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Radiology Coding Alert
Radiology Coding Alert
Radiology Coding Alert - 2003; Volume 5, Number 4
Reconstruction During CT Does Not Automatically Signal CTA
If your radiologist documents reconstruction during a computed ...
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Keep Sight of Anatomic Site to Select CTA Code
As with the computed tomography (CT) scan codes, CPT breaks the CT angiograp...
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Use More Than One Code for Chemoembolization
Radiologists who offer chemoembolization treatment to liver cancer patients should a...
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E/M Coding:
Consult These Guidelines for Radiology Consults
Contrary to what many coders believe, more than one physician can bill consultation co...
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What Does Medicare Consider a Transfer of Care?
Because Medicare's consultation coding guidelines hinge on whether a referring physician...
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News Brief:
Conversion-Factor Raise To Boost RadiologistsPay
Although many radiology coders were disappointed when CMS cut the 2003 conversion fa...
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Screening or Diagnostic? Test Your Mammogram Identification Skills
Coding for screening-turned-diagnostic mammograms has come a long way ...
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Noteworthy News:
Have a Heart,Encourage Mammograms
A routine mammogram may give your patients a "heads up" on their heart as well as their ...
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Please Payers With These Dx Codes for 76090-76092
Don't identify a screening mammography from a diagnostic mammography and then...
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Take 4 Steps to Achieve Clean Claims for Breast Biopsies
One of the benefits of interventional radiology breast biopsies is quick patient ...
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Coder to Coder
Don't diminish the importance of Medicare's screening mammogram frequency regulations, s...
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Reader Question:
Report 93923-52 for Unilateral Doppler
Question: Which CPT Code should we report for a unilateral lower-extremity a...
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Reader Question:
Contrast,Fluoro Determine MRI Codes
Question: Which code should I report for an MRI of the elbow? Georgia Subscriber Answer...
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Reader Question:
76355 No Longer Just for Axial Plane
Question: Which code should we report for stereo-tactic-guided surgery or computer-assis...
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Reader Question:
Add 76085 to Bilateral Mammograms
Question: CPT Codes 2003 states that coders should report add-on code 76085 ...
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Reader Question:
Technician Can Compress Artery
Question: Can our ultrasound technician compress the artery during the pseudoaneurysm re...
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Reader Question:
Use Multiple Codes for Same-Day SI and Facet Injections
Question: Which codes should we report for a sacroiliac (SI) injection with three differ...
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Reader Question:
Base Mammogram Coding on Guidance
Question: Can we separately bill a guided breast biopsy, 19102, and a diagnostic mammogr...
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Reader Question:
Dont Code Multiple Wires
Question: How should I code the visualization and aspiration of two cysts in the same br...
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Reader Question:
Consider Extra Films Standard
Question: When we have to use additional films to get a comprehensive mammogram from a p...
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Reader Question:
Modify Postmastectomy Mammograms
Question: How should I code a postmastectomy screening mammogram? I know the screening c...
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Reader Question:
Question Billing of E/M and Mammogram
Question: Can we bill separately for an E/M service and a diagnostic mammogram on the sa...
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You Be the Coder:
Report One Code or Two for Liver Cyst Aspiration With CT Guidance?
Test your coding knowledge. Determine how you would code this situation before lo...
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You Be the Coder:
Conditionally Code Aspiration
Test your coding knowledge. Determine how you would code this situation before looking a...
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Radiology Coding Alert - 2003; Volume 5, Number 8
NCCI Makes DEXA Scans and CT
If your physician orders more than one study to confirm a patient's condition...
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Add a Fifth Digit to That Hyperplasia Diagnosis
Radiology practices will finally be able to specify prostate hyperplasia and hype...
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CMS Overhauls ICD-9 Codes
Radiologists see patients for many conditions, so don't be surprised when the...
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Modifiers -51 and -59:
Under the Microscope
Modifiers -51 and -59 have similar applications to tell the insurer that you performed s...
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News Brief:
Good News! You Can Keep the Extra Cash
Due to the late implementation of the 2003 Medicare Physician Fee Schedule , Medicare carr...
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Reader Question:
2 Feet Count as Multiple Scan Areas
Question: We performed a bone scan of both feet. Should we report CPT 78300 , representing...
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Reader Question:
Avoid Myocardial Codes for Extremities
Question: I performed a thallium scan of the lower extremity with SPECT and planar images ...
