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72146 Mri chest spine w/o dye

What 72146 is

CMS fee schedule short descriptor: Mri chest spine w/o dye.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 72146 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.444.160.105.70$190.39
Facility (hospital, ASC)1.444.160.105.70$190.39

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 72146 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 72146? These codes are bundled into it

72146 is a Column 1 code in 8 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
01922Anes n-invas img/radj ther0 - no modifier bypassCheck pair
0609TMrs disc pain acquisj data0 - no modifier bypassCheck pair
0610TMrs disc pain transmis data0 - no modifier bypassCheck pair
0611TMrs disc pain alg alys data0 - no modifier bypassCheck pair
0612TMrs discogenic pain i&r0 - no modifier bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

72146 is bundled into these codes

72146 appears as a Column 2 code in 7 active edits. Reported with one of these Column 1 codes on the same date of service, 72146 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0648TQuan mr tis wo mri 1orgn1Check pair
72147Mri chest spine w/dye0Check pair
72157Mri chest spine w/o & w/dye0Check pair
72159Mr angio spine w/o&w/dye1Check pair
C89311Check pair
C89321Check pair
C89331Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.