Under what circumstances can CPT® code 36415 for venipuncture be reported separately on an outpatient claim, and how does Medicare’s OPPS status indicator Q4 impact the packaging of this service?
When performing a gastrointestinal motility study that evaluates both gastric emptying and small bowel transit using dual radioisotope techniques, which factors should guide the selection of CPT® codes 78265 and 78266?
What are the requirements for reporting CPT® code 99453 in the context of remote physiologic monitoring, and how is an episode of care defined for this service?
For a sleep lab that performs an overnight EEG recording with 10 hours of continuous video monitoring, which code(s) would be most appropriate to assign, based on the updated EEG recording codes (95705-95718)?
What code do we report if a dual-radiopharmaceutical technique is utilized to obtain both solid and
liquid-phase studies in the same session or on the same day?
A patient is receiving an infusion treatment in which three different medications are administered simultaneously through a multi-lumen IV line. According to the AMA CPT guidelines, would this scenario be coded as a concurrent infusion (CPT 96368), and what key factors should be documented to support this code? Additionally, how would coding differ if the medications were mixed in a single bag instead of administered through separate IV piggy-backs?
A patient undergoes coronary IVUS in the cath lab. The physician states in his report, “IVUS was used for stent sizing.” No additional information is provided (other than identification of the specific artery evaluated). Is this sufficient documentation to support coding the IVUS?
Navigating interventional radiology (IR) pain management coding can be complex and challenging. Coders across the nation frequently encounter errors due to the intricate details involved,
In reference to your answer to General Question for the Week of February 5, 2024 [Can imaging guidance for central venous access catheter or device placement be separately reported?], you stated that 76937 and 77001 may be assigned as long as they are documented properly. This appears to conflict with the NCCI manual narrative instruction – 12. Radiological supervision and interpretation codes include all radiological services necessary to complete the service. CPT® codes for fluoroscopy/fluoroscopic guidance (e.g., 76000, 77002, 77003) or ultrasound/ultrasound guidance (e.g., 76942, 76998, 76937) shall not be reported separately. CPT – 77001 – Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure). Can we assign 77001 and 76937 for a CVC or not?
Can we report code 36591 for VAD blood draws using partially implanted devices? What is the status indicator for this 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?
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