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Radiology Coding Alert
Radiology Coding Alert
Radiology Coding Alert - 2021; Volume 23, Number 12
Fee Schedule:
Learn How a Decreased CY 2022 CF Might Affect Your Radiology Practice’s Reimbursement
Plus: Check out this updated clinical labor pricing after 20 years. Has your radiology pr...
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Reimbursement:
Know How Medicare Beneficiaries Receive Greater Access to PET Scans
Find out which radiology services have new RVUs. The Centers for Medicare and Medicaid (C...
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ICD-10-CM:
Understand the Tricks to Using Activity Codes with Winter Sports Injuries
Do activity codes provide valuable research data? Find out. Using the activity codes list...
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Reader Questions:
Grasp How to Code a Skier’s Thumb Injury
Question: I have a physician's documentation diagnosing the patient with a sprained t...
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Reader Questions:
Code This Case of Epiploic Appendagitis Correctly
Question: A 38-year-old patient visits our imaging facility after visiting their prim...
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Reader Questions:
Dig This Snow Shoveling Activity Code Exclusion
Question: A patient came into our practice complaining of right shoulder pain after s...
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You Be the Coder:
Modify Your CPT® Codes When Interpreting Results
Question: A radiologist in our imaging facility interpreted the results of a patient'...
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Radiology Coding Alert - 2021; Volume 23, Number 11
Documentation:
Press Record on Radiologic Images to Ensure Proper Documentation
Key: The number of views is not the same as the number of images. Radiologists use images...
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Case Study:
See If You Can Accurately Code This Foot MRI
Put your coding skills to the test with this scenario. Radiology coders need to sift thro...
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NCCI Edits:
Learn How to Correctly Report PET and PET CT Scans to Medicare
Understand when a PET CT is a necessary procedure. Each year, the National Correct Codin...
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Reader Questions:
Don’t Get Tripped Up by the Number of Views
Question: A 21-year-old male patient visited our after-hours care center complaining of ri...
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Reader Questions:
Code the Reason for a Screening Mammography
Question: A general practitioner referred their patient to our radiology practice after th...
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Reader Questions:
Know When to Choose an Infant CPT® Code
Question: I've been coding for several years, but I'm new to radiology. I have a report st...
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Reader Questions:
Make Sure to Code Only Certain Dx
Question I have a report from a radiologist in our practice where they captured chest X-ra...
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You Be the Coder:
Discover the Trick to Coding Skull Lesions
Question: A 72-year-old patient was referred to our radiology practice to have an MRI with...
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Radiology Coding Alert - 2021; Volume 23, Number 10
CPT® 2022 Update:
5 Radiology Changes Include New Trabecular Bone Score, Thermal Nerve Destruction Codes
Plus: You'll discover three deleted CPT® codes in 2022. You may be getting used to hear...
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Coding Quiz:
Show Off Your Radiology Exam Coding Skills with These 3 Scenarios
Think you know the difference between a lower leg and a joint MRI? Several kinds of injuri...
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FAQs:
Master Modifiers in Your Radiology Coding By Asking These Questions
Find out what counts for increased procedural services. Even though CPT® codes have high...
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Coding Quiz Answers:
Check Your Answers to Our Radiology Exam Coding Quiz
How well do you know the radiology CPT® codes? After you've answered the quiz questions ...
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Reader Questions:
Pinpoint the Correct X-ray Code for Finger Fractures
Question: A patient visited our radiology practice complaining of finger pain in the right...
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Reader Questions:
Understand Ultrasound Guidelines to Prevent Denials
Question: A patient came into our radiology practice for her 1st ultrasound (US) after fin...
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Reader Questions:
Combine CPT® Codes Carefully for CT Cystography Billing
Question: I'm new to radiology coding, and I have an op note documenting a CT cystogram wi...
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You Be the Coder:
Pay Attention to the 7th Character When Reporting a Bruised Thorax
Question: A patient came into our after-hours care facility presenting symptoms of pain in...
