Radiology Question for the Week of December 22, 2025
Can we charge for 78999-“Unlisted miscellaneous procedure, diagnostic nuclear medicine” to reflect the administration of the radiopharmaceutical given for diagnostic purposes?
Can we charge for 78999-“Unlisted miscellaneous procedure, diagnostic nuclear medicine” to reflect the administration of the radiopharmaceutical given for diagnostic purposes?
What is the difference between an arteriovenous (AV) fistula and an AV graft?
Under what conditions can we report 92924 more than once?
When do we report new code 99445 in 2026?
What compliance and billing challenges can arise when multiple hospital departments perform laboratory testing, particularly with point-of-care testing (POCT)? In this regard, do you have any insight into billing modifier 91?
Is it permissible to code from documentation from a consultant as long as it’s not conflicting with the attending physician’s documentation? For example, CHF is listed by the attending physician, but the cardiologist states chronic diastolic heart failure. Also, can additional diagnoses be coded from consultant documentation? We are confused if the advice in the 2016 coding clinic that addresses this applies only to pathology, radiology, and lab results, or if it encompasses all other documentation from providers involved in the patient’s care.
What are the key differences between white bagging and brown bagging?
Can you provide any insight or coding tips for codes 76014 and 76015? Specifically, can we charge 76014 for every patient with an implanted device if we must review prior documentation to determine whether the device is MRI-compatible?
When is modifier 91 applicable for testing?
What are the new category III codes effective as of 2026?
If a patient is scheduled for a CT with and without contrast, but the patient refuses the contrast, should we bill the code for the CT without contrast, or should we bill for the exam with/without a modifier? What modifier would be appropriate to use in this scenario?
Is code 86985 billable with P9011?
CPT® copyright 2025 American Medical Association (AMA). All rights reserved.
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.
CPT is a registered trademark of the American Medical Association.
BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24