Question:
A physician ordered a neck computed tomography (CT) for indication of a palpable neck mass. A few CT images were obtained without contrast with a lead BB (opaque marker) to mark the mass, followed by a complete neck CT with contrast. Is it justified to submit a claim for a CT of the neck without and with contrast?
Answer:
It is appropriate to report 70492 (computed tomography, soft tissue neck, without contrast material, followed by contrast material(s) and further sec¬tions) if the without contrast images are performed to check the density of the mass and to characterize its enhancement, calcification, etc., which is then followed by a complete neck CT with contrast material.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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