Can you provide the correct code for a nuclear medicine scan of the salivary gland? The patient was reported with a right parotid lesion. Images were taken from the head to neck using Tc 99m, and 17 minutes after the injection two ounces of lemon juice were given. Would 78800 be the appropriate code to assign?
Would you clarify the use of modifier KX for the fourth PET scan for subsequent treatment strategy? Are hospitals required to use this modifier, or is it just for physicians?
If a patient had a chest x-ray with a clinical indication of “pre-op for hip surgery,” what would be the best ICD-10-CM code to assign?
As part of an interventional procedure, our radiologist performed an ultrasound-guided transhepatic access to the portal vein. After the procedure, the embolized the access tract with gel foam and coils. Can we report this as an embolization?
Please advise if CPT® code 78452 should be coded with 78830. The technique states: A Lexiscan stress protocol was used. 12 mCi of Tc-99m Tetrofosmin was administered intravenously at rest and 43.2 mCi was administered intravenously at stress. Gated SPECT images were obtained and processed. CT images were obtained through the heart. LIMITATIONS: No prone images were obtained. The low-dose CT acquisition was performed only for attenuation correction/activity localization. There is no intravenous contrast, further limiting the CT component of the study.
If we are doing an ultrasound of the abdomen, ovaries, or scrotum and we use Doppler over the same areas do we charge a Doppler complete (93975) or limited (93976) in addition to the body part US code?
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Is it appropriate to report modifiers RT and LT for code 73565? Both knees are imaged on the same film.
Last year I billed G0297 for low-dose CT when performing lung cancer screening. This year I’m getting an edit that this code is invalid. Did the code change?
When performing bilateral breast cyst aspirations, do we use 19000 and 19001 or 19000 x 2?
Our radiologist interpreted a right upper and lower quadrant (RUQ and RLQ) ultrasound ordered by the ER physician. The spleen was not examined so we cannot code a 76700 exam. Is it appropriate to code 76705 twice and add a 59 modifier to the second one?
If a patient is having an ultrasound-guided breast biopsy, codes 19083, as well as an ultrasound-guided lymph node biopsy, 76942, 38505, is it appropriate to code all three codes? Is a modifier allowed on the 76942 since it was for a different lesion?
We are adjusting off quite a few computed tomography (CT) scans that are performed to follow up a cancer diagnosis after treatment is complete. Our state’s local coverage determination (LCD) covers the cancer diagnosis code but does not cover the “history of” the specific cancer nor does it cover Z08 for completion of treatment. Is there any compliant way around this denial? For instance, can we bill the cancer diagnosis that is covered even though the report states no evidence of recurrence or metastasis?
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