Radiology Question for the Week of December 15, 2025

Question:

Can you provide any insight or coding tips for codes 76014 and 76015? Specifically, can we charge 76014 for every patient with an implanted device if we must review prior documentation to determine whether the device is MRI-compatible?

Answer:

76014 and 76015 are intended for MR safety assessments of implanted devices or foreign bodies in complex scenarios, not for routine verification of standard devices

• 76014 – MR safety implant/foreign body assessment, initial 15 minutes: This code is reported when trained clinical staff perform a detailed MR safety evaluation prior to MRI. The assessment includes identification and verification of implant components from surgical reports, prior imaging, medical device databases, or vendor information; analyzing the MR conditional status of each component; and consulting published guidance, with documentation provided in a written report. It is appropriate for complex cases, such as devices that are incompletely documented, non-functioning, or have unusual components.
• 76015 – Each additional 30 minutes: Used when the assessment requires extended time, such as evaluating multiple implants or old devices with incomplete records.

Key Coding Considerations:

• Complexity is required: Routine checks of standard MRI-compatible devices do not meet criteria for reporting 76014.
• Documentation is critical: Clearly note the source of device information reviewed, the complexity of the evaluation, and why it was necessary for safe MRI performance.
• Do not report for every patient with an implant: Only use 76014/76015 when the evaluation is beyond standard procedures due to device complexity, incomplete documentation, or safety concerns.

76014/76015 are reserved for complex MR safety evaluations, ensuring patient safety and proper documentation. Routine verification of well-documented, standard devices should not be reported with these codes.