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Radiology Coding Alert
Radiology Coding Alert
Radiology Coding Alert - 2016; Volume 18, Number 12
CPT® 2017:
Use Updates To Refine Angioplasty and Sedation Coding in 2017
New angioplasty codes include S&I and disregard open vs. percutaneous approach. Th...
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ICD-10-CM Update:
Occipital Condyle Fractures Codes Now Become More Specific For Laterality
Look for new codes for initial and subsequent encounters and sequelae. Effect...
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Compliance:
Follow These 3 Steps to Prepare For HIPAA Audit
Answer any verification requests and define clear compliance policies. Your practice ...
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Reader Question:
Cardiac Echo Depends On Complete or Component Stress
Question: Our radiologist did an echo and imaging during a cardiovascular stress te...
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Reader Question:
Catch the Cue for Osseous Surveys
Question: Our physician did an X-ray examination in a baby aged 4 months. The proce...
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You Be the Coder:
Check Date of Service before Appending GG Modifier
Question: Our radiologist detected abnormalities in a screening mammogram and then ...
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Radiology Coding Alert - 2016; Volume 18, Number 11
CPT® 2017:
2017: 3 Key CPT® Changes That Impact Radiology Coding Next Year
Diagnostic and screening mammography get new codes; imaging guidance may apply to interl...
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Category III codes:
Preferred Choice over Unlisted Codes
When a Category III code exists to describe a service or procedure, you must use that Ca...
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ICD-10 Update:
ICD-10: Make Sure You Have Implemented These Key Hemorrhage, Infarction Reforms
You needn’t confirm right and left side hemorrhage in ACA bleed. It is October a...
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Coding Quiz:
Quick Quiz: Be Your Own Judge For X-Ray Claims
Keep a close eye on views, modifiers, and face-to-face evaluations. X-rays claims are ...
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Reader Question:
Don't Miss Contrasts in Cyst Examination
Question: Our physician injected contrast into a cyst via a previously-placed catheter t...
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Reader Question:
Pelvis MRI includes Sacrum and Coccyx
Question: How can we report an MRI of the lumbosacral spine? The documentation ment...
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Reader Question:
Confirm Radiological Assistance in Injection Procedures
Question: For a patient diagnosed with soft tissue disorder related to overuse, our...
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Reader Question:
Turn to 76800 for Spinal Canal USG
Question: For a patient who presented with a mass on the back which was suspected t...
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You Be the Coder:
Consider Lateral Decubitus as Special View
Question: Our physician has documented “lateral decubitus” view in a ch...
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Radiology Coding Alert - 2016; Volume 18, Number 10
Interventional Radiology:
Adopt This Smart Approach For Head and Neck Angiography Coding
Look for catheter position and find the territory of imaging. Angiography procedures a...
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ICD-10 Update:
Mark These ICD-10 Changes In Key Obstetric And GI Diagnosis Codes Before October 1
You will check complete vs. partial for placenta previa and intrauterine pregnancy with ...
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Practice Management:
Focus on These 3 Key Areas To Make Way To Accurate Claims
Tips: Keep documentation, adopt changes, train, retrain, and audit. If your practice i...
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Reader Question:
Location Is Key for Hemangioma
Question: Our physician documented a diagnosis of cherry hemangioma in a patient wh...
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Reader Question:
Include All Symptoms in Diagnosis Coding
Question: In a patient with longstanding dyspnea, our physician documented a diagno...
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Reader Question:
Single View Femur Has a Discrete Code
Question: Can we report for a single radiological view of the femur? Do we have a s...
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Reader Question:
Confirm Each Step for Echo Procedures
Question: Our physician performed an office-based echo. The primary code we are sub...
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You Be the Coder:
Count Views for Scoliosis Examination
Question: How can we report the radiological examination of scoliosis? Can we repor...
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Radiology Coding Alert - 2016; Volume 18, Number 9
Screening:
Follow These Tips To Scale Up Your Claims For Bone Density Screening
Follow the two-year rule and limit diagnosis coding to screening encounters. If you do...
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Review of Basics and Indications
Osteopenia and osteoporosis are not the same. “Osteopenia is seen in patients over...
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ICD-10 Update:
Mark Myriad of Nervous System Changes in ICD-10 Codes For 2017
Specify levels for mid-cervical disorders; postprocedure nervous system hematoma gets new ...
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Documentation Check:
Adopt This 10 Item Checklist For Complete Documentation
Date, procedure details, impressions, and physician signature are key. Radiology claim...
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Reader Question:
Follow Per Vessel Rule for IVUS
Question: How can we report an intravascular ultrasound in the popliteal and femora...
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Reader Question:
Document TEE Monitoring for 93318
Question: Our physician did a transesophageal echo to aid cardiac monitoring. How c...
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Reader Question:
PET scan and PET-CT Aren't the Same
Question: How is a PET-CT different from a PET scan or CT? How can we report PET-CT...
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You Be the Coder:
Keep Count of X-ray Views
Question: Our physician obtained three shoulder views. Is 73030 the correct choice ...
