User Manual

McLaren MRI
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MRI Pre-Authorization Guide
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MRI/MRA Categories:
Head/Brain
Cervical Spine
Thoracic Spine
Lumbosacral Spine
Orbits, Face or Neck
Tempomandibular Joints (TMJ)
Abdomen
Lower Extremity Joint (Hip, Knee, Ankle)
Lower Extremity Non Joint (Femur, Lower Leg, Foot)
Upper Extremity Joint (Shoulder, Elbow, Wrist)
Upper Extremity Non Joint (Humerus, Forearm, Hand)
Chest
Pelvis/SI Joints
Breast
MRA/MRV
Other Misc Codes
Helpful Links
MRI Health History Screening Form
Outpatient MRI Order Form
Breast MRI Order Form
Prep Reference Guide
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McLaren MRI Specifications

General IconGeneral
BrandMcLaren
ModelMRI
CategoryEducational Equipment
LanguageEnglish

Summary

MRI Brain/Head Pre-Authorization

70551 - MRI Brain without contrast

Pre-authorization for MRI Brain scan without contrast agent.

70552 - MRI Brain with contrast

Pre-authorization for MRI Brain scan with contrast agent.

70553 - MRI Brain with and without contrast

Pre-authorization for MRI Brain scan with and without contrast.

MRI Cervical Spine Pre-Authorization

72141 - MRI Cervical Spine without contrast

Pre-authorization for MRI Cervical Spine scan without contrast.

72142 - MRI Cervical Spine with contrast

Pre-authorization for MRI Cervical Spine scan with contrast.

72156 - MRI Cervical Spine with and without contrast

Pre-authorization for MRI Cervical Spine scan with and without contrast.

MRI Thoracic Spine Pre-Authorization

72146 - MRI Thoracic Spine without contrast

Pre-authorization for MRI Thoracic Spine scan without contrast.

72147 - MRI Thoracic Spine with contrast

Pre-authorization for MRI Thoracic Spine scan with contrast.

72157 - MRI Thoracic Spine with and without contrast

Pre-authorization for MRI Thoracic Spine scan with and without contrast.

MRI Lumbosacral Spine Pre-Authorization

72148 - MRI Lumbosacral Spine without contrast

Pre-authorization for MRI Lumbosacral Spine scan without contrast.

72149 - MRI Lumbosacral Spine with contrast

Pre-authorization for MRI Lumbosacral Spine scan with contrast.

72158 - MRI Lumbosacral Spine with and without contrast

Pre-authorization for MRI Lumbosacral Spine scan with and without contrast.

MRI Orbits, Face, Neck Pre-Authorization

70540 - MRI Face Neck Orbit without contrast

Pre-authorization for MRI Face, Neck, or Orbit scan without contrast.

70542 - MRI Face Neck Orbit with contrast

Pre-authorization for MRI Face, Neck, or Orbit scan with contrast.

70543 - MRI Face Neck Orbit with and without contrast

Pre-authorization for MRI Face, Neck, or Orbit scan with/without contrast.

MRI Abdomen Pre-Authorization

74181 - MRI Abdomen without contrast

Pre-authorization for MRI Abdomen scan without contrast.

74182 - MRI Abdomen with contrast

Pre-authorization for MRI Abdomen scan with contrast.

74183 - MRI Abdomen with and without contrast

Pre-authorization for MRI Abdomen scan with and without contrast.

MRI Pelvis Pre-Authorization

72195 - MRI Pelvis without contrast

Pre-authorization for MRI Pelvis scan without contrast.

72196 - MRI Pelvis with contrast

Pre-authorization for MRI Pelvis scan with contrast.

72197 - MRI Pelvis with and without contrast

Pre-authorization for MRI Pelvis scan with and without contrast.

MRI Chest Pre-Authorization

71550 - MRI Chest without contrast

Pre-authorization for MRI Chest scan without contrast.

71551 - MRI Chest with contrast

Pre-authorization for MRI Chest scan with contrast.

71552 - MRI Chest with and without contrast

Pre-authorization for MRI Chest scan with and without contrast.

MRI Upper Extremity Joint Pre-Authorization

73221 - MRI Upper Extremity Joint without contrast

Pre-authorization for MRI Upper Extremity Joint scan without contrast.

73222 - MRI Upper Extremity Joint with contrast

Pre-authorization for MRI Upper Extremity Joint scan with contrast.

73223 - MRI Upper Extremity Joint with and without contrast

Pre-authorization for MRI Upper Extremity Joint scan with/without contrast.

MRI Upper Extremity Non-Joint Pre-Authorization

73218 - MRI Upper Extremity without contrast

Pre-authorization for MRI Upper Extremity (Non-Joint) scan without contrast.

