As I understand the Medicare rules, physician interpretation of a molecular pathology procedure (e.g., CPT® codes 81161–81408) may be reported with HCPCS code G0452 (molecular pathology procedure; physician interpretation and report) as long as certain criteria are met. What are those criteria?
Can a radiologist bill for the reading of a post breast biopsy/clip/wire-placement mammogram? It is usually a two-view mammogram that indicates the clip/wire placement. Prior to 2016, the National Correct Coding Initiative (NCCI) edits didn’t allow, but I believe this policy was revised. If the radiologist can bill for the reading of the post breast biopsy/clip/wire placement mammogram, would it be a unilateral, diagnostic mammogram?
If we perform most of the components of an obstetric panel in our hospital lab but we have to send out one component to a reference lab, would we append the modifier 90 to the entire panel, or do we have to report each component separately and append the modifier 90 to only the CPT® code that was sent out?
Is code 92973 the appropriate code for aspiration of a thrombus within a coronary vessel?
Can we use the obstetric (OB) ultrasound (US) codes when the US identifies an ectopic pregnancy or no pregnancy?
I’d like to find out more about the new Medicare diabetes-prevention program. Can you supply a source?
What code would be assigned when a pulmonary stress test is used to evaluate dyspnea?
When should pharmacies use the KX modifier?
What code should be reported when an exercise test is done to diagnose bronchospasm?
Cardiology documented the following in a patient progress note on the second hospital day: “Troponins +, highest 6.4, needs cath STAT. + chest pain.” The chart has no further clarification, so what would be the principal diagnosis on discharge?
If a patient has just an abdominal aorta ultrasound, do we use code 76770 or 76775?
Last week you provided information related to billing Medicare for the mixing of commercial products. What are the billing rules for compounding when the drugs are not a mix of commercially available products?
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