Laboratory Question for the Week of September 20, 2021
MedLearn Publishing
September 19, 2021
How many separately timed specimens can we bill for when reporting 81050?
How many separately timed specimens can we bill for when reporting 81050?
Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?
Pre-MRI screening orbit x-rays – we keep getting denials for using T15.90XA due to being unspecified. Do you know what other codes would be appropriate? Would Z18.10 be a useable code for this?
T15.90XA Foreign body on external eye, part unspecified, unspecified eye, initial encounter
Z18.10 Retained metal fragments, unspecified
As discussed in several transmittals including the Quarterly Update for the Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment, the
Is it true the FDA authorized the first STD testing for point of care settings to be used for more near-patient care settings?
What is your opinion on how to use diagnosis Z18.10 – Retained foreign body fragments, metal – for a new gunshot wound (GSW)? I think of ‘retained’ as being old and embedded, but there are differing opinions in my department. If the patient has a new GSW to the tibia and fibula with fractures and for a chest and abdomen x-ray taken around the same time as the tibia & fibula, they state in the impression, “small metallic fragments project over the left middle to upper lung zone and left lateral abdominal wall, likely from a gunshot wound”, would you use Wound, unspecified to the abdomen and chest walls or retained foreign body fragments, metal? Or neither?
May clinical staff provide Remote Physiologic Monitoring (RPM) services under general supervision?
Are inpatient RT services included in room & board?
Is ethanol testing coded as a definitive analysis? We keep running into problems when we code for this.
In regards to nuclear medicine services, what codes were added to the Designated Health Service list?
Are there any examples you can give for using P9603?
Is there a code to report when a respiratory therapist provides instruction on how to use incentive spirometry in a physician’s office?
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