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Reader Question:
Report Diskography RS&I per Level
Question: If our radiologist performs diskography injections at multiple levels (such as L...
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Reader Question:
Never Clone Your Notes
Question: In the July article Avoid Common Mistakes When Reporting Special Services, you a...
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Reader Questions:
Report Hip Arthrograms Bilaterally
Question: Our radiologist performed bilateral hip arthrograms under anesthesia. Should I r...
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You Be the Coder:
Can I Hold a Claim Until I Have a Dx?
Question: When we see a patient for a new problem, such as cough and fever, I usually re...
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Radiology Coding Alert - 2003; Volume 5, Number 9
5 Easy Steps to Reimbursement for Spinal Fluoroscopic Guidance
According to CMS, interventional and diagnostic radiologists reported the fluoro-scopic ...
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Fluoroscopy Clip-and-Save Chart:
Get Paid for Fluoroscopic Guidance Every Time
Reporting fluoroscopic guidance with epidural injections is a challenge for even the most ...
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Carefully Choose Between 79030 and 79035
Coders often think twice about reporting 79030 and 79035 because of their complicated de...
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Thyroid Scan Codes:
Never Assume That 79030 and 79035 Are the Correct Codes
If you report therapeutic thyroid cancer treatments with codes 79030 and 79035, you shoul...
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You Be The Coder:
How Should I Report a Non-Medicare PET?
Question: I can't find an appropriate code for a PET scan for staging of neuroblasto...
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Reader Question:
Avoid Arterial Codes for Venous Studies
Question: Our practice's superbill includes the following ICD-9 Codes for arterial s...
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Reader Question:
Report 76946 for Amnio Guidance
Question: Our radiologist performed ultrasound guidance to assist an ob-gyn during an amn...
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Reader Question:
Thin Cuts Warrant Full Code
Question: Our radiologist performed an abdominal CT without contrast. He documented "thin...
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Reader Question:
Don't Append -26 to 76140
Question: Should we append modifier -26 to CPT 76140 when we perform a consultation on ...
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Reader Question:
Four-View Spine X-Ray May Be 72110
Question: Our radiology technologist performed a four-view x-ray of the spine including f...
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Reader Question:
Ask Private Payers for a -59 Alternative
Question: In your August article "Modifiers -51 and -59: Under the Microscope," you recom...
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Reader Question:
There Are Alternatives to Modifier -50
Question: When we report bilateral hip arthrograms using CPT 73525 -50, our carrier alwa...
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Radiology Coding Alert - 2003; Volume 5, Number 2
MUGA Scan Primer:
Report 78473 for Bodies in Motion,78472 for Bodies at Rest
Radiology practices that perform multiple gated acquisition (MUGA) scans for...
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CPT Codes for MUGA Scans
Search the 2012 CPT codes for all possible scenarios related ...
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CPT 2003 Delivers Quintuplets:
Breaking Down the Five New Ultrasound Codes
If your practice believes that all of your obstetric ultrasound...
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2003 Fee Schedule Update:
CMS Slashes Conversion Rate
To many radiology practices, CMS'2003 Physician Fee Schedule contains bone-chilli...
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2003 Work RVUs for Notable Radiology Codes
...
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CCI 9.0 Bundles Epidurography into Neurological Injections
Version 9.0 of the Correct Coding Initiative (CCI ), which took effect on Jan. 1, bundle...
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78195 Includes Tracer Injection
Question: After we performed a sulfur colloid injection under ultrasound gui...
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Reader Question:
Level II Modifiers Pinpoint Anatomic Site
Question: Should we append the Level II site modifiers (-FA, -F1 through -F9) when we x...
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You Be the Coder:
Use Same Code for MRVand MRA
Test your coding knowledge. Determine how you would code this situation before lo...
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Radiology Coding Alert - 2003; Volume 5, Number 1
Bill US Mammogram After Clip Placement Once in a Blue Moon
" Confusion over the guidelines for coding mammograms following breast biopsies creates...
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Radiopharmaceuticals Reimbursement Has Half a Life
Knowing when and how to report various HCPCS Level II or Level III codes is cruci...
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G Code Changes Prostate Brachytherapy Pay Up
As Medicare continues to scale back payment for the time-intensive, complex ...
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3-D Simulation Takes Radiation Oncology into Next Dimension
Radiation oncology coders working with practices that perform complex radiation treat...
