Radiology Coding Alert

Quiz:

32422 With X-Ray? Here's Where to Find Official Guidance

Comply with these PET, bone imaging, and vertebroplasty rules, too.You may find answers to your coding questions in an often overlooked place: the NCCI Policy Manual for Medicare Services. This manual for Medicare's National Correct Coding Initiative (aka NCCI or CCI) includes information on both general CCI concepts and explanations of code-specific edits.Try your hand at four questions, and then learn where to look in the manual to support your coding choices.1. Examine Chest Tube X-Ray OptionsScenario: The radiologist performs a pleural tap and places a chest tube. He then interprets the X-ray taken to confirm the tube's position. You should report: A. 32422 (Thoracentesis with insertion of tube, includes water seal [e.g., for pneumothorax], when performed [separate procedure])B. 32422, 71020 (Radiologic examination, chest, 2 views, frontal and lateral)C. 32422, 71020-26 (Professional component)D. 32422, 71020-26-59 (Distinct procedural service)Solution: A. You should report only 32422. The CCI manual addresses this issue [...]
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