If we have an ultrasound of the back (soft tissue) or any part of the body (not including head, neck or extremities), we use code 76999—unlisted ultrasound procedure (e.g., diagnostic, interventional). We have one today looking at a mass on the soft tissue area of the T-spine. Last week we had a soft tissue of the chest. Just making sure there is not another code you feel we should be using.
The patient had a right breast ultrasound, and we billed the following CPT® code with
modifier -RT:
76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
The insurer denied this claim due to the modifier. Doesn’t the breast ultrasound require a modifier?
Can a radiologist bill for the reading of a post breast biopsy/clip/wire-placement mammogram? It is usually a two-view mammogram that indicates the clip/wire placement. Prior to 2016, the National Correct Coding Initiative (NCCI) edits didn’t allow, but I believe this policy was revised. If the radiologist can bill for the reading of the post breast biopsy/clip/wire placement mammogram, would it be a unilateral, diagnostic mammogram?
Can we use the obstetric (OB) ultrasound (US) codes when the US identifies an ectopic pregnancy or no pregnancy?
If a patient has just an abdominal aorta ultrasound, do we use code 76770 or 76775?
What is the key distinction between a standard CT and a CTA?
Does the physician have to be in the room for the hospital to bill a barium swallow (74230)?
What is the appropriate CPT® code for magnetic resonance imaging (MRI) internal auditory canals (IACs)?
What is the ICD-10-CM code for lymphoma of the breast?
Is there a good reference regarding what designates deep versus superficial bone biopsy? The code descriptions give some examples but other bones I’m not sure about.
How do you code for diffusion-tensor imaging (DTI) and diffusion-weight¬ed imaging (DWI) when they are performed with magnetic resonance imaging (MRI) of the brain? Are there specific codes to describe this imaging?
Should the CPT® codes be used to bill for mammograms or should the G codes be used?
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