CPT

Cardiology Question for the Week of April 12, 2021

In the example of the EKG with an EP study, do you agree that we should report the 93005 but not modify it with modifier 59? Do other hospitals override the edit instead of using the GZ? If the entire claim is denied due to the GZ modifier being on the claim, what action should we take? Should we reach out to our FI?

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General Question for the Week of April 12, 2021

If a patient has an IV contrast of Isovue 370 for a CT Scan of the Abdomen and oral contrast of 30 ml Gastrografin, do you need to report codes in addition to the CT code? I am being asked about Q9967. This is for hospital billing.

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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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