Compliance Question of the Week – Radiology

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?

What is the correct way to bill for a three-phase bone scan and a SPECT scan performed on the same day? My research indicates that if the three-phase scan is bundled into the SPECT scan, it can be billed with a modifier. Is this correct?

We performed a Y-90 mapping case in interventional radiology (IR). At the end of the procedure, we injected the Technetium MAA dose for the follow-up scan. Is there a specific code that should be added to account for the injection?

What CPT code would you recommend for an ultrasound of the temporal artery for giant-cell arteritis?

The facility ordered CPT code 71021, and the radiologist documented a lateral and apical lordotic view only. Would it be appropriate to bill 71010 and 71035 or modify CPT 71021 with a 52?