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Correct Use of 77470 Ensures Pay Up of IORT
When treating a particularly difficult case of cancer with a multiservice regimen, the...
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Follow-Up to E/M Portion of IMRT
As radiation oncology coders continue to grapple with the complex, multistep...
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Reader Question:
E/M Billing for Delayed Therapy Is Possible
Question: Our radiation oncologist sometimes sees patients for an initial E/M service e...
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Reader Question:
Image Fusion Requires Multiple Codes
Question: Is there a single correct code to describe image fusion? Our office manager ha...
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Reader Question:
Difference Between Cone-Down and Bending Views
Question: Can someone tell me what cone-down views are with regard to doing lumbar view...
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Reader Question:
Sinus CT Study Has Two Options
Question: I just read that if a screening sinus CT study is performed, two options exist...
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Reader Question:
Adding -TC to Spot Films
Question: When a non-radiologist performs a procedure such as fluoroscopy that uses bo...
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Reader Question:
How to Code a Cisternogram
Question: I've never coded a cisternogram before. The procedure notes say that the needl...
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You Be the Coder:
Nephrostomy Replacement Tube
Test your coding knowledge. Determine how you would code this situation before looki...
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You Be the Coder:
Block Verification Is a Highly Audited Code
Test your coding knowledge. Determine how you would code this situation before looking...
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Radiology Coding Alert - 2003; Volume 5, Number 7
Avoid Common Mistakes When Reporting Special Services Codes
If your radiation oncology practice frequently reports special services co...
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Dont Let Your Lengthy E/M Visits Go Underpaid
The next time your radiologist spends extra time reassuring and counseling a pati...
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Think Youve Made Your Case for Modifier -22? Not if You Havent Done These 5 Things
If you're submitting claims for unusual procedural services withou...
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Test Yourself:
Opt for -22 Over an Unlisted-Procedure Code
Question: Our physician asks us to report procedures that take extra time and effort ...
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Reader Questions:
76040, 76066 Signal Joint Survey
Question: How should I report a long leg x-ray that includes films of the hip, knee, ank...
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Reader Questions:
Use Several Codes for Aortic Angiograms
Question: Our interventional radiologist positioned a catheter in the patient's aortic ar...
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Reader Questions:
Report 74328-74330 for ERCP RS&I
Question: Our physician performed the radiological supervision and interpretation (RS...
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Reader Questions:
Report 32999 for Lung Tumor Ablation
Question: Our interventional radiologist performed a CT-guided lung tumor ablation. Does a...
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Reader Questions:
Report Pregnant U/S Code With Positive Test
Question: A patient presented with a history of a positive pregnancy test, but she compla...
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Reader Question:
Choose Your Coding Poison Based on Documentation
Question: How should I decide whether managing excessive bleeding that requires extra phy...
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You Be the Coder:
Can I Report Surgical Assist?
Question: Our interventional radiologist often assists during nephrolithotripsy s...
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Radiology Coding Alert - 2003; Volume 5, Number 6
Stop Losing Money on Physics Consults in Stop Losing Money on Freestanding Centers
If your freestanding radiation oncology center employs its own radiation physicist, yo...
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What About Physicists Services for SNF Patients?
Freestanding radiation oncology centers that perform physics consultations (77336-77370) f...
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3 Tips for Ethically Reporting E/M Visits During Global
Global periods which define a package of services associated with certain radiology code...
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READER QUESTION:
Append -52 for Halted CT
Question: Our radiologist used CT guidance to biopsy a pancreas mass, but the mass kept m...
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READER QUESTION:
Use Two Codes for U/S, Doppler
Question: How should we report an abdominal ultrasound and a color Doppler? Alabama Subsc...
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READER QUESTION:
Report Breast Biopsy and Imaging
Question: Because the descriptor for breast biopsy code 19102 states, "using imaging guid...
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READER QUESTION:
G0131 Deleted for Bone Density Tests
Question: Our carrier denied G0131 (Computerized tomography bone mineral density study, o...
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READER QUESTION:
Mammography Codes Include All Views
Question: We performed diagnostic right breast mammography with additional views to deter...
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READER QUESTIONS:
Follow-Up U/S Warrants 76815-76816
Question: The physician ordered an obstetrical ultrasound to check placental position for ...
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You Be the Coder:
Can We Report Repeat X-Rays During Surgery?
Question: We performed a two-view ankle x-ray before surgery so the physician could confir...
