Empower Profession
Empower Action #3
Only cost is your Time/Genius/Implementation
An AMA CPT Code Application was submitted September 2021. It was denied.
Look for "Abbreviated Breast MRI" (77X50) on the AMA September CPT Public Agenda (on page 5 -- published 7/30/21)
The American Medical Association (AMA) already 'accepts' bilateral screening AB-MRIs under code 77049 -- at least in its Q & A of the "Clinical Examples in Radiology," Winter 2020 Edition as shown below (Presslwitz Correspandence).
However, this code is not unique enough to reflect the screening purpose and substantial reduced cost of AB-MRI breast screening. The AMA has denied the use of a "52" modifier, which would differentiate both purpose and cost.
Interestingly, The American College of Radiology (ACR) supports using code modifier "52". To see their response click here, and scroll to page 12. This is where we need the support of the professionals.
The Empower Action 3 choices are:
1. Implement the 2021 ACR recommendation of using modifier "52" now.
Currently, the AMA does NOT support an appended modifier (see AMA Prellwitz Correspondence) but the American College of Radiology (ACR) does (follow link and scroll to page 12).
AND/OR
2. Contact current CPT Editorial Panel members, and state your support for a new CPT code for an Abbreviated MRI (AB-MRI) OR a two digit appendage code (ie. 33 for "Preventive Services", '52', or '59').
The CPT Editorial Panel Listing is at:
https://www.ama-assn.org/delivering-care/ama-guides/ama-guides-editorial-panel-members
(contact info is as follows - may be subject to error)
Helene Fearon, PT
Physical Therapy
Fearon Physical Therapy, Inc.
6245 N 24th Pkwy #105, Phoenix, AZ 85016
(602) 997-7844
David Gloss, MD
Neurology
Charleston Area Medical Center
415 Morris St #300, Charleston, WV 25301
(304) 388-6441
Douglas Martin, MD (co-chair)
Occupational Medicine
UnityPoint Health St. Luke’s
4230 War Eagle Dr, Sioux City, IA 51109
(712) 224-4300
JMark Melhorn, MD
Occupational Orthopaedics
University of Kansas School of Medicine-Wichita
929 North St Francis Street, Wichita, KS 67214
Lylas G. Mogk, MD
Opthamology
Henry Ford Medical Center - Livonia
29200 Schoolcraft Rd, St #2341, Livonia MI 48150
(734) 523-1070
Noah Raizman, MD
Orthopaedic Surgery
The Centers for Advanced Orthopaedics
1015 18th St NW St #300, Washington, DC 20036
(202) 835-2222
Jan Towers, PhD
Nursing
Frederick Community Health Care Homeless Clinic
601-13th St-NW, St #430 N. Washington, DC 20005
(202) 417-2074
Steven D. Feinberg, MD
Pain Management
Feinberg Medical Group
825 El Camino Real, Palo Alto, CA 94301
(650) 223-6400
Rita Livingston, MD, MPH
Preventive Medicine
Live-Well Medical Consultants, LLC
130 Tibet Ave St #108, Savannah, GA 31406
Eric Auty Kanoalani Mayer, MD
Physical Medicine & Rehabilitation
Seton Spine & Scoliosis Center
1600 West 38th St. St #200, Austin TX 78731
(512) 324-3580
Robert Goldberg, DO
Physical Medicine & Rehabilitation
The Institute for Family Health -- Manhattan
2006 Madison Avenue, New York, NY 10035
212-633-0800
Marilyn Price, MD
Psychiatry
Massachusetts General Hospital
One Bowdoin Square, Boston, 02114-2927
(617) 724-8690 / (617) 724-5600
Michael Saffir, MD
Physical Medicine and Rehabilitation
Orthopaedic Specialty Group
75 Kings Hwy Cutoff, Fairfield, CT 06824
(203) 337-2600