B33 – Imaging, Upper Arteries, Magnetic Resonance Imaging (MRI)
Coding Notes
Active
Non-billable / Non-specific, not valid for HIPAA-covered transactions
PCS Table
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Section
B
Imaging
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Body System
3
Upper Arteries
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Type
3
Magnetic Resonance Imaging (MRI)
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| Body Part | Contrast | Qualifier | Qualifier |
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0
Thoracic Aorta
5
Common Carotid Arteries, Bilateral
8
Internal Carotid Arteries, Bilateral
G
Vertebral Arteries, Bilateral
H
Upper Extremity Arteries, Right
J
Upper Extremity Arteries, Left
K
Upper Extremity Arteries, Bilateral
M
Spinal Arteries
Q
Cervico-Cerebral Arch
R
Intracranial Arteries
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Y
Other Contrast
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0
Unenhanced and Enhanced
Z
None
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Z
None
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0
Thoracic Aorta
5
Common Carotid Arteries, Bilateral
8
Internal Carotid Arteries, Bilateral
G
Vertebral Arteries, Bilateral
H
Upper Extremity Arteries, Right
J
Upper Extremity Arteries, Left
K
Upper Extremity Arteries, Bilateral
M
Spinal Arteries
Q
Cervico-Cerebral Arch
R
Intracranial Arteries
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Z
None
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Z
None
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Z
None
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