Medicine and health care

Breast & Bone Density Procedure Coding Guide FY20Q1 Update

Thank you for being a valued subscriber to the Breast & Bone Density Procedure Coding Guide for 2020. As you know, breast imaging and interventions continue to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into

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Young doctor is examining senior patient by using an ultrasound equipment in clinic

What makes an extremity ultrasound complete?

NON-VASCULAR EXTREMITY ULTRASOUNDS – WHAT MAKES AN EXTREMITY COMPLETE? Complete vs. limited exams are a consistent source of questions and noncompliance. For ultrasound exams, some of our most frequent questions are around understanding the guidelines for complete vs. limited exams. Many of the code choices for ultrasounds make the distinction

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Radiologist controls MRI or CT or PET Scan with female patient undergoing procedure

What’s new for 2020? SPECT and SPECT-CT codes

We are bracing for a storm of change. It’s not breaking news that we are seeing an overhaul of the code set for cardiac PET procedures in 2020. However, that’s not the end of the changes for nuclear medicine departments this year – there’s also an overhaul for SPECT and

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Gavel in law library

AUC Program Participation is Mandatory in January – Are You Ready?

APPROPRIATE USE CRITERIA – PROGRAM IMPLEMENTATION IS COMING Appropriate Use Criteria (AUC) for advanced diagnostic imaging – this topic has been looming for the past couple of years as voluntary participation in the program began in 2018. However, with mandatory program participation starting in a few months and more guidance

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Radiologist controls MRI or CT or PET Scan with female patient undergoing procedure

Myocardial PET – Get Ready to Reset

Background Possibly the single largest exam performed in nuclear medicine is the myocardial perfusion exam. This study provides differentiation between ischemic and infarcted cardiac tissue. Infarcted tissue (otherwise referred to as myocardial infarction, or MI) describes cardiac tissue that is dead–this tissue is not currently being supplied by blood. Ischemic

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Patient lying down on CT scanner

Unbundling CT Scans: A Renewed Focus

Generally, ‘bundled’ codes refer to procedure codes for less extensive exams being included in (or bundled with) procedure codes for more extensive exams being performed at the same anatomic location, or site.

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Ultrasound in physical therapy

Complete vs. Limited Ultrasound

It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.

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Medicine and health care

Breast MRI: New Year, New Codes, New Questions

It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.

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Girl going into CT scanner

3D Rendering with CT – 2 Codes, So Many Questions

76376 and 76377 – the CPT codes describing 3D rendering of 2D images to give the images an illusion of depth. These codes may be applied in addition to site-specific imaging codes assuming the criteria are met for utilization…which sounds fairly straightforward. However, proper use of these codes is among

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