What is the CPT (Current Procedural Terminology) code for a Magnetic Resonance Imaging (MRI) of the complete spine with contrast in an adult or adolescent patient?

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CPT Code for MRI Complete Spine with Contrast

The CPT code for MRI of the complete spine with contrast is 72159 (MRI spine without contrast followed by contrast and further sequences) when performed as a single comprehensive study, though this is rarely the appropriate clinical approach based on current imaging guidelines.

Important Clinical Context

The provided evidence does not contain specific CPT coding information, as the studies focus on clinical appropriateness rather than billing codes. However, the clinical guidelines reveal critical information about when complete spine MRI with contrast should be ordered:

When Complete Spine MRI With Contrast Is Appropriate

MRI complete spine WITHOUT AND WITH contrast (not contrast alone) is the clinically appropriate study in specific scenarios:

  • Suspected infection, inflammation, or neoplasm in pediatric patients with back pain and clinical red flags 1
  • Screening for spinal neoplasms in patients with genetic predisposing conditions like NF2-related schwannomatosis, where surveillance every 2-3 years is recommended 1
  • CSF leak evaluation as the gold standard initial imaging, where the contrast component demonstrates dural enhancement and engorged epidural venous plexus 2
  • Positive radiographs suggesting disc-space narrowing, endplate irregularity, bone destruction, or spinal canal widening in children 1

Critical Caveat: Contrast-Only Studies Are Not Appropriate

The ACR guidelines explicitly state that MRI complete spine WITH contrast ONLY (without the non-contrast component) is rated as "usually not appropriate" (rating of 1) across all clinical scenarios 1. The non-contrast sequences, particularly fluid-sensitive T2-weighted and STIR sequences, provide the most critical diagnostic information 2.

Proper Ordering Approach

When ordering complete spine MRI with contrast, you should specify:

  • "MRI complete spine without and with IV contrast" - This ensures both non-contrast and post-contrast sequences are obtained
  • The contrast component is added to the non-contrast study when there is concern for infection, inflammation, tumor, or vascular abnormalities 1
  • Precontrast images are essential to assess enhancement properly 1

Common Pitfall to Avoid

Do not order "MRI complete spine with contrast only" - this provides inadequate diagnostic information and is considered inappropriate by imaging guidelines 1. Always include the non-contrast component when contrast is indicated.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Best Initial Imaging for CSF Leak Evaluation

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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