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Radiology Coding Alert - 2016; Volume 18, Number 8
Scanning Section:
5 Key Questions Help Prevent Your Duplex Scan Codes From Falling Under The Radar
Complete documentation alone can help build clean claims. If you report non-invasive v...
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Be Aware of These 9 Reasons for Denials
The National Government Services (NGS) has listed nine reasons for reducing or denying t...
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ICD-10-CM Update:
New in ICD-10-CM: Prepare To Include Changes In GI Tumors And Prostate Dysplasia
Anatomical location and histological features gain importance. In addition to the exte...
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Payment Piece:
CMS Calls Providers Liable For Overpayments
Identify overpayment, check time frame, and return if you received surplus. CMS has sh...
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Reader Question:
0262T Is Now Obsolete For TPVI
Question: How can we report TPVI procedure in a patient of Tetraog of Fallot with c...
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Reader Question:
Do Not Forget Injection Code in Subclavian Venogram
Question: How can we report the diagnostic venography in the subclavian vein? Wis...
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Reader Question:
+0439T is The New Echo Cat. III Code
Question: What are the new Category III codes expected for echo procedures this Ju...
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Reader Question:
Laterality will Guide Your Coding for Hand Joint Pain
Questions: Are there any new codes proposed for joint arthralgia in ICD-10-CM for 2...
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You Be the Coder:
Not All X-Ray Claims Qualify For Modifier 50
Question: When can we append modifier 50 to bilateral X-ray claims? New York Subs...
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Radiology Coding Alert - 2016; Volume 18, Number 7
Interventional Radiology:
Raise These 7 Questions Before You Code For Central Radiosurgery Procedures
Lesion count supersedes session counts in radiosurgery. Radiosurgery coding is complex...
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ICD-10 Update:
Prepare To Implement Revisions In Your Hodgkin Lymphoma Diagnosis Coding
Expect to Go Beyond Classical in Hodgkin Lymphoma An important change you can anticipa...
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Quick Review:
Types and Classification of Hodgkin Lymphoma
The World Health Organization (WHO) classifies Hodgkin lymphoma into 2 main groups: ...
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News You Can Use:
CMS Proposes New Quality Payment Program
Cost and quality willbring in credits and incentives. Physician payment programs, esta...
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Reader Question:
Distinguish Diagnostic and Therapeutic Amniocentesis
Question: In a patient with a rapidly increasing uterine size at 22 weeks gestation...
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Reader Question:
Any Contrast Can Qualify for 74270
Question: Our physician did a barium enema in a patient diagnosed with encopresis a...
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Reader Question:
Count Lesions in RCM
Question: What are the new edits applicable to RCM procedures? New Jersey Subscri...
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You Be the Coder:
Target 76536 for Thyroid USG
Question: Our physician did a thyroid sonogram to evaluate a thyroid mass. How can ...
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Radiology Coding Alert - 2016; Volume 18, Number 6
Interventional Radiology:
Review Codes For Percutaneous Biliary Interventions and Radiological Assistance
Codes include imaging guidance and radiological supervision. In the past few issues of...
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ICD-10 News:
News: You will See The First Annual Update In ICD-10 Manual Later This Year
Prepare to welcome new codes, additions, and deletions this October. The CDC has poste...
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Compliance Update:
Follow These Best Practices For Insurance Verification And Safeguard Your Payment
Never default to confirm enforcement of patient’s insurance before first visit. ...
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Top 3 Questions That Can Help You Verify Your Patient's Insurance
Before you can verify your patient’s insurance, know what information you need to ...
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Reader Question:
Note the Revisions for Vascular Embolization in 2016
Question: What are the recent 2016 revisions for vascular embolization codes 37241-...
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Reader Question:
Earn for Injections and Radiography in Wrist Arthrography
Question: How do we report wrist arthrography with injections into each of the thre...
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Reader Question:
Displacement and Laterality Guide You for Jones Fracture Coding
Question: What is the most appropriate diagnosis code for Jones fracture? What are ...
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You Be the Coder:
Target 76776 for US with Doppler
Question: How can we report ultrasound of transplanted kidneys done without duplex ...
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Radiology Coding Alert - 2016; Volume 18, Number 5
Imaging Refresher:
Make Your Way To Easy Coding For Renal Imaging
Distinguish ultrasound and duplex vascular scan. With so many potential uses of a rena...
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Intervention Procedures:
Check Your Compliance For Changes In Intracranial Arterial Therapeutic Intervention Coding
Distinguish thrombolysis and vasodilation, know services that the new codes include. W...
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ICD-10 Coding:
Prepare Your Practice To Be Precise For Pathologic Fracture Coding
Look for the site, cause, and location of the pathologic fracture. When coding a patho...
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Reader Question:
Check Views and Laterality for Rib X-rays
Question: Our physician did an interpretation of rib X-rays. How can we report for ...
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Reader Question:
Imaging Guidance Guides Your coding for SI Arthrography
Question: How can we code for sacroiliac joint arthrography? Do the codes differ fo...
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You Be the Coder:
Do Not Report IVC Filter as Foreign Body Removal
Question: How can we report the retrieval of an intravascular vena cava filter? Can...