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Radiology Coding Alert - 2021; Volume 23, Number 9
Reimbursement:
Learn How Your Radiologist May Have to Adapt to Proposed AUC Program Modifications
Providers may no longer need to consult the AUC when modifying orders. The Medicare Physi...
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Medicare Physician Fee Schedule:
Know What the Proposed CF Change Could Do to Your 2022 Bottom Line
Plus: NCDs for PET scans may be removed. The Medicare Physician Fee Schedule (MPFS) propo...
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ICD-10-CM Update:
Recording Social Determinants of Health Can Shape Your Radiologist’s Care Plan
2022 ICD-10-CM Z code revisions focus on food insecurity, housing insecurity, and more. W...
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Reader Questions:
Confirm The Type of Views Before Choosing CPT® Codes
Question: The report from the radiologist lists that they performed 3 views during a chest...
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Reader Questions:
Explore E/M Codes to Report a PET Scan Consultation
Question: A patient was referred to our radiology practice to evaluate their heart metabol...
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Reader Questions:
Monitor the Notes When it Comes to Coding Barium Swallows
Question: A speech pathologist ordered a modified barium swallow to assess the swallowing ...
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You Be the Coder:
Dive Into the Differences of DEXA Procedure Coding
Question: I'm having trouble determining which specific code to use for a bone density stu...
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Radiology Coding Alert - 2021; Volume 23, Number 8
ICD-10-CM 2022:
Traumatic Brain Compression, Gastric Intestinal Metaplasia Diagnoses Highlight New Radiology Coding Options
Pay attention to how you'll need to expand your cough diagnoses. The Centers for Disease ...
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Mammograms:
Here’s How COVID-19 Shots Can Affect Routine Mammogram Screenings
Wait six weeks post-vaccine before scheduling these services. A routine screening mammogr...
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Fractures:
Understanding How The 7th Character Matters for Broken Nose Diagnoses
If the documentation doesn't specify open or closed, default to this. If a patient prese...
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Reader Questions:
Follow ICD-10-CM Instructions For Joint Replacement Aftercare
Question: Our practice keeps receiving denials for using Z96.6- to code total joint post-o...
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Reader Questions:
Unilateral Screening Mammogram May Mean This Modifier
Question: What code should I use for a unilateral screening mammogram? The documentat...
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Reader Questions:
The Location of a Cyst Determines the ICD-10-CM Codes
Question: The radiologist documented their CT scan findings as, “There is note made of a...
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Reader Questions:
Modifiers Help Indicate Catheter Placement
Question: I am brand new to coding endovascular, and I'm not sure which codes I need ...
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You Be the Coder:
Should You Code Both Partial and Complete Rotator Cuff Tears? Find Out
Question: A radiologist's report indicates a full-thickness tear of the supraspinatus and ...
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Radiology Coding Alert - 2021; Volume 23, Number 7
CPT® Coding:
Master Small Bowel Exam Series Coding with This Handy Guide
Know when to code separately for enteroclysis tube introduction. Staying up-to-date on co...
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X-Rays:
2 Scenarios Will Have You Submitting Picture Perfect X-Ray Claims
Pay close attention to the indication and impression to ensure accurate coding. You may...
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ICD-10-CM Coding:
Adhere to Strict ICD-10-CM Hypertension Reporting Guidelines
Remember: You will report same code for both essential and malignant hypertension. A qu...
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You Be the Coder:
Follow These Steps for Coding of PICC With Port
Question: My interventional radiologist created a small incision over the patient's vein i...
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Reader Questions:
Abide by these fMRI Coding Steps
Question: I'm new to my radiology practice and am working on a dictation report for a fun...
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Reader Questions:
Go With This Code for Mobitz Block Type 1 Diagnoses
Question: What ICD-10-CM code should I report for Mobitz Block Type 1? I saw this dia...
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Reader Questions:
Learn Specifics Surrounding Supraventricular Tachycardia Diagnoses
Question: My radiologist documented in the impression paroxysmal supraventricular tachycar...
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Reader Questions:
Capture Internal Carotid Stenting Surgery With These Codes
Question: I have a request to schedule surgery for the stenting of right internal carotid ...
