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Table 3 Symptomatic Hearing Loss and Vertigo – Differential Diagnosis includes Vestibular Schwannoma. Surgical Planning for a Hypothetical Patient includes MRI and CT

From: The impact of regulation, reimbursement, and research on the value of 3D printing and other 3D procedures in medicine



Billing code(s)

MRI with and without contrast

Usually appropriate [18]*


CT with and without contrast

May be appropriate [18]*#


3D visualization

NA (secondary code)


Virtual reality



3D printed anatomic model


0559T + 0560T

  1. *Refers to the appropriateness rating in the American College of Radiology (ACR) Appropriate Use Criteria (AUC) where the MRI is rated “Usually appropriate” and CT is rated “May be appropriate”. # ACR AUC only considers initial imaging evaluation, and thus the CT scan is scored "May be appropriate". Because of the exponential complexity, the ACR does not nest AUC to provide recommendations after the initial imaging is complete. However, given the diagnosis of vestibular schwannoma from the MRI, the CT to better assess the skull base is routinely performed and I expect it would be reimbursed. & The secondary code 73677 may be added to the MRI or the CT scan. However, if either is performed an an angiography, 73677 could not be added.