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CPT Code 72146: Thoracic Spine MRI Billing, Modifiers, and 2026 Rates

CPT code 72146 thoracic spine MRI billing 2026 hero banner: the wrong-region error where 72146 thoracic pays clean even when miscoded as 72148 lumbar due to adjacent code numbering, the T1 through T12 anatomical scope against the 72147 and 72157 contrast-status codes, modifier 26 and TC component billing by ownership arrangement, the Multiple Procedure Payment Reduction on same-session multi-region imaging, and the CO-50 versus CO-11/CO-16 denial-routing split, from ClaimMax RCM.

CPT 72146 is the billing code for an MRI of the thoracic spine performed without contrast material. The code covers the spinal canal and its contents from T1 through T12, including the spinal cord, the intervertebral discs, and surrounding soft tissue. No gadolinium enters the patient. A practice reports 72146 when a radiologist images the […]