Radiology Coding Alert
Reader Question:
Consider Extra Films Standard
Published on Tue Apr 01, 2003
Question: When we have to use additional films to get a comprehensive mammogram from a patient, can we get paid for the extra films? Or are they already considered "paid for" by the fee for the standard examination? Illinois Subscriber Answer: The short answer to your reimbursement question is "no." However, that doesn't mean there aren't situations in which you should be receiving additional pay when performing screening and diagnostic mammograms. You can't charge for extra films or larger films, for that matter, when attempting to complete the standard views for either a screening or diagnostic mammogram.
Other Articles in this issue of
Radiology Coding Alert
- Reconstruction During CT Does Not Automatically Signal CTA
If your radiologist documents reconstruction during a computed tomography (CT) scan, you shouldn't automatically submit [...] - Keep Sight of Anatomic Site to Select CTA Code
As with the computed tomography (CT) scan codes, CPT breaks the CT angiography (CTA) codes [...] - Use More Than One Code for Chemoembolization
Radiologists who offer chemoembolization treatment to liver cancer patients should always report at least two [...] - E/M Coding:
Consult These Guidelines for Radiology Consults
Contrary to what many coders believe, more than one physician can bill consultation codes for [...] - What Does Medicare Consider a Transfer of Care?
Because Medicare's consultation coding guidelines hinge on whether a referring physician requests an opinion or [...] - 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 looking at the [...] - News Brief:
Conversion-Factor Raise To Boost RadiologistsPay
Although many radiology coders were disappointed when CMS cut the 2003 conversion factor, a recent [...] - Reader Question:
Report 93923-52 for Unilateral Doppler
Question: Which CPT Code should we report for a unilateral lower-extremity arterial Doppler using multilevel [...] - Reader Question:
Contrast,Fluoro Determine MRI Codes
Question: Which code should I report for an MRI of the elbow? Georgia Subscriber
Answer: [...] - Reader Question:
76355 No Longer Just for Axial Plane
Question: Which code should we report for stereo-tactic-guided surgery or computer-assisted surgery that our radiologist [...] - Reader Question:
Add 76085 to Bilateral Mammograms
Question: CPT Codes 2003 states that coders should report add-on code 76085 with the bilateral [...] - Reader Question:
Technician Can Compress Artery
Question: Can our ultrasound technician compress the artery during the pseudoaneurysm repair (76936, Ultrasound guided [...] - 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 different lumbar [...] - Screening or Diagnostic? Test Your Mammogram Identification Skills
Coding for screening-turned-diagnostic mammograms has come a long way since the days before modifier -GG [...] - Noteworthy News:
Have a Heart,Encourage Mammograms
A routine mammogram may give your patients a "heads up" on their heart as well [...] - Please Payers With These Dx Codes for 76090-76092
Don't identify a screening mammography from a diagnostic mammography and then blow it by linking [...] - Take 4 Steps to Achieve Clean Claims for Breast Biopsies
One of the benefits of interventional radiology breast biopsies is quick patient recovery. Use these [...] - You Be the Coder:
Conditionally Code Aspiration
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question:
Base Mammogram Coding on Guidance
Question: Can we separately bill a guided breast biopsy, 19102, and a diagnostic mammogram if [...] - Reader Question:
Dont Code Multiple Wires
Question: How should I code the visualization and aspiration of two cysts in the same [...] - Reader Question:
Consider Extra Films Standard
Question: When we have to use additional films to get a comprehensive mammogram from a [...] - Reader Question:
Modify Postmastectomy Mammograms
Question: How should I code a postmastectomy screening mammogram? I know the screening code is [...] - 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 [...] - Coder to Coder
Don't diminish the importance of Medicare's screening mammogram frequency regulations, says Stacy J. Hardy, CPC, [...]
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