Reimbursement Codes/0865T
CPT III · AI imaging · Proposed
0865T: Quantitative brain MRI analysis without same-session MRI
Category III code for quantitative brain MRI analysis with lesion characterisation and optional volume or severity scoring, without a same-session diagnostic brain MRI.
About this code
Category III code for quantitative brain MRI analysis with lesion characterisation and optional volume or severity scoring, without a same-session diagnostic brain MRI. Proposed SaMS, O1, moving to APC 1504. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.
Medicare statusProposed SaMS, O1, moving to APC 1504.
PaymentProposed CY2027 OPPS $250.50 (APC 1504); CY2026 clinical APC 5523 was $243.77 in the ACR Table 61 excerpt.
What changed
CMS proposes moving this from clinical imaging APC 5523 to New Technology APC 1504 with O1.
Who bills under it
Hospital outpatient neuroradiology programmes using quantitative brain MRI software.
- Code
- 0865T
- Code type
- CPT III
- Category
- AI imaging
- Rule status
- Proposed
More AI imaging codes
CPT III · Active
0623T
Automated coronary plaque analysis from CCTA, data preparation
CPT III · Proposed
0721T
Quantitative CT tissue characterisation without concurrent CT
CPT III · Proposed
0722T
Quantitative CT tissue characterisation with concurrent CT
CPT III · Proposed
0866T
Quantitative brain MRI analysis with same-session MRI
CPT III · Proposed
0898T
Noninvasive prostate cancer estimation map
CPT III · Proposed
0944T
3D liver lesion contour for microwave ablation planning