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Radiology Coding Alert - 2003; Volume 5, Number 3
Reach the Tip of TIPS Reimbursement With New Codes
TIPS coders, take note: You should no longer report five codes for TIPS proc...
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Coding Case Study:
Ace Renal Scan Coding: Avoid Double-Dipping
If your practice performs pre-ordered multiple kidney studies (one with pharmacolo...
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Fractions Count! Get the Most Out of 77427
Even though carriers refer to CPT 77427 (Radiation treatment management, five tre...
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Reader Question:
Report Aspiration Code Per Lesion
Question: How many codes should I report for an ultrasound-guided thyroid biopsy with fo...
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Reader Question:
51798 Has No Professional Component
Question: Does the new CPT 51798 include a professional component that we can report ...
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Reader Question:
CMS Denies Screening Mammograms for Males
Question: An ob-gyn ordered a screening mammogram for a male Medicare patient with a f...
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Reader Question:
Report Two Codes for Triple Scan
Question: How should we code a triple-contrast computed tomography (CT) scan? New Hampsh...
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Reader Question:
Report 76872 for Transrectal Echography
Question: I performed ultrasonic guidance during a prostate biopsy. Can I bill for both ...
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Reader Question:
Report 74430 for Bladder Cystography
Question: Which code should we report when we perform bladder cystography? Arizona Subs...
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You Be the Coder:
Dont Split Bilateral Services
Test your coding knowledge. Determine how you would code this situation before looking...
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Radiology Coding Alert - 2003; Volume 5, Number 5
NCCI Update:
Version 9.1Bundles Nuclear Medicine Codes
Version 9.1 of the National Correct Coding Initiative (NCCI), which took effect Apri...
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Take a Break to Report Two Radiation Treatments
It's official: You can report multiple radiation treatment sessions (CPT 77401 -CP...
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Benchmark Your Radiation Code Use
According to CMS' physician utilization data, radiation oncologists reported the "20...
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Radiation Treatment Delivery Codes Defined
The following CPT Codes apply to radiation treatment delivery services: 77401 Rad...
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News Brief:
Medicare Allows PET Scan, MRA for New Diagnoses
Medicare offered radiologists a double-dose of good news in April with two new decisio...
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Reader Question:
Report Thyroid Biopsies Per Nodule
Question: When we perform core biopsies on both thyroid nodes, I report two biopsy codes...
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Reader Question:
75887 May Signal TIPS Without Revision
Question: Should we report the new TIPS codes if we perform a TIPS evaluation without an...
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Reader Question:
Reconstruction Versus CTA
Question: Our radiologist performed computed tomography (CT) studies with and without co...
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Reader Question:
Report Two Codes for Five Films
Question: We performed the following knee x-rays: a standing frontal view of both knees...
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You Be the Coder:
Can We Report Completion Angiogram After Chemoembolization?
Test your coding knowledge. Determine how you would code this situation before lo...
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Radiology Coding Alert - 2003; Volume 5, Number 12
Refresh Your Feeding-Tube Placement Expertise With 3 FAQs
Differentiate between G- and J-tubes to speed payment If your interventional radiologist ...
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A Surefire Strategy for Male Mammogram Claims
...
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4 Tips to Improve Clinical Treatment Planning Pay
Here's how to report 77261-77263 If you're not sure how to report CPT 77261 -CPT 77263 ...
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News You Can Use:
CMS Makes NCCI Free
Tired of shelling out hundreds of dollars a year to stay current on changes to the Nationa...
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Reader Question:
Report 37620 for IVC Filter Placement
Question: How should I report an inferior vena cava (IVC) filter placement? South Carolina...
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Reader Question:
Suspected Foreign Body: V Code
Question: One of our radiologists sent me an x-ray report for a 21-month-old child. The re...
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Reader Question:
Append -52 for Pacemaker, No Pocket
Question: How should we bill for a pacemaker procedure when the physician inserted the pac...
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Reader Question:
CT for Amputee May Not Warrant -52
Question: We performed an extremity CT scan without contrast for a patient whose lower l...
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Reader Question:
Base Brachytherapy Code on Catheters
Question: One of our radiation oncologists performed brachytherapy on a breast using a Mam...
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Reader Question:
Decreased Breath Sounds? Consult Doctor
Question: Our radiologist documented a chest x-ray with the diagnosis "Decreased br...
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Reader Question:
Ask Insurer About Multiple MRIs
Question: Our MRI technician performed an MRI of the thigh and an MRI of the calf during t...
