Radiology Coding Alert
Is There a HIDA Scan Code?
Colorado Subscriber
Answer: You should report CPT 78223 (Hepatobiliary ductal system imaging, including gallbladder, with or without pharmacologic intervention, with or without quantitative measurement of gallbladder function) for the scan and A9510 (Supply of radiopharmaceutical diagnostic imaging agent, technetium Tc 99m disofenin, per vial) for the material that you inject.
The actual injection procedure itself is included in the reimbursement for 78223, so you should not report a separate intravenous injection code to reflect the physician's work injecting the radiopharmaceutical.
A hydroxy iminodiacetic acid (HIDA) scan is an imaging test that physicians use to examine the gallbladder and the ducts leading into and out of it. Physicians often perform these tests to determine whether patients have duct obstructions.
During this test, also referred to as cholescinti-graphy, the physician performs an intravenous injection of a radioactive material called hydroxy iminodiacetic acid.
Radiology Coding Alert
- NCCI 10.0 Targets the New Central Venous Access Codes
Medicare won't pay both US and fluoro guidance with new CVC codes - unless you [...] - News You Can Use:
Higher Conversion Factor Increases Radiologists' Pay
CMS finally released the long-awaited 2004 conversion factor. According to CMS' Dec. 24 transmittal, the [...] - Debunk 3 Common Radiology Diagnosis Coding Myths
Don't let these coding errors sink your claims You assigned the correct CPT Codes and [...] - You Be the Coder:
Is There a HIDA Scan Code?
Question: What code should we report if the physician documents a "HIDA scan"?
Colorado Subscriber
Answer: You [...] - When Your Radiologist Vacations:
Modifiers -Q5 and -Q6 Keep Reimbursement Coming
2 scenarios show you how to report stand-in services and get paid When your radiologist [...] - Clip-and-Save Checklist:
11 Tips for Recouping Payment for Substitute Physicians
You can avoid unnecessary stress during physician vacations when you report reciprocal billing arrangements or [...] - Reader Question:
Count Self-Referrals as Office Visits
Question: A patient with back pain came to our office to determine whether she is [...] - Reader Question:
See Modifier -55, Think Postoperative Care
Question: Our interventional radiologist recently took over the postoperative care of another surgeon's IVC filter [...] - Reader Question:
New Cath Repair Code Refers to Hub Repair
Question: Our patient's permanent catheter had a cracked clamp and hub on the arterial port. [...]
