Radiology Question for the Week of February 17, 2025

When performing an MRI on a patient with an implanted cardiac device or neurostimulator, how should code 76018 be reported if the same provider conducting the device evaluation or neurostimulator analysis-programming also prepares the device for MR safe mode?

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Laboratory Question for the Week of February 10, 2025

When performing flow cytometry for cell enumeration, should CPT® codes 88184 or 88185 ever be reported separately, or are these inherently bundled? Additionally, if a pathologist provides a distinct interpretation of the flow cytometry results, is there any scenario where CPT codes 88187-88189 could be reported separately, or is the interpretation always included in the procedure?

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Radiology Question for the Week of February 10, 2025

When performing an MRI on a patient with an implanted cardiac device or neurostimulator, how should code 76018 be reported if the same provider conducting the device evaluation or neurostimulator analysis programming also prepares the device for MR safe mode? Would this scenario still qualify for separate reporting of 76018, or must a different provider perform the additional preparation for it to be billed?

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Cardiology Question for the Week of February 10, 2025

For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available

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Cardiology Question for the Week of February 3, 2025

A cardiologist performs a medically necessary pulmonary artery angiogram in conjunction with a non-congenital heart catheterization procedure. This angiogram is conducted prior to the placement of a pulmonary artery stent. Which add-on code(s) should be reported to accurately capture this service?

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Radiology Question for the Week of February 3, 2025

A patient with an implant requires an MR procedure. The implant must be placed into a protective mode, and detailed documentation of this process is required. Additionally, a medical physicist is involved in customizing the implant settings to ensure MR compatibility. Which CPT® code(s) should be reported for this service?

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Laboratory Question for the Week of February 3, 2025

A laboratory is implementing a new HPV assay that uses in vitro PCR technology to simultaneously test both high-risk pooled and individual results. As of 2025, which CPT® code should be reported for this service, and which Category III code has been deleted in conjunction with this update?

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Cardiology Question for the Week of January 27, 2025

How should providers document the use of the 2024 add-on code for Coronary Shockwave Lithotripsy to address payer denials citing “lack of medical necessity” or insufficient documentation, and how can they demonstrate that the procedure is not incidental but a medically necessary addition to PCI?

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