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You Be the Coder:
Is There a Dx Code for Dyke-Davidoff-Mason Syndrome?
Question: One of our radiologists documented "Dyke-Davidoff-Mason syndrome" in the final i...
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Radiology Coding Alert - 2003; Volume 5, Number 11
Tighten Up Your Claims:
CPT 2004 Brings Debut of 22 Catheter, Line Placement Codes
Radiology coders, rejoice: CPT 2004 completely revamps the catheter and line placement a...
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The New CPT Codes at a Glance
The following list highlights several of the new radiology CPT Codes that will make thei...
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5 OIG Hot Spots and How to Steer Clear of Them
Want to avoid OIG scrutiny in 2004? Watch your IDTF claims You've assigned the righ...
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NCCI 9.3 Update:
Transvaginal U/S Is Bundled Into Complete Pelvic U/S
Attention, Radiology Coder: You can no longer report a nonobstetric transvaginal ultraso...
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Reader Question:
Don't Report Conferences to Medicare
Question: Our radiologist treated a patient with mental illness for an aneurysm (ICD-9 437...
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Reader Question:
Virtual Colonography: No Code Exists
Question: We sometimes perform virtual colonogra-phy, either without contrast or with 3-D ...
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Reader Question:
Eat the Cost of Oral Contrast
Question: We often perform CT abdominal scans following oral contrast, but without IV cont...
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Reader Question:
Temporal Bone CT Is Bundled Into Head CT
Question: We performed a CT of the temporal bones along with a CT of the head, but we can'...
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You Be the Coder:
Can We Report Fluoro With Epidural?
Question: Your September article "Five Steps to Fluoroscopy Reimbursement" ind...
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Radiology Coding Alert - 2003; Volume 5, Number 10
Collect Reimbursement for DEXA Scans on Male Patients
Most radiology coders can easily rattle off the osteoporosis and postmenopausal-state ICD-...
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3 Easy Steps to DEXA Scan Diagnosis Coding
Ensuring proper diagnosis coding for dual energy x-ray absorptiometry (DEXA) scans can b...
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Reporting 77300 Multiple Times? Read This First
Know your carrier's requirement and restrictions If you're reporting CPT 77300...
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Taking the 'S' Out of RS&I? Use Modifier -52
How to designate 'reduced services' Radiologists frequently report the radiolo...
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6 Must-Have HIPAA Training Skills
You can have all the HIPAA training in the world, but if you're not enforcing and pr...
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Don't Let Home Coding Turn Into a Code Red
Just because you're coding from home doesn't mean you don't have to be HIPAA-compliant. Mo...
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11 Ways to Minimize Fax and E-Mail Risks
If you want to stay out of the courthouse and the newspapers, follow these personal health...
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Fax and E-Mail Confidentiality Disclaimer
Providers who fax or e-mail protected health information should place disclaimers in their...
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Reader Question:
Report 78473 and 78461 for Thallium and MUGA
Question: How should we bill for multiple planar thallium studies or multiple-gated acqu...
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Reader Question:
Report BPP Separate From Ultrasound
Question: If I perform a complete ultrasound (CPT 76805 ) or a detailed fetal anatomy (C...
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Reader Question:
Extra Coccyx View Is Included
Question: When a physician orders a coccyx x-ray, but the radiology technologist takes t...
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Reader Question:
NEC, NOS: There Are Differences
Question: What do ""NEC"" and ""NOS"" mean in IC...
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Reader Question:
Use Secondary ICD-9 for Metastases
Question: If a patient has cancer and the physician wants to evaluate for metastatic dis...
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Reader Question:
Report 61050 for Cervical Puncture
Question: I performed a diagnostic puncture at C1-C2. When I perform these procedures at ...
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Reader Question:
Ultrasounds Don't Require Contrast
Question: Is there a code for a gallbladder ultrasound without contrast? New Hampshire...
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Reader Question:
Varicose Vein Cryosurgery: Unlisted-Procedure Code
Question: Which CPT Code should I report for interventional cryosurgery of varicose vei...
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Reader Question:
Save Yourself Construction Costs
Question: Are physical barriers available to prevent patients and visitors from viewing co...
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You Be the Coder:
How should I report a portogram?
Question: Is there a CPT Code for a portogram? I can't find one in the CPT manual . Oh...
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Available Years:
2003
2002
2001
2000
1999