Radiology Question for the Week of July 10, 2023
Bryan Nordley
July 10, 2023
What code would use for a catheter placed into the internal jugular with contrast injection and imaging?
What code would use for a catheter placed into the internal jugular with contrast injection and imaging?
Interventional radiology coding can present significant challenges for coders and compliance professionals alike. One area that our experts identified as significantly complex and worthy of
Should screening mammography be delayed after a recent COVID-19 vaccination?
What is the correct code if a physician has ordered a CBC exclusively with no mention of a differential?
How should DES stents with lithotripsy be reported for facility coding since the C-codes are not listed as a primary intervention?
Can you tell us more about the billing details for 85060 and whether we should include this code this in our hospital chargemaster?
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.
Am I understanding correctly that the Category III 0715T can only be used when a bare metal stent is placed?
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.
Is 80050 covered by Medicare?
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?
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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