CT/MR

General Question for the Week of April 5, 2021

For CT exams, do you know if we have to specify the type and volume of contrast for billing, or is it just the statement that iodinate contrast was administered enough? I was unable to find any type of reference source as it should be documented or stating iodinate contrast is enough. Could you direct me to some type of reference source to share with my providers?

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General Question for the Week of February 15, 2021

We have a question regarding the requirement, if any, for the technique in an MRI report. Sometimes we don’t get any technique, but here are some examples of what we are getting: “TECHNIQUE: MRI of the right knee was performed before and after the uneventful intravenous administration of 12/17 mL ProHance.” “TECHNIQUE: MR images were obtained of the left hip without intravenous or intra-articular contrast.” Should we be insisting on a description of the images that were obtained?

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Radiology Question for the Week of January 25, 2021

A 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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Radiology Question for the Week of October 19, 2020

An exam is ordered for CT study of the sacroiliac (SI) joints, with and without contrast, with an indication of SI joint pain. SI joints are studied, and findings documented for both joints. Should this be coded with 76380, as we are only studying a limited portion of the pelvis?

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General Question for the Week of August 10, 2020

If you are coding a computed tomography (CT) with contrast exam, and the contrast amount and type is given within the technique, but the words “with IV contrast” are not specifically used, does this suffice for the with contrast requirements?

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General Question for the Week of July 27, 2020

If you are coding a computed tomography (CT) with contrast exam, and the contrast amount and type is given within the technique, but the words “with IV contrast” are not specifically used, does this suffice for the with contrast requirements?

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Unbundling CT Scans: A Renewed Focus

Generally, ‘bundled’ codes refer to procedure codes for less extensive exams being included in (or bundled with) procedure codes for more extensive exams being performed at the same anatomic location, or site.

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