Laboratory Question for the Week of October 24, 2022
For postmortem examination coding, how are the terms newborn, infant, and macerated stillborn defined?
For postmortem examination coding, how are the terms newborn, infant, and macerated stillborn defined?
May clinical staff provide Remote Physiologic Monitoring (RPM) services under general supervision?
Are inpatient respiratory therapy services included in room and board?
What keywords need to be in the radiology report to assign a CTA code?
For transcatheter therapy coding, can angioplasty and stent changes be submitted per vessel treated? Do you have any other guidance?
Is follow-up angiography separately billed when performed with intracranial embolization? Do you have any other tips for reporting 75898 or 61624?
Does additional time affect the assignment for code 95816?
Can we report 88380 in conjunction with 88381?
What is the key distinction between a standard CT and a CTA?
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.
For continuous positive airway pressure (CPAP) to be covered, does Medicare require a sleep study to diagnose obstructive sleep apnea (OSA) during the COVID-19 PHE?
Is completion or follow-up angiography (CPT 75898) separately billable for atherectomy?
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