73219 - MRI Upper Extremity with contrast

Pre-authorization for MRI Upper Extremity (Non-Joint) scan with contrast.

73220 - MRI Upper Extremity with and without contrast

Pre-authorization for MRI Upper Extremity (Non-Joint) scan with/without contrast.

MRI Lower Extremity Non-Joint Pre-Authorization

73718 - MRI Lower Extremity without contrast

Pre-authorization for MRI Lower Extremity (Non-Joint) scan without contrast.

73719 - MRI Lower Extremity with contrast

Pre-authorization for MRI Lower Extremity (Non-Joint) scan with contrast.

73720 - MRI Lower Extremity with and without contrast

Pre-authorization for MRI Lower Extremity (Non-Joint) scan with/without contrast.

MRI Lower Extremity Joint Pre-Authorization

73721 - MRI Lower Extremity Joint without contrast

Pre-authorization for MRI Lower Extremity Joint scan without contrast.

73722 - MRI Lower Extremity Joint with contrast

Pre-authorization for MRI Lower Extremity Joint scan with contrast.

73723 - MRI Lower Extremity Joint with and without contrast

Pre-authorization for MRI Lower Extremity Joint scan with/without contrast.

MRI Breast Pre-Authorization

77058 - MRI Breast Unilateral

Pre-authorization for Unilateral MRI Breast scan, covering contrast variations.

77059 - MRI Breast Bilateral

Pre-authorization for Bilateral MRI Breast scan, covering contrast variations.

MRI Temporomandibular Joint (TMJ) Pre-Authorization

70336 - MRI TMJ without contrast

Pre-authorization for MRI TMJ scan without contrast.

70336 - MRI TMJ with contrast

Pre-authorization for MRI TMJ scan with contrast.

70336 - MRI TMJ with and without contrast

Pre-authorization for MRI TMJ scan with and without contrast.

MRA/MRV Pre-Authorization Codes

74185, 73725 - MRA Abdomen Pelvis with Bilateral Lower Extremities (Runoff)

Pre-authorization for MRA of Abdomen, Pelvis, and Lower Extremities.

74185 - MRA Abdomen

Pre-authorization for MRA of the Abdomen.

71555 - MRA Chest

Pre-authorization for MRA of the Chest.

70544 - MRA Head/Brain without contrast

Pre-authorization for MRA Head/Brain scan without contrast.

70545 - MRA Head/Brain with contrast

Pre-authorization for MRA Head/Brain scan with contrast.

70546 - MRA Head/Brain with and without contrast

Pre-authorization for MRA Head/Brain scan with/without contrast.

73725 - MRA Lower Extremity

Pre-authorization for MRA of the Lower Extremity.

70547 - MRA Neck without contrast

Pre-authorization for MRA Neck scan without contrast.

70548 - MRA Neck with contrast

Pre-authorization for MRA Neck scan with contrast.

70549 - MRA Neck with and without contrast

Pre-authorization for MRA Neck scan with/without contrast.

72198 - MRA Pelvis

Pre-authorization for MRA of the Pelvis.

73225 - MRA Upper Extremity

Pre-authorization for MRA of the Upper Extremity.

74185 - MRV Abdomen

Pre-authorization for MRV of the Abdomen.

70544 - MRV Head/Brain without contrast

Pre-authorization for MRV Head/Brain scan without contrast.

70545 - MRV Head/Brain with contrast

Pre-authorization for MRV Head/Brain scan with contrast.

70546 - MRV Head/Brain with and without contrast

Pre-authorization for MRV Head/Brain scan with/without contrast.

72198 - MRV Pelvis

Pre-authorization for MRV of the Pelvis.

MRI Miscellaneous Codes

77084 - MRI Bone Marrow Blood Supply

Pre-authorization for MRI Bone Marrow Blood Supply.

73721 - MRI Extremity Signature Protocol

Pre-authorization for MRI Extremity Signature Protocol.

77021 - MRI Guidance for Needle Placement

Pre-authorization for MRI Guidance for Needle Placement.

77022 - MRI Guided Tissue Ablation

Pre-authorization for MRI Guided Tissue Ablation.

76498 - MRI Radiation Therapy Treatment Planning

Pre-authorization for MRI Radiation Therapy Treatment Planning.

70551 - MRI Stroke Protocol

Pre-authorization for MRI Stroke Protocol.

159T - CAD for Breast MRI

Pre-authorization for CAD for Breast MRI.

19085 - MRI Breast Biopsy or Localization

Pre-authorization for MRI Breast Biopsy or Localization.

19086 - MRI Breast Biopsy or Localization Additional Lesions

Pre-authorization for MRI Breast Biopsy/Localization of Additional Lesions.