Radiology Coding Alert
Avoid AQ if You're in Automated File
Question: I'm confused about whether to apply modifier AQ on my claims. If our ZIP code is in the annual file, do I need to use the modifier? Washington Subscriber Answer: If your ZIP code is in Medicare's annual file for automated Health Professional Shortage Area (HPSA) bonus payment, you should not report modifier AQ (Physician providing a service in an unlisted health professional shortage area [HPSA]). Your payer will make the bonus payment automatically. Who uses AQ: Effective Jan. 1, 2009, coders in areas "eligible on December 31 of the prior year for the HPSA bonus but not on the automated ZIP code list" should use modifier AQ to receive the HPSA bonus, according to MLN Matters article MM6106 (www.cms.hhs.gov/mlnmattersarticles/downloads/MM6106.pdf).
Radiology Coding Alert
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Use it wisely: The OIG is watching $400-million-modifier GY. Just in time for CMS' implementation [...] - You Be the Coder:
Handle Hip Coding With Ease
Question: How should I code the following hip report? New Jersey Subscriber History: Hip Pain [...] - 22526 Service? Pull Out the ABN, Says CMS
A new NCD spells trouble for certain guidance services, too. Stop expecting Medicare to cough [...] - Reader Questions:
Try 2 Codes for 2 Chest Views With Ribs
Question: If the radiologist performs a rib series and a PA/LAT chest x-ray, how should [...] - Reader Questions:
Sidestep Artery and Vein MRA Mistake
Question: If the radiologist performs MRA of both the arteries and veins, may I report [...] - Reader Questions:
Avoid AQ if You're in Automated File
Question: I'm confused about whether to apply modifier AQ on my claims. If our ZIP [...] - Reader Questions:
SPECT Changes Your Parathyroid Coding
Question: If we perform SPECT imaging with planar images for parathyroid imaging, which code(s) should [...] - Reader Questions:
Or' Adds Uncertainty to Diagnosis
Question: The radiologist's impression states "superimposed atelectasis or infiltrate." Should I code both diagnoses or [...] - Reader Questions:
Find Best Fluid Collection Option
Question: The radiologist documented an ultrasound-guided aspiration of right upper quadrant perihepatic fluid collection. "A [...]
