CPT

Radiology Question for the Week of June 28, 2021

I am confused about an answer regarding an ultrasound arthritis survey. It has been stated that when multiple joints are imaged ipsilaterally by ultrasound to report an unlisted code. However, if the physician completes 76881 bilaterally questioning arthritis, that would be 76881-50 or RT, LT, because it is not ipsilateral. Is that your understanding as well? Is there more information that you would have on the issue that you could direct me to?

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General Question for the Week of June 28, 2021

I have a question regarding the obstetrical (OB) ultrasound documentation guidelines. I know that the uterus and adnexa are required elements, but some of the providers feel that documenting an IUP should be sufficient for the 1st trimester (76801/76802). For codes 76805/76810, the guidelines state maternal adnexa should be reported