Compliance Question of the Week – Radiology

If a brief ultrasound examination is performed prior to puncture aspiration in order to localize the cyst, is it appropriate to report this examination with code 76641?

It is appropriate to report code 76098 twice if two separate interpretative encounters occur?

Does code 64451 include CT guidance?

Do you have any guidance on reporting non-vascular extremity ultrasound?

Can I report 78429 when PET and CT are performed on separate systems and when software fusion is utilized for performing anatomic localization?

How is MRE different than ultrasound elastography?

Is breast tomosynthesis considered a 3-dimensional (3D) study?

Can we assign an echo code when performing echocardiography for single-function guidance to assist in a code 33017 pericardial drainage procedure?

We received a patient from the ER who presented with severe pelvic pain. The HCG indicated pregnancy, but there was no intrauterine pregnancy so an ectopic is suspected. What is the correct CPT code for this scenario?

We did a bilateral diagnostic mammogram on a patient and because of the findings decided to perform an ultrasound-guided breast biopsy on the same day. A unilateral mammogram was done after the biopsy to verify clip placement. Can we code both of the mammograms?

Question: Should there be an additional charge for MR Elastography (MRE) when performed with an MRI of the abdomen? If

What code should be used for a computed tomography (CT)-guided breast wire localization?