Do we need to apply for a separate CLIA number for each physical location of a street address when providing the services defined by CPT codes 78110–78130 at multiple locations?
Can 76942 be billed more than once per session during trigger-point injections (e.g., 20553) if multiple areas are injected, or should it be one 76942 per session?
How do you code for a 3, 6, 9, and 12 o’clock breast mass/lesion since there are no “other specified site” or “unspecified quadrant” codes? ICD-10-CM code N63 (Unspecified breast lump) requires specification of the quadrant of the lump site. The radiology report states, “12 o’clock right breast mass.”
What type of mammogram should a patient receive who has a personal history of biopsy-proven benign breast disease?
How do you code for a 3, 6, 9, and 12 o’clock breast mass/lesion since there are no “other specified site” or “unspecified quadrant” codes? ICD-10-CM code N63 (Unspecified breast lump) requires specification of the quadrant of the lump site. The radiology report states, “12 o’clock right breast mass.”
In many instances, physicians are ordering a CT to rule out a pulmonary embolism. Shouldn’t these be performed as CTA exams if they are checking the vessels?
Is embolization for pelvic congestion considered one or two surgical fields? Also, how do I code for the diagnostic venograms that are performed during pelvic/ gonadal venography?
What keywords need to be in the radiology report to assign a CTA code?
Usually, we instruct coders that if three-dimensional (3D) reconstruction of images is not described in the medical report, it is appropriate to code for a CT study and not a CTA study. This situation most often arises when physicians dictate notes following a CT of the chest for pulmonary embolism. Often physicians identify such a study as a CTA because during the study they are looking at vessels, but such a study is not really a CTA for coding purposes. When coding a CTA of the abdominal aorta with runoffs (code 75635), if the coder does not see a dictation specifying that a 3D postprocessing technique was used, should the coder code for a CT of the abdomen with contrast, a CT of the right leg with contrast, and a CT of the left leg with contrast? The 3D requirement for a CTA study when coding abdomen with runoff creates an issue if the physician does not document a 3D postprocessing technique.
If the dictated report states “CT volumetric acquisition was performed,” should a CTA study be reported?
CT of the head without contrast is performed in the morning, and a CT of the head with contrast is performed on the same day in the afternoon. Is it correct to code this scenario using 70450 with 70460 separately accompanied by modifier 59, or choose just 70470?
What exactly does 0508T define? Is there any modifier that needs to be reported with this service?
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