Compliance Question of the Week – Radiology

What should we be coding when a patient presents with an order for bilateral complete knee imaging with standing AP views?

What work is typically included in a computed tomography (CT) of the abdomen and CT of the pelvis?

My nuclear medicine tech is being asked to do a procedure for a sestamibi injection without any parathyroid imaging. The intent is to locate the parathyroid prior to surgery so it is similar to a sentinel node injection. Is there a diagnostic nuclear isotope injection code, or should we use an unlisted procedure code?

Our physicians use scribes for documentation. Does Medicare require that the scribe sign the medical record?

The description for the tomosynthesis code 77063 is “screening digital breast tomosynthesis, bilateral.” If only a unilateral is perform, do we add a 52 modifier to this code?

We were asked to do a tibia/fibula x-ray on an infant. Is the appropriate code 73592?

If lymphoscintigraphy is performed in both breasts, I report 78195 and A9520 x 1 each. Code 78195 has a medically unlikely edit (MUE) of 1. A9520 is per study dose, but bilateral breasts are considered one study, not two. However, if both breasts are injected but imaging is not performed, I report 38792 x 2 and A9520 x 1. I don’t understand why they aren’t reported the same number of times. Can you explain?

What is the appropriate CPT® code to report for a limited hepatic magnetic resonance imaging (MRI) of the liver, which is performed to quantify hepatic fat content?

How do I code for additional volume quantification following MRI? Is CPT® code 76377 the appropriate code to use?

May I report MRI and MRA of the brain during the same session?

What code(s) do we report for contrast-enhanced ultrasound for vesicoureteral reflux?

For 2017, can CPT code 75625 be used for the coding of non-selective angiography?