Laboratory Question for the Week of November 11, 2024
Bryan Nordley
November 11, 2024
If I get a PLA code, can I also report an existing CPT® Category I code?
If I get a PLA code, can I also report an existing CPT® Category I code?
Which CPT® code would a hospital bill if an inpatient has a PICC placed, but after multiple attempts and repositioning, the surgeon cannot pass the PICC line, which is positioned in the internal jugular vein near its junction with the subclavian vein? Context: The skin is anesthetized with lidocaine, and the brachial vein is accessed to insert the line. Multiple attempts to reposition the line were performed with chest x-rays after each repositioning. The line did not terminate in the subclavian, brachiocephalic, or iliac vein, SVC, IVC, or right atrium. The surgeon wants the hospital to charge CPT codes 36573 and 76937, which are incorrect.
How should an IV infusion lasting 2 hours and 10 minutes be billed if no additional infusion hour is warranted? Should an IV push charge be reported for the additional 10 minutes of the infusion?
When specifically, can 76376 be used in the echocardiographic setting? Can we use this to 3D image the left atrial appendage? Do we need a specific order for the 3D?
Is a PLA code a CPT Category I code?
When is it necessary to report code 95819?
The speech pathologist is in the room with the radiologic technologist who operates the fluoroscopy for the procedure sometimes there is a radiologist present in the room and other times there is not. Can the hospital bill for 74230 (TC)?
What is your advice on the assignment of 76937 with another RS&I code after reviewing the NCCI narrative for 2024?
When coding for a split study where CPAP is applied during a polysomnography (PSG), should we report 95782 and 95783 together?
How would you code a scenario where a physician examines frozen sections from two blocks taken from the same specimen and one frozen section from a separate specimen during the same consultation?
How would you code a procedure where the physician selectively catheterizes the internal carotid artery and performs intracranial carotid imaging, along with imaging of the arch and extracranial carotid arteries, and then selectively catheterizes the internal carotid artery on the opposite side with intracranial imaging?
Under what circumstances does Medicare provide coverage for drugs or biologicals, and how is the determination made regarding whether a drug is considered “not usually self-administered”?
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