Compliance Question of the Week – Radiology

CT of the Sacrum/Coccyx is ordered. How should this be coded?

How should a CT of the sternum be coded?

The code for a single gestation for nuchal translucency is 76813. Is the 76813 code supposed to be used in lieu of 76801 OB<14 weeks or in addition to this code?

Do you have any tips on the specific reporting requirements for code 78811?

The patient presents with sternoclavicular (SC) joint pain, and a CT of the chest with contrast is ordered. The radiology report describes the SC joint in its entirety, but no other surrounding structures. Should I code this to 71260 or 71260-52, as only the SC joint was studied?

Is there a guideline that states that patients with a history of mastectomy must revert to a screening mammography study after a set number of negative diagnostic studies or after a specified number of years post-mastectomy?

What code would I report for the normal head CT with and without IV contrast? There are no expansive or destructive osseous lesions.

What code would I use for the following scenario: A patient had a history of bilateral lower extremity pain. Ultrasound of the right and left lower extremity was performed using a low-frequency linear array transducer. Color Doppler duplex evaluation of common femoral, superficial femoral, popliteal, posterior tibial, and peroneal veins performed. The CFV through the popliteal veins were evaluated with both compression and response to augmentation and Valsalva. There is no evidence of DVT.

Do you have any guidance on reporting 0331T?

For reporting MRA procedures, is it required to have 3-D post-processing stated in the report?

Is a physician’s prescription required for Medicare to cover a screening mammography?

Do you have any guidance for reporting CT of the spine with myelography codes?