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Official Description

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Magnetic resonance imaging (MRI) of the chest, as described by CPT® Code 71550, is a sophisticated imaging technique that utilizes the magnetic properties of hydrogen nuclei within the body to create detailed images of the chest area. This noninvasive procedure does not involve exposure to ionizing radiation, making it a safer alternative for evaluating various thoracic conditions. During the MRI, a powerful magnetic field is generated, which aligns the hydrogen atoms in the body. Subsequently, radiowaves are transmitted into this magnetic field, causing the protons in the hydrogen nuclei to emit specific radiofrequency signals. These signals are captured by a computer, which processes the data to produce high-resolution tomographic images in three-dimensional slices. The resulting images allow healthcare professionals to assess the chest for abnormalities, including the evaluation of hilar and mediastinal lymphadenopathy, abnormal growths, lymph nodes, blood vessels, and the potential spread of cancer. It is important to note that in the context of CPT® Code 71550, no contrast material is utilized, differentiating it from other related codes that involve the use of contrast agents to enhance image clarity.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 71550 is indicated for various clinical scenarios where detailed imaging of the chest is necessary. The following conditions may warrant the use of this MRI technique:

  • Evaluation of Hilar and Mediastinal Lymphadenopathy This imaging is crucial for assessing enlarged lymph nodes in the hilar and mediastinal regions, which may indicate underlying pathology such as infections, malignancies, or other diseases.
  • Assessment of Abnormal Growths MRI can help identify and characterize abnormal masses or tumors within the chest, providing essential information for diagnosis and treatment planning.
  • Evaluation of Blood Flow The procedure can be utilized to assess blood flow within the thoracic structures, aiding in the diagnosis of vascular conditions.
  • Detection of Cancer Spread MRI is effective in determining whether cancer has metastasized to the chest area, which is critical for staging and treatment decisions.

2. Procedure

The procedure for performing an MRI of the chest without contrast, as outlined in CPT® Code 71550, involves several key steps to ensure accurate imaging results. The following procedural steps are typically followed:

  • Patient Preparation The patient is first prepared for the MRI by removing any metal objects, such as jewelry or clothing with metal fasteners, as these can interfere with the magnetic field. The patient may be asked to change into a hospital gown for the procedure.
  • Positioning The patient is then positioned on a motorized table that slides into the MRI scanner, which is a large, cylindrical machine containing a powerful magnet. Proper positioning is essential to obtain clear images of the chest area.
  • Image Acquisition Once the patient is comfortably positioned, the MRI technician will initiate the scan. The machine will generate a strong magnetic field and send radiowaves through the body. The patient may hear loud tapping or thumping noises during the scan, which is normal. The duration of the scan can vary but typically lasts between 30 to 60 minutes.
  • Image Processing After the scan is complete, the captured radiofrequency signals are processed by a computer to create high-resolution images of the chest. These images are then reviewed by a radiologist for interpretation.

3. Post-Procedure

After the MRI procedure is completed, the patient can typically resume normal activities immediately, as there are no side effects associated with the absence of contrast material. The radiologist will analyze the images and provide a report detailing the findings. This report will be shared with the referring physician, who will discuss the results with the patient and determine any necessary follow-up actions or treatments based on the findings. It is important for patients to communicate any discomfort experienced during the procedure, although MRI is generally well-tolerated.

Short Descr MRI CHEST W/O DYE
Medium Descr MRI CHEST W/O CONTRAST MATERIAL
Long Descr Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51) 4 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic imaging procedures apply...
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 88 -
APC Status Indicator Codes That May Be Paid Through a Composite APC
ASC Payment Indicator Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight.
Type of Service (TOS) 4 - Diagnostic Radiology
Berenson-Eggers TOS (BETOS) I2D - Advanced imaging - MRI/MRA: other
MUE 1
CCS Clinical Classification 198 - Magnetic resonance imaging

This is a primary code that can be used with these additional add-on codes.

0649T Add-on Code MPFS Status: Carrier Priced APC S Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure); single organ (List separately in addition to code for primary procedure)
0698T Add-on Code Resequenced Code MPFS Status: Carrier Priced APC S ASC Z2 Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the same anatomy (eg, organ, gland, tissue, target structure); multiple organs (List separately in addition to code for primary procedure)
26 Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
MG The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
X5 Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician
TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
MH Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
MC Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
77 Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
CR Catastrophe/disaster related
GA Waiver of liability statement issued as required by payer policy, individual case
GC This service has been performed in part by a resident under the direction of a teaching physician
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
LT Left side (used to identify procedures performed on the left side of the body)
MA Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition
MB Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access
MD Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances
ME The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
MF The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
QQ Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional
RT Right side (used to identify procedures performed on the right side of the body)
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
Date
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Notes
2001-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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