myRadiologist

MRCP with IV contrast


Strengths
known biliary disease, suspected choledocolithiasis. Order with gadolinium for more complete study of the pancreas.
Limitations
If for RUQ pain/biliary screening, consider ultrasound (lower cost) first. HIDA scan more specific for acute cholecystitis. CT generally better for non-biliary upper abdomen disease or screening.
Contraindications
Standard MR questionaire as to contraindicated implanted devices, surgery, etc.
CPT Code
74181
Exact format for order to be authorized
MRCP
Patient Preparation
NPO for 6 hours.