For the Week of April 22, 2024

Which CPT® code range should be used to report cardiac catheterization services for a patient with anomalous coronary arteries arising from any of the following circumstances including aorta or off of other coronary arteries, patent foramen ovale, mitral valve prolapse, and bicuspid aortic valve, but are reported in the absence of other congenital heart defects?

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What do the category III codes for digital pathology represent in 2023 and are there any new additional codes effective in 2024?

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If a practitioner orders a complete abdominal echo (76700) and the patient’s gallbladder has been removed, would we then charge for a limited (76705)?

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What is the significance of using the term “first hour” in CPT code 94644, and how does this differ from other time-based codes that use the term “up to 1 hour”?

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If a patient has rheumatoid arthritis and comes in for a methotrexate injection, do we use the chemotherapy injection code?

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To provide you with the most actionable compliance and regulatory questions, we are retiring the pharmacy compliance question of the week to focus on answering more commonly asked questions that safeguard accurate coding and save reimbursement. The pharmacy archive will still be available and is accessible here. Compliance Question of the Week will continue to help you overcome compliance challenges, reduce operational waste, and optimize healthcare.

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