CPT Code 72141 Guide - Cervical Spine MRI without Contrast

A professional sit on chair work medical billing about this cpt code 72141 for back pain treatment.

CPT code 72141 refers to a diagnostic MRI scan of the cervical back, performed without the use of contrast dye. This non-martial procedure is commonly used to diagnose spinal issues such as nerve compression, disc herniation, tumors, or trauma in the neck region.

If you’re a healthcare provider or medical biller, understand this code ensures correct billing, clean claims, and fast reimbursements. 

This blog provides practical insights, grounded in coding expertise, to help you code CPT 72141 effectively while avoiding costly denials.

Key Takeaways

  • What Does CPT 72141 Cover? It covers MRI imaging of the cervical spine done without injecting contrast material.
  • Session Duration Requirements: Time is not a billing criterion for this imaging code.
  • Who Can Use the Code: Radiologists, neurologists, orthopedic specialists, and outpatient imaging centers.
  • Best Practices: Proper documentation, inclusion of medical necessity, and accurate modifier use.

What Is CPT Code 72141?

CPT code 72141 is defined as:

“This code labels MRI scan of the cervical back and spinal canal structures using proton imaging, without contrast improvement.”

This process is used when a provider distrusts structural or neurological problems in the neck region and needs detailed imaging without introducing a contrast agent. MRI is particularly helpful in sensing soft tissue abnormalities, tumors, or spinal cord issues.

Who Can Bill CPT Code 72141?

This CPT code can be billed by:

  • Radiologists
  • Neurologists
  • Orthopedic surgeons
  • Outpatient diagnostic imaging centers
  • Hospital imaging departments

However, billing must be based on medical need and correct documentation of the symptoms or diagnoses that justify the scan.

Services Covered Under CPT Code 72141

The services covered include:

  • High-resolution imaging of the cervical spine
  • Thorough estimation of the back cord, vertebrae, and soft tissues
  • Preoperative or postoperative imaging
  • Investigation of symptoms such as:
    • Neck pain
    • Numbness or tingling in the arms
    • Suspected cervical disc herniation
    • Spinal stenosis
    • Neurological deficits

Modifier Use with CPT Code 72141

To make sure correct reimbursement, consider these modifiers:

  • Apply Modifier 26 – if you are billing only for the surgeon’s explanation of the cervical spine MRI.
  • Modifier TC – Use Modifier TC when charging for the technical portion, including the equipment and radiologic technologist’s involvement.
  • If your facility provides both, bill without a modifier for the global service.

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Common Billing Mistakes to Avoid

Avoid these errors to reduce denials:

  • Billing without medical necessity
  • Omitting proper modifiers (26 or TC)
  • Coding 72141 instead of related codes like:
    • CPT 72148 – MRI lumbar backbone without contrast
    • CPT 72156 – Cervical MRI with & without contrast
  • Confuse it with CT CPT codes like:
    • CT Stomach and Pelvis by disparity CPT
    • CT Chest CPT code

Always use accurate ICD-10 codes linked to symptoms such as radiculopathy, neck pain, or spinal stenosis.

Reimbursement Rates for CPT Code 72141

Reimbursement can vary based on region and payer. As a reference:

  • Medicare (2025 Rates):
    • Professional component (26): ~$30–$50
    • Technical component (TC): ~$200–$300
    • Global service: ~$250–$350

If you’re unsure how to track reimbursement or deal with rejections, working with a trusted billing partner like Cures Medical Billing can make all the difference in getting paid on time and correctly.

Time Requirements

Unlike time-based codes, CPT 72141 does not have session time requirements. The imaging is typically completed in 30–45 minutes, but billing is procedure-based, not time-based.

Difference between CPT Code 72141 and Related Codes

Understanding the distinction helps avoid errors:

Code

Procedure

Contrast Used

CPT 72141

MRI cervical spine

No

CPT 72142

MRI cervical spine

With contrast

CPT 72156

MRI cervical back

With & without

CPT 72148

MRI lumbar spine (no contrast)

No

CT CPT codes

CT scans (e.g., CT chest, CT abdomen)

May vary

Always check the order and match it with the correct code.

Final Thoughts

Getting CPT code 72141 rights involves more than just selecting the right code. You must:

  • Verify medical need
  • Make sure proper modifier usage
  • Stay compliant with payer guidelines
  • Avoid overcoding or undercoding

Correct medical billing improves cash flow and reduces audit risk. If you’re overcome by denials or unsure about compliance, partnering with a reliable billing service like Cures Medical Billing Company can give you peace of mind.

We specialize in MRI billing, CT CPT Codes, and outpatient imaging claims. help providers focus on care, not paperwork.

Need help with imaging and radiology billing?
Contact Cures Medical Billing for expert guidance on codes like 72141, 72148, and CT procedures. We’re here to help you get paid accurately, every time.

Frequently Asked Questions (FAQs)

CPT code 72141 represents to an MRI of the cervical back without disparity. It’s commonly used when a provider needs detailed images of the neck area to check for disc problems, spinal stenosis, or nerve issues, without using a contrast dye. It’s a frequently used diagnostic code in neurology and orthopedics.

Yes, but only if you’re billing for both the technical and professional components (the global service). If you’re just reading the scan (professional service), use modifier 26. If you’re only performing the scan with your equipment, use modifier TC.

Compensation for CPT 72141 vary by location and insurance plan. On average:

  • Global service: $250–$350
  • Modifier 26 (professional only): $30–$50
  • Modifier TC (technical only): $200–$300
    partnering with a billing expert like Cures Medical Billing can help maximize timely reimbursements.

Yes, CPT 72141 it is an essential for MRI of the cervical back (neck) without disparity. CPT 72148 is for an MRI of the lumbar spine (lower back) without contrast. Misuse can result in denials or audits, so correct coding is important.

Use 72141 when detailed soft tissue imaging of the cervical spine is needed, particularly for spinal cord, discs, or nerve issues. CT scans (like CT chest CPT code or CT abd pelvis with contrast) are better for bone detail or acute trauma, but MRIs offer clearer soft tissue resolution.

Categorically. Billing CPT 72141 requires a documented medical necessity, like neck pain, numbness, disc disease, or nerve symptoms. The diagnosis must support the need for an MRI without contrast. Always link the code to a correct ICD-10 code.

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