Billing

Radiology Question for the Week of June 26, 2023

Regarding pulmonary angiography coding, when a catheter is placed in the main pulmonary artery and an angiogram was performed with findings, we know this is considered nonselective. However, when a catheter was selected into RT and LT pulmonary arteries but no angiogram was performed before a thrombectomy was performed, what is the coding here? Should we code 75746, 36014RT, and 36014LT, or do we change 75746 to 75743 since they went selectively into RT and LT pulmonary arteries? Please clarify.

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General Question for the Week of June 19, 2023

We use 96360 and 96361 for hydration fluids administered in radiology. These codes often edit against the CT procedure code. What modifier would you recommend? Regarding the question of an appropriate modifier for billing of hydration therapy with a CT scan, we should clarify that we are billing for a hospital radiology dept.

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Radiology Question for the Week of June 19, 2023

We have been following the instruction that 75774 only applies to subselective ARTERIAL studies; however, CPT® Assistant September 2022 states “If venography is performed in a main vessel and then a selective venogram is performed, report code 75774 in addition to the venography code for the initial vessel. Can you please clarify any current instructions?

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Cardiology Question for the Week of June 19, 2023

How would we code for the following scenario? An interventional cardiologist performs a PTCA in the LAD followed by drug-eluting stent placement in the same vessel, subsequently the physician next performs a PTCA in the RCA.

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