| Procedure Code | Description | Setting | Coverage |
|---|---|---|---|
| 72148 | MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIAL | outpatient | covered |
| 72149 | MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITH CONTRAST MATERIAL(S) | outpatient | covered |
| 72158 | MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SEQUENCES; LUMBAR | outpatient | covered |
| A9585 | INJECTION, GADOBUTROL, 0.1 ML | outpatient | covered |
| Q9953 | INJECTION, IRON-BASED MAGNETIC RESONANCE CONTRAST AGENT, PER ML | outpatient | covered |
Sign up free for a 7-day unlimited trial.
Create free account