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Billing and Coding: MRI and CT Scans of the Head and Neck
A57215
Effective: October 1, 2025
Updated: December 6, 2025
Policy Summary
Head and neck CT and MRI scans are covered when the medical record documents the test is reasonable and necessary. Claims must include accurate HCPCS/CPT coding (subject to CCI edits) and medical records (history/physical, labs, signs/symptoms) must support the need for the scan and be available to Medicare on request.
Coverage Criteria Preview
Key requirements from the full policy
"G71."
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Covered Medical Codes