Compliance Question of the Week – Question of the Week

Cardiology Question for the Week of January 16, 2017

We were told we should bill code 96374 for administration of LUMASON® (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use with echocardiogram with contrast, but we are getting denials for this code. Is there another code we should use?

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Radiology Question for the Week of January 9, 2017

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?

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