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Reader Questions:
Go In-Depth with Infra-Renal Vena Cava and Iliac Vein Coding
Question: I have a note that states: “Following this an IVUS catheter was placed under f...
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Radiology Coding Alert - 2021; Volume 23, Number 6
ICD-10-CM Coding:
Discern Between Manifestation, Sequela Diagnoses With 2 Examples
See what the guidelines say for COVID-19 manifestation reporting. While manifestation and...
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Hospital Care:
Get Properly Acquainted With These Hospital Care E/M Services
Plus, refresh your knowledge of admitting physician requirements. If you don't have a fir...
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E/M Updates:
Take Away These Essential Points from 2021 E/M Updates
See how MDM data points and risk are redefined. The dust is starting to settle on the 20...
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You Be the Coder:
Consider Coding Breakdown for Lumbar Puncture Cisternography
Question: What's the CPT® coding for a fluoroscopic-guided lumbar puncture performed for ...
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Reader Questions:
Report This Code for Diabetes 1.5 Diagnoses
Question: Our provider recently documented a patient as having both type 1 and type 2 diab...
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Reader Questions:
Instruct on Best Documentation Practices for E/M, Office Procedure Denials
Question: Is there anything I can do from a coding perspective to prevent bundling denials...
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Reader Questions:
Distinguish Between Shoulder, Upper Extremity MRI Code Sets
Question: The radiologist performed a magnetic resonance imaging (MRI) on a patient's righ...
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Reader Questions:
Check Authoritative Guidance for Contrast-Only MRIs
Question: What's the coding for a contrast-only bilateral breast resonance imaging (MRI) s...
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Reader Questions:
Rely on This Excludes1 Guidance for Multiple Diagnoses
Question: The indication of my provider's report details the patient having both diarrhea ...
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Radiology Coding Alert - 2021; Volume 23, Number 5
ICD-10-CM:
Tackle This Malunion Fx Seventh Character Conundrum
Rely on guidelines and expert advice to get to the bottom of this coding dilemma. Diagnos...
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Breast Imaging:
Crack These 5 Breast Imaging Myths Using Updated ACR Guidance
Ensure coding compliance beyond just mammograms. Staying up to date on guidance surroun...
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MIPS:
Address These Common PHE-Induced QPP Misconceptions
See details on performance year 2020 bonus options. The public health emergency (PHE) ha...
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Reader Questions:
Breeze Through ABN Claims Processing With This Guidance
Question: Can you offer any guidance on how to properly submit advanced beneficiary ...
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Reader Questions:
Check This CPT® Advice for MDM Bullet Counting
Question: For medical decision making (MDM) coding, should you count the order and review ...
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Reader Questions:
Bank on Medical Necessity for Same Day CT, CTA Scans
Question: How do I know when it's appropriate to unbundle a computed tomography (CT) of th...
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You Be the Coder:
Learn Appropriate Modifier 22 Use on 76830
Question: Does coding for a transvaginal ultrasound (US) for an intrauterine device (IUD) ...
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Radiology Coding Alert - 2021; Volume 23, Number 4
Ultrasounds:
Rely on Essential Guidelines for Compliant Vascular Duplex Scan Coding
Check for eligible LCD diagnoses in order to streamline the billing process. Correctly co...
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Virtual Check-ins:
Take a Deep Dive Into Virtual Check-in Coding With This Guide
Stick to one set of codes for reporting until the PHE ends. As the PHE persists into 2021...
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ICD-10-CM Coding:
Streamline Diagnosis Coding Processes With Tricks of the Trade
When in doubt, always query your providers. Continuing your evolution as an ICD-10-CM co...
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You Be the Coder:
Check Coding Guidance for Bilateral FNA Biopsy Services
Question: Our provider performed a bilateral ultrasound (US)-guided fine needle aspiration...
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Reader Questions:
Refer to Category Code Guidelines for Aortic Root Abscess Dxs
Question: What's the diagnosis coding for an aortic root abscess? Florida Subscriber Ans...
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Reader Questions:
Refresh Cardiac Anatomy Knowledge for Quick Atrial Dilation Dx Coding
Question: I'm working on a dictation report that includes a primary diagnosis of “dilati...
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Reader Questions:
Consider Rare Instances Where an NCCI Workaround Is Needed
Question: Our interventional radiologist performed a transrectal ultrasound (TRUS) in orde...
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Radiology Coding Alert - 2021; Volume 23, Number 3
Test Your Obstetrical US Coding Acumen With 3 Scenarios
Tackle these case studies involving multiple gestations. Obstetrical ultrasound (US) codi...
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E/M 2021:
Pinpoint Key Differences Between 2 New Prolonged Services Codes
Understand reason for CMS' adoption of new code in place of +99417. From the 2020 Centers...
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ICD-10-CM Coding:
Tackle 2 Examples to Master Catheter Complication Dx Coding
Channel your knowledge of anatomy and terminology to reach your final answer. Procedures ...
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You Be the Coder:
Properly Distinguish Duplicate Codes From Repeat Procedures
Question: Non-contrast magnetic resonance imaging (MRI) scans of the left wrist and the le...
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Reader Questions:
Consider Revised 2021 ICD-10-CM Guidelines on Observation Sequencing
Question: Should we report the observation diagnosis codes (Z03-Z05) as primary diagnoses ...
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Reader Questions:
Use Modifier 53 For Terminated Procedures Due to Health Reasons
Question: Our radiologist had to terminate an ultrasound (US)-guided percutaneous breast b...
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Reader Questions:
Plan a Few Years Out for ICD-11-CM
Question: I listened in on a webinar recently where the speaker said to prepare now for IC...
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Reader Questions:
Check Updated NCDs Before Writing Off Denials
Question: I received a denial for N61.23 on a bilateral diagnostic mammogram. Am I able to...
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Radiology Coding Alert - 2021; Volume 23, Number 2
Policy Changes:
Track Changes to Bottom Line and More From COVID-19 Relief Bill
Put your G2211 coding concerns on hold — for now. The COVID-19 relief bill has been off...
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Case Study:
Consider Anatomy, Contrast to Ace These Radiology Thyroid Studies
Use this case study as an example to drive the point home. Most coders will attest that i...
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Final Rule:
Highlight This Set of 2021 MPFS Final Rule Changes for Radiology
Look beyond E/M to get the most out of the final rule. At this point, you're all too fami...
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You Be the Coder:
Follow This Advice for Separate Provider Biopsy, Clip Placement Services
Question: A separate provider performed a percutaneous breast biopsy of two lesions under ...
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Reader Questions:
Home in on These Criteria for Accurate Consultation Coding
Question: Our physician offered consultation services to a patient who was in treatment wi...
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Reader Questions:
Report CT Contrast Codes for IV Administration Only
Question: How do I code for a patient who received a computed tomography (CT) scan of the ...
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Reader Questions:
Consider Parenthetical Notes, Guidelines for Some Heart Disease Combinations
Question: The indication documents the patient as having hypertensive heart disease with a...
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Radiology Coding Alert - 2021; Volume 23, Number 1
Modifiers:
Work Out 2 Unbundling Examples Using X{EPSU} Modifiers
See an instance where more than one modifier fits. Most seasoned radiology coders know ho...
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Interventional Radiology:
Abide by Key Guidelines for Proper Endovascular Repair Coding
Plus, consider some key expert advice for reporting add-on codes +34717 and +34713. Whil...
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Reimbursement:
Brace for Hit to Radiology Reimbursement Following MPFS 2021 Final Rule
Plus, know what to expect for IDTFs and nuclear medicine. If you've managed to work your...
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Reader Questions:
Work Out This Masseter Muscle I&D Scenario
Question: Our radiologist performed an incision and drainage (I&D) of a masseter muscl...
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Reader Questions:
Consider Specific Guidelines for Azithromycin Allergic Reactions
Question: I'm working on a computed tomography (CT) maxillofacial for a patient with ...
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You Be the Coder:
Check SPECT Technique for Correct Code Range
Question: Our radiologist interpreted tomographic myocardial perfusion imaging at rest and...
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