Respiratory Question for the Week of October 28, 2024
Bryan Nordley
October 28, 2024
When coding for a split study where CPAP is applied during a polysomnography (PSG), should we report 95782 and 95783 together?
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”?
How should the administration of an IV infusion lasting longer than 1 hour but less than 91 minutes be reported? At what point should the code 96415 be used for “each additional hour” of infusion?
When do we report 36223 as opposed to 36221 and 36222?
How does 88182 differ from other flow cytometry codes?
When do we use code 98975 vs. 98980?
CMS recently approved coverage of PET scans of the brain to assess for dementia/Alzheimer’s/amyloid. We do the exams using CT attenuation correction. There has not been any specific guidance issued on which CPT® code to use and there’s debate on whether to use 78608 or 78814 (or possibly something else). Can you recommend which CPT to use when performing the exams? We’re in Massachusetts and have not seen an LCD issued yet.
When coding for care management services, under what circumstances can code +98981 be reported in conjunction with 98980?
How should the administration of an IV infusion lasting longer than 1 hour but less than 91 minutes be reported? At what point should the code 96415 be used for “each additional hour” of infusion?
My radiologist is reading an MRI Prostate and 3D reconstruction. My question is can we bill for the 3D? My understanding is that there should be an order from referring MD for the 3D. Also what type of reporting needs to be documented for the 3D. We are just billing for the professional component using modifier 26 as he is independent from the facility/IDTF where performed.
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