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AetnaAll Plans · Coverage · Radiology · RadiologyMedium impact

Open Air, Low Field Strength, and Positional Magnetic Resonance Imaging (MRI) Units (CPB 0093, reviewed 2026-03-18)

Effective date
Not stated in the notice
Identified
Aug 12, 2026

Summary

Aetna considers MRI medically necessary for appropriate indications without regard to the field strength or configuration of the MRI unit. Aetna considers intermediate and low field strength MRI units, and open MRI units of any configuration including units that allow imaging when standing (Stand-Up MRI) or sitting, to be acceptable alternatives to standard closed MRI units. Aetna considers repeat MRI scans in different positions (such as flexion, extension, rotation and lateral bending) and when done with and without weight-bearing to be experimental, investigational, or unproven for all indications because of insufficient evidence of this approach.

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What to do

Action · 4 steps
01REQUIREMENTS: Billing team: Do not bill repeat MRI scans in different positions (flexion, extension, rotation and lateral bending) or repeat scans done with and without weight-bearing, since Aetna considers them experimental, investigational, or unproven for all indications.
02Billing team: The MRI codes 72141, 72142 and 72156 are listed as not covered for repeat MRI scans in different positions.
03Billing team: The MRI codes listed in this policy, including 70551 through 70553, 72195 through 72197, and 74181 through 74183, are covered if selection criteria are met, and low-field MRI (S8042) is covered if selection criteria are met.
04Billing team: The ICD-10 codes M48.02, M50.00 through M50.03, M50.10 through M50.13, M50.20 through M50.23, M50.30 through M50.33, M50.80 through M50.83, M50.90 through M50.93, and Q79.60 through Q79.69 are listed as not covered for the indications listed in this policy.

Codes mentioned

705517055370554705557214172142721567219572197732187322373718737237418174183S8042M48.02M50.00M50.03M50.10M50.13M50.20M50.23M50.30M50.33M50.80M50.83M50.90M50.93Q79.60Q79.69

Original notice

Open Air, Low Field Strength, and Positional Magnetic Resonance Imaging (MRI) Units (CPB 0093, reviewed 2026-03-18)
aetna.com · Always check the source before changing claims.
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