| Section | B | Imaging |
| Body System | R | Axial Skeleton, Except Skull and Facial Bones |
| Type | 3 | Magnetic Resonance Imaging (MRI): Computer reformatted digital display of multiplanar images developed from the capture of radiofrequency signals emitted by nuclei in a body site excited within a magnetic field |
| Body Part 0 Cervical Spine 1 Cervical Disc(s) 2 Thoracic Disc(s) 3 Lumbar Disc(s) 7 Thoracic Spine 9 Lumbar Spine C Pelvis F Sacrum and Coccyx |
Contrast Y Other Contrast |
Qualifier 0 Unenhanced and Enhanced Z None |
Qualifier Z None |
| Body Part 0 Cervical Spine 1 Cervical Disc(s) 2 Thoracic Disc(s) 3 Lumbar Disc(s) 7 Thoracic Spine 9 Lumbar Spine C Pelvis F Sacrum and Coccyx |
Contrast Z None |
Qualifier Z None |
Qualifier Z None |