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Radiology Coding Alert
Radiology Coding Alert
Radiology Coding Alert - 2022; Volume 24, Number 12
Case Study:
Compare and Contrast This Abdominal Tumor Imaging Report
Do CT abdomen and pelvis scans need 1 or 2 codes? Find out. Providers often image maligna...
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Documentation:
Use These 3 Tips to Strengthen Your Medical Record Keeping Practices
Promote accountability to keep your staff consistent. Cutting corners in your clinical do...
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ICD-10-CM:
Snow Doubt About It — Time to Refresh Your Winter Injury Coding Skills
Remember that 7th character A stands for active treatment. From the slopes to the trails...
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Reader Questions:
Mind Modifier Use When Reporting KUB Ultrasounds
Question: Our radiology practice recently joined a larger medical group. As a result,...
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Reader Questions:
Know to Assign 76999 for a Ductus Venosus Doppler Study
Question: I have a report documenting the radiologist performed a ductus venosus dop...
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Reader Questions:
Is Modifier 59 Necessary for Reporting 72100 and 72148 on the Same DOS?
Question: A 55-year-old patient presented to our urgent care clinic with severe lowe...
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You Be the Coder:
Learn How to Report Fluoroscopy That Extends Past 1 Hour
Question: I have documentation that indicates the provider performed fluoroscopy for ...
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Radiology Coding Alert - 2022; Volume 24, Number 11
News You Can Use:
Get Up to Speed on the CPT® 2023 Ultrasound Code Changes
Remember: The # symbol indicates a resequenced code. Updated evaluation and managem...
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Mythbusters:
Debunk These 3 Mammography Myths
Hint: 77067 is the only screening mammography code. Coding mammography exams may be fairl...
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ICD-10-CM:
Stay Positive When Coding Encounters With Negative Findings
Read the entire record to identify which unspecified code to use. Negative findings on a ...
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Reader Question:
Select 70554 or 70555 Based on Who Performs Cognitive Testing
Question: A patient visited our radiology practice for an fMRI of their brain. During...
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Reader Question:
Keep an Eye Out for Combination CT Codes
Question: We had a report that indicated the radiologist performed a CT of the patien...
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Reader Question:
Will an In-House Ultrasound Be Reported Separately From E/M? Find Out
Question: Our group practice has a radiology department that performs several ultrasounds ...
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You Be the Coder:
Master This Lumbar Spine MRI Encounter
Question: A patient presented to the hospital with lumbago where they underwent an MRI of ...
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Radiology Coding Alert - 2022; Volume 24, Number 10
Breast Imaging:
Master Mammography With CAD Coding
Do you need to report CAD separately? Find out. Radiologists may use computer-aided detec...
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Stroke Coding:
Expand I63.- to Correctly Code a Cerebrovascular Accident Diagnosis
Discover which subcategory of codes report stroke sequela. When a patient suffers a str...
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ICD-10-CM`:
Do You Know When It’s Okay to Code Rule-Out Diagnoses?
When in doubt, query the provider as to the symptoms. Ruled out — two words on a radi...
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Reader Questions:
Understand How to Report a DXA Body Composition Study
Question: A patient came into our radiology practice for a DXA body composition stud...
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Reader Questions:
Gain Knowledge of the Gustilo Open Fracture Classification
Question: Thank you for your breakdown of the distinct types of wrist fractures in ...
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Reader Questions:
Find the Correct Ultrasound Code for a Fetal Size Follow-Up Appointment
Question: A patient visits her obstetrician's office for a repeat transabdominal ultr...
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You Be the Coder:
Modify Your CT Scan Reporting
Question: I have a radiology report that indicates a CT scan was performed of the pat...
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Radiology Coding Alert - 2022; Volume 24, Number 9
Medicare Physician Fee Schedule:
CMS Proposes a Conversion Factor Decrease in 2023
Find out which CPT® codes could see a value increase on January 1. The Centers for Medic...
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CPT®:
Expand Your Knowledge of Chest X-ray View Types
Understand that rib X-ray codes specify laterality. Chest X-rays allow physicians to vis...
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ICD-10-CM:
Know How to Code the 3 Different Types of Foot Fracture Diagnoses
Hint: Stress fractures are caused by repetitive forces. When a patient experiences a foot...
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Reader Questions:
Select the Correct Code for MRI of TMJ With Contrast
Question: I'm new to radiology coding, and I have a report that states a patient was ...
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Reader Questions:
How Will Dual DXA Scans Receive Proper Reimbursement?
Question: I have a report that indicates the physician performed a “DXA scan on the...
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Reader Questions:
Learn If 73221 Applies to Pediatric MRI Procedures
Question: A 10-year-old pediatric patient was admitted to the hospital emergency depa...
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You Be the Coder:
Know Why a Provider Orders a Sternum X-ray
Question: A patient was referred to our radiology facility for chest X-rays after pre...
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Radiology Coding Alert - 2022; Volume 24, Number 8
News You Can Use:
New Cranial Injury Codes Lead the Way in ICD-10-CM 2023
Understand how to report loss of consciousness. The ICD-10-CM code set is out for 2023, a...
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Case Study:
See If You Can Correctly Code This Report of Multiple Myeloma
Can you pinpoint the ideal imaging code? Choosing the correct diagnostic imaging code to...
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Mythbusters:
Clarify Modifier 76/77 Use With Repeat Imaging Tests
Can you report a repeat test when equipment fails? Find out. Many myths surround the use ...
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Reader Questions:
Check the Documentation Before Reporting 76856
Question: What elements does a provider need to document to report a complete nonobst...
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Reader Questions:
Know When to Report Imaging Guidance for Catheter Placement
Question: If a physician performs an insertion of a tunneled central venous catheter ...
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Reader Questions:
Should Modifier 50 Join Your Shoulder X-ray Code?
Question: A patient was referred to our radiology practice for X-rays of the patient'...
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Reader Questions:
Remember to Indicate Laterality for Ankle Sprain Diagnoses
Question: A patient presents to urgent care complaining of severe right ankle pain af...
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You Be the Coder:
Choose the Correct Modifier to Get Your Mammogram Claim Reimbursement
Question: A patient was referred to our radiology practice for her annual screening m...
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Radiology Coding Alert - 2022; Volume 24, Number 7
Ultrasounds:
Know What A- and B-Scans Mean for Ophthalmic Ultrasounds
Do you need to permanently store images? Find out. When you examine the code descriptors ...
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ICD-10-CM:
Precisely Code Colles’, Smith’s, and Barton’s Fractures With This Guide
Hint: Bone fragment positioning determines the diagnosis. Of the assortment of wrist frac...
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Industry Notes:
Contrast Supply Shortage Leaves Radiology Practices Scrambling
Will practices be able to change previously authorized orders? Radiology practices acros...
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Reader Questions:
Make Sure You’re Using Updated Codes to Report X-rays
Question: Our radiologist captured bilateral anteroposterior (AP), posteroanterior (P...
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Reader Questions:
Can You Report a Bulging Disc as Displaced?
Question: A patient was referred to our radiology practice for X-rays of their lumbo...
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Reader Questions:
Know When to Separately Report Fluoroscopic Guidance
Question: A radiologist in our practice performed fluoroscopic guidance for a diagnos...
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You Be the Coder:
Get Specific When Selecting X-ray Codes of Extremities
Question: A 65-year-old patient with a history of osteoporosis visited our urgent car...
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Radiology Coding Alert - 2022; Volume 24, Number 6
ICD-10-CM:
Reapply this Coding Refresher for Summertime Injuries
Help payers determine who pays by assigning activity codes. After a long winter, patients...
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Ultrasounds:
Understand How to Code Complete Ultrasounds When Organs Are Missing
Is modifier 52 necessary? Find out. The CPT® code set contains several ultrasound code...
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2022 Updates:
4 New CT and MR Category III CPT® Codes Take Effect July 1
Temporary codes can help promote better patient outcomes. Four new Category III CPT® cod...
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Reader Questions:
Coding a ‘Likely’ Diagnosis Will Get Your Claim Denied
Question: I have a report where the provider wrote “likely a meniscus tear,” with...
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Reader Questions:
Identify Different X-ray Views to Choose Your CPT® Code
Question: Could you please explain the difference between anteroposterior (AP) and po...
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Reader Questions:
Find Out Which Code to Report for an Ultrasound With Fetal Examination
Question: An ob-gyn referred a patient pregnant in her second trimester to our radiol...
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You Be the Coder:
Correct Your Coccyx Contusion Coding Confusion
Question: Parents brought their 6-year-old child into the emergency department (ED) f...
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Radiology Coding Alert - 2022; Volume 24, Number 5
Case Study:
Study Up to Code This Report of Spondylosis With Stenosis
Find out if 72149 covers the S1 region. Lower back pain can be, well, a pain to diagnose,...
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CPT® Coding:
Here’s How to Identify the Correct CTA Code for Abdominal Scans
Remember that contrast injection is included with CTAs. You may have computed tomography ...
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Modifiers 101:
Refresh Your Knowledge of Technical or Professional Component Modifiers
Isolate the differences between the 26 and TC modifiers. While described by a single code...
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Reader Questions:
How Many Codes Are Needed for 3-Finger X-rays?
Question: Our radiologist captured posteroanterior (PA) and oblique X-ray views of a ...
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Reader Questions:
Master MRI Coding of a Brachial Plexus Injury
Question: A 24-year-old patient with a history of playing football presented to our ...
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Reader Questions:
Add Different Lateral X-ray Views to the Total
Question: A patient presented to our radiology practice with low back pain. The patie...
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You Be the Coder:
Land the Trick of Coding This Skateboarding Injury
Question: A 52-year-old patient arrived at our emergency department (ED) with severe left ...
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Radiology Coding Alert - 2022; Volume 24, Number 4
ICD-10-CM 2022:
Identify the Correct 7th Character for Active Fracture Treatment
Follow this advice to ace the ‘sequence multiple fractures by severity' rule. Pinpoint...
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Documentation:
Here’s What to Do When DXA Claims Result in ADRs
Avoid these 3 errors to improve your chances of bone scan reimbursement. While assigning...
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CPT® Coding 101:
Refresh Your Imaging Guidance Coding With These 3 Tips
Laterality modifiers can help your claim. Providers may use imaging guidance while perfor...
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Reader Questions:
Don’t Forget Modifier 76 When Reporting Repeated X-rays
Question: A patient presented to our orthopedic practice for follow-up care of their ...
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Reader Questions:
Reread Descriptors to Locate the Correct X-ray Code
Question: A patient presented to our radiology practice with severe acute pain locali...
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Reader Questions:
Use 2 Codes to Precisely Report an SIS Procedure
Question: I have documentation for an encounter with a 37-year-old female patient whe...
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You Be the Coder:
Know the Cut Length to Choose the Right Splenic Laceration Code
Question: I have a report from an urgent care facility that indicates a radiologist p...
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Radiology Coding Alert - 2022; Volume 24, Number 3
Trabecular Bone Scores:
Learn If Trabecular Bone Score Codes Require New Scans
Does documentation of a T-score point to a TBS code? Trabecular bone scores (TBS) provide...
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Coding Tips:
Use These 5 Tips to Refine Your Renal Cell Cancer Coding Skills
Eliminate incidental findings from your coding for a cleaner claim. Computed tomography (...
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ICD-10-CM 2022:
Report Severe Brain Injuries Using New Brain Compression Codes
An estimated 1.5 million people suffer a traumatic brain injury each year. Before Oct. 1,...
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Reader Questions:
Can You Code Bone Length Studies and Knee X-rays Together?
Question: Following a patient's knee replacement, a physician performed a bone length...
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Reader Questions:
Leave Low Back Pain Off Your Claim When Reporting M43.16
Question: Our radiologist captured two X-ray views of a 75-year-old patient's L1-L5 ...
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You Be the Coder:
Pinpoint the Right Codes by Following the Implant Guidelines
Question: A 24-year-old patient comes into the emergency department (ED) presenting severe...
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Radiology Coding Alert - 2022; Volume 24, Number 2
CPT®:
Capture Every Cardiac MRI Code for This COVID-19 Patient
Know which clues in the physician's notes point to pharmacologic stress testing. Approxim...
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Guidelines:
Do You Know the Difference Between Foreign Bodies and Implants? Find Out
Here's how to identify an implant that comes loose and what it means for coding. Radiolog...
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MRIs:
Dive Into Specifics to Properly Code MRIs
Contrast aids in detecting tumors in the body. Radiology practices see a variety of pati...
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Reader Questions:
Avoid ‘Excludes1’ and ‘Excludes2’ Note Confusion With This Advice
Question: I'm still unclear on the rules surrounding Excludes1 and Excludes2 notes. Could...
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Reader Questions:
Don’t Feel Constricted When Coding Foot Contractures
Question: I have encounter notes that indicate the radiologist diagnosed the patient ...
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Reader Questions:
Learn How to Properly Code a March Fracture
Question: A patient was referred to our radiology practice by their primary care phys...
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You Be the Coder:
Bone Up on Your Bimalleolar Fracture Coding Skills
Question: A patient experienced a hard fall in their home and presented to the emergency d...
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Radiology Coding Alert - 2022; Volume 24, Number 1
Reimbursement:
Understand How These AUC Program Changes Will Affect Your Practice in 2022
Providers won't receive penalties in 2022 due to the pandemic. Radiology practices can r...
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Coding Quiz:
Review Your Knowledge of the 2021 with Our Coding Quiz
Do you remember the big changes of the past year? The past 12 months were full of big cod...
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Modifiers 101:
Modify Your X-ray Reporting to Save the Claim from Denials
Learn how to correctly report two units of 73600. Choosing the correct CPT® code for a r...
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Coding Quiz Answers:
Did You Ace Our Year-in-Review Coding Quiz?
Check your answers to see if you're ready for 2022. Do these major coding changes from 20...
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Reader Questions:
Carve Out the Code for Snowboarder’s Ankle
Question: A 28-year-old patient visits our urgent care facility with complaints of ri...
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Reader Questions:
Keep Your Spinal Fusion Coding Skills Fresh
Question: I have a report that indicates the radiologist captured three X-ray views of the...
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Reader Questions:
Know When to Ask for More Information
Question: I have an op note that states the radiologist captured “US (ultrasound) images...
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You Be the Coder:
Be Familiar with Chemo Side Effects to Accurately Code Reports
Question: A patient diagnosed with stage III lung cancer had a computed tomography (C...
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