Radiology Documentation Excellence: Upper Extremity MRI Pre-Auth & Coding Guidance  

Managing joint vs. non‑joint uncertainty at the time of ordering

Accurate MRI authorization starts with a clear understanding of what is being imaged. For upper extremity studies, whether the focus is a joint or non‑joint structure can directly affect downstream outcomes. When orders lack specificity, it may result in delays, rework, or mismatches between the authorized study and final radiology reporting and coding. This guidance outlines best practices to help ensure MRI orders align with the intended clinical focus, supporting more efficient workflows, better alignment across teams, and fewer disruptions for providers and patients.