Imaging · Other

70552

Brain and brainstem MRI acquired only after a gadolinium contrast injection, with no non-contrast sequences in the same session.

3 sources ↓

Medicare
$268.88
Work RVU
1.74
Global, days
Region
Other
Drawn from CMS

Documentation requirements

What must appear in the operative or office note to support the claim.

Source · Editorial brief grounded in 3 cited references ↓

  • Order with the reason for contrast, such as metastasis staging
  • Gadolinium agent and dose
  • Report confirming contrast-only sequences
  • Kidney function screening per facility protocol
  • Prior authorization for commercial plans

Applicable modifiers

Modifiers commonly billed with this code.

Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual

What this code covers

Source · Editorial summary grounded in 3 cited references ↓

70552 is a brain MRI with contrast only. It is uncommon because most brain protocols include non-contrast sequences first, which makes the study 70553.

In an orthopedic or spine setting, contrast brain imaging shows up in metastatic disease. A patient with a pathologic fracture or spinal metastasis from a known primary may need brain staging. Infection workups are another case.

The main audit risk is code-to-report mismatch. Read the protocol. If the report lists pre-contrast T1 or any non-contrast sequences, the code is 70553. Billing 70552 when 70553 was performed underpays the claim, and billing 70553 when only contrast images were acquired overbills it.

Prior authorization is usually required for outpatient brain MRI on commercial plans, and the approved code has to match what was performed. Gadolinium screening, including kidney function when the facility requires it, belongs in the technologist record.

RVU & reimbursement

Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.

Source · CMS Physician Fee Schedule, RVU26A · January 2026

Work RVU vs. total RVU

The work RVU (1.74) is the surgeon's own effort — the figure physician pay and productivity targets are built on. The total RVU (8.05) adds practice overhead and malpractice, and is what drives the Medicare payment below.

Work RVU 1.74
Practice expense RVU 6.19
Malpractice RVU 0.12
Total RVU 8.05
Medicare national rate $268.88
Global period days

Payment by site of service

Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.

Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026

SettingMedicare rate (national)
Office (PFS non-facility)
Procedure performed in physician's office
$268.88
HOPD (APC 5572)
Hospital outpatient department
$356.43

Common denial reasons

The recurring reasons claims for CPT 70552 get rejected.

Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓

  • Report shows non-contrast sequences, so 70553 was correct
  • Authorization was for a different brain MRI code
  • Diagnosis does not support contrast
  • Global billed in a facility setting
  • No signed report

Frequently asked questions

Source · Generated from the editorial pipeline, verified against 3 cited references ↓

01When is 70552 used instead of 70553?
Only when the brain MRI had contrast sequences and no non-contrast sequences. Most protocols include both, which is 70553.
02Does a pathologic fracture justify a brain MRI?
It can when the patient has a known or suspected primary cancer and staging is needed. The order should state that.
03Is prior authorization needed for 70552?
Most commercial plans require it for outpatient MRI.

Sources & references

Editorial content was developed using the following public sources.

  1. 01CMS Physician Fee Schedule 2026
  2. 02
    cms.gov
    https://www.cms.gov/medicare/payment/fee-schedules/physician
  3. 03
    cms.gov
    https://www.cms.gov/medicare/coding-billing/national-correct-coding-initiative-ncci-edits

Mira Scribe

For a patient with a pathologic fracture, Mira Scribe records the known cancer history and the staging plan, which supports any brain imaging that follows.

See how Mira captures CPT 70552 documentation

Related CPT codes

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