Radiology Question for the Week of April 1, 2024
A computed tomography (CT) study of the temporal bones in the axial plane is followed by a CT study of the temporal bones in the coronal plane. Which code or codes should be reported?
A computed tomography (CT) study of the temporal bones in the axial plane is followed by a CT study of the temporal bones in the coronal plane. Which code or codes should be reported?
How do you determine the appropriate code to report MRI of the foot? Should it be reported as an MRI of the lower extremity joint or as an MRI of the lower extremity non-joint?
Upper extremity coding for computed tomography carries serval distinct codes worth noting. Coding for this scenario requires some basic understanding of the nuances and rationale
What does new 2023 code 0724T detail?
What is the intent of the new 2023 code 0743T??
An MRI scan of the brain and an MRI with perfusion imaging of the brain are ordered and performed, how would the MRI with perfusion imaging be coded? Would it be reported in addition to the diagnostic MRI of the brain?
In many instances, physicians are ordering a CT to rule out a pulmonary embolism. Shouldn’t these be performed as CTA exams if they are checking the vessels?
Is embolization for pelvic congestion considered one or two surgical fields? Also, how do I code for the diagnostic venograms that are performed during pelvic/ gonadal venography?
What keywords need to be in the radiology report to assign a CTA code?
Usually, we instruct coders that if three-dimensional (3D) reconstruction of images is not described in the medical report, it is appropriate to code for a CT study and not a CTA study. This situation most often arises when physicians dictate notes following a CT of the chest for pulmonary embolism. Often physicians identify such a study as a CTA because during the study they are looking at vessels, but such a study is not really a CTA for coding purposes. When coding a CTA of the abdominal aorta with runoffs (code 75635), if the coder does not see a dictation specifying that a 3D postprocessing technique was used, should the coder code for a CT of the abdomen with contrast, a CT of the right leg with contrast, and a CT of the left leg with contrast? The 3D requirement for a CTA study when coding abdomen with runoff creates an issue if the physician does not document a 3D postprocessing technique.
If the dictated report states “CT volumetric acquisition was performed,” should a CTA study be reported?
CT of the head without contrast is performed in the morning, and a CT of the head with contrast is performed on the same day in the afternoon. Is it correct to code this scenario using 70450 with 70460 separately accompanied by modifier 59, or choose just 70470?
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