Radiology Question for the Week of October 18, 2021
What code would be used for a nuclear medicine dacryoscintography? I haven’t run across one of these before.
What code would be used for a nuclear medicine dacryoscintography? I haven’t run across one of these before.
If my radiologist supervises a physician assistant (PA) performing a procedure in the radiology department of the hospital, and signs off on the report, can the radiologist bill the procedure under his name?
When reporting for appropriate use criteria in the future, what must be included in the claims?
We are beginning to perform abbreviated breast screening magnetic resonance imaging (MRI) scans without and with/without contrast. They have fewer sequences and take about half the amount of time of a regular breast MRI. If done without contrast followed by contrast administration and
imaging, would we report CPT code 77049-52 or an unlisted CPT code?
We performed a sentinel node localization on a patient. We injected the radiopharmaceutical, did a lymphangiogram, then sent the patient to surgery. We coded 78195 and 38792 but are getting denied. Do you know what the problem is?
We performed a lumbar three-phase bone scan with SPECT. I’m being told to code 78315 and 78803. Is this correct? I think I should just code 78315.
What are some guidelines for reporting radiopharmaceutical agents A9555, A9526, and A9552?
Is it appropriate to separately report a specimen radiograph performed after a breast localization procedure?
We occasionally go to the OR to use ultrasound to assist with D&C, fetal position, lumpectomy, and other procedures. Do we use US intraoperative code 76998?
If we perform a bone density on the hips and forearm can we bill both 77080 and 77081 together?
Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?
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