Respiratory Question for the Week of January 19, 2026
What details should the operative report include when billing code 31624? What requirements exist for bronchial alveolar lavage to be coded?
What details should the operative report include when billing code 31624? What requirements exist for bronchial alveolar lavage to be coded?
Under what conditions do we report new 2026 code 87494?
On the hospital side, during an MAA mapping study, the doctors are using a device called a TriNav catheter to temporarily occlude the vessel. To be clear, they are not performing an embolization at this point. Historically, we have billed for catheterization and imaging, but with the release of the C9797 code, we are now being instructed to bill C9797 during the MAA mapping, even when no true embolization is performed. The patient returns a few weeks later for the Y90 treatment, which also involves the use of the TriNav catheter. At that time, I billed the procedure with C9797. What is the correct way to bill for the MAA mapping session on the hospital side?
When a PTCA is done for in-stent stenosis (T82855A), what is the correct root operation: dilatation or revision?
Is the cost for incurring the expense specific to the portable pump included in the reimbursement rate for 96416?
Can we bill an IV push charge for carry-over infusion services that are not otherwise eligible for billing an additional infusion hour?
Can code +C9601 be reported with any of the primary DES stent codes?
If a screening Mammogram (77067) and tomosynthesis (77063) are performed unilaterally, should Modifier 52 be placed on both CPTs®?
Why was code 81354 created in 2026, and when do we report it?
Can we report code 95806 for home sleep tests (HSTs)?
Which telehealth provisions were adopted in the Medicare Physician Fee Schedule (MPFS) final rule for CY2026?
Under what circumstances can code 80051 be reported multiple times?
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