Advancing Reimbursement for AI-Assisted Quantitative MRI
Understanding CPT Codes 0865T & 0866T for Quantitative Brain MRI
As of January 1, 2024, new Category III CPT codes (0865T, 0866T) are active for AI-assisted quantitative brain MRI analysis. These codes apply to a variety of vendor solutions, including Cortechs.ai’s solutions, and serve as an essential step toward achieving permanent reimbursement.
What These Codes Describe
0865T
Used for quantitative MRI analysis without a diagnostic MRI examination during the same session.
+0866T
Add-on code used when quantitative MRI analysis is performed with a diagnostic MRI examination in the same session. Must be reported alongside primary MRI codes (70551, 70552, 70553).
Refer to These Codes For:
- Brain Volume Quantification & Lesion Analysis
- Comparison to Prior Studies
- AI-Assisted Quantitative MRI Interpretation
Do Not to Refer to These Codes For:
- For Tissue Composition Analysis (refer to 0648T, 0649T, 0697T, or 0698T)
- For CT-Based Analysis (refer to 0721T or 0722T)
- If No Comparison to Prior MRI (refer to modifier 52 with 0865T or 0866T)
Take Action: Help Drive Reimbursement Progress
To ensure widespread clinical adoption and long-term reimbursement, providers should actively file for these codes when applicable. Greater utilization is key to transitioning them out of temporary Category III status.
For any questions on how to implement these codes, or for guidance on their usage, reach out to reimbursementsupport@cortechs.ai.
Let’s work together to secure sustainable reimbursement for AI-driven quantitative MRI analysis and expand patient access to these valuable technologies.
Compatible Cortechs.ai Solutions
Best-in-class brain segmentation and volumetric analysis
Accurately visualize lesions and lesion volume change.
Pre- and post-operative 3D volume analysis of brain tumors.
Segmentation and longitudinal tracking of FLAIR, T2*GRE, and SWI lesions
Have a question?
For any questions on how to implement these codes, or for guidance on their usage, reach out to a team member