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Radiology Coding Alert - 2016; Volume 18, Number 4
2016 Update:
Give A Makeover To Your X-ray Reporting With These New CPT® Codes
Views gain precedence in spine, pelvis, hip, and femur X-rays. X-rays may be one of th...
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Diagnostic Procedures:
Make Your Way To Clean Claims For Abdominal Diagnostic Venography
Focus on laterality for renal and hemodynamics for hepatic and portal assessments. For...
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ICD-10 Update:
Reporting Enlarged Lymph Nodes Is Clear And Easy In ICD-10
Key: Localized vs generalized enlargement guides you to right codes. If you come acros...
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Reader Question:
Check Bundles before Submitting 93050
Question: Is the code 0311T deleted? How can we now report assessment of central ar...
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Reader Question:
Say Goodbye to Add-on Code for Endobronchial Ultrasound
Question: With the deletion of 31620 in 2016, how can we report endobronchial ultra...
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Reader Question:
Report for Polyps with Sinusitis
Question: Our physician has documented a diagnosis of chronic rhinosinusitis and na...
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Reader Question:
Site of Puncture Is Key for Reporting VP Shuntogram
Question: How can we report shuntography for a non-vascular ventriculoperitoneal sh...
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Reader Question:
Turn to Dorsopathy Codes for Lumbosacral Subluxation
Question: Our physician documented a diagnosis of subluxation of the lumbar and sac...
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You Be the Coder:
Append Modifier 76 with Second X-Ray Claims
Question: Our physician obtained an X-ray after the orthopedic surgeon did manipula...
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Radiology Coding Alert - 2016; Volume 18, Number 3
CPT® 2016:
Follow These 3 Tips From Experts For Noncoronary Intravascular Ultrasound Coding in 2016
Prepare to strike off four codes and add two new codes. The AMA’s CPT® and R...
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ICD-10 Quiz:
Two Easy Steps To Scale Diagnosis Codes For Nontraumatic Subarachnoid Hemorrhage
Hint: Site and side of the bleed guide you to the correct code. Nontraumatic subarach...
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Gage How Much You Understand For Diagnosis Codes For Nontraumatic Subarachnoid Hemorrhage
Answer 1: The correct option is a, I60.00. The ICD-10 codes for nontraumatic subarachn...
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Billing Corner:
Check These 5 Key Requirements For Guaranteed Billing
Contrast, contributions, complete exam, service components, and clear impressions are ke...
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Reader Question:
Report Supervision as General, Direct, Personal
Question: A technician in our office performed an elbow MRI under direct supervisio...
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You Be the Coder:
Do not Report MUGA with MPI
Question: Can we report for MUGA (multigated acquisition) scan with myocardial perf...
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Radiology Coding Alert - 2016; Volume 18, Number 2
HCPCS 2016:
Make Sure You Submit Clean Claims for USG contrast and CT Scans This Year
Look for updates for Lumason, include modifier CT, and watch before you submit J code fo...
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ICD-10 Update:
Top 3 Tips That Help You Tackle Any Challenges In Pulmonary Embolism Coding
Check for sepsis and cor pulmonale, distinguish acute vs chronic. Confused about pulmo...
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Strengthen Basics of Pulmonary Embolism to Make Your Way to Correct Code
What is a pulmonary embolism? Pulmonary embolism is a blood clot in the lung that usua...
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Practice Updates:
Meet These 10 Essential Requirements To Keep Appeals At Bay
Check what the MAC says; keep flawless documentation. Are you appealing for denied cla...
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Reader Question:
77072 Is Specific For Bone Age Studies
Question: Our physician performed an X-Ray for a child to determine age. The medica...
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Reader Question:
Earn for MRI Guidance for Tumor Ablation
Question: Our physician provides MRI guidance for ablation of renal tumor. How can ...
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You Be the Coder:
Differentiate PET from PET-CT
Question: Is PET-CT different from a PET scan? How can we report for a PET-CT? Mi...
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Radiology Coding Alert - 2016; Volume 18, Number 1
CCI Update:
Exercise Caution When You Handle The Ablation/Duplex Edit Change
Adopt modifier indicator 1 when you report duplex and ablation codes. Effective Oct. 1...
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ICD-10-CM Coding:
Five Simple Steps To Ease Your Neoplasm Coding
Confirm the anatomical site and get the terminology right to make your way to the right ...
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Analyze These Coding Examples To Test Your Understanding Of Reporting Neoplasms
Here are some examples that will help you gain a better understanding of neoplasm coding...
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Claims Appeals:
Revamp Your Understanding Of Redeterminations And Reconsiderations
CMS revises scope, specifies guidance for post-payment review or audit only. The ...
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Reader Question:
93306 Covers Color Flow And Spectral Doppler
Question: Our physician performed 2D and spectral Doppler echo and arrived at a dia...
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Reader Question:
There is No Bundle for 93653 and 93312
Question: Can we submit code 93312 before an EP AFib ablation which our physician d...
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You Be the Coder:
Fluoro Codes Include Technical Component of C-Arm
Question: Our physician uses fluoroscopy and C-arm guidance for joint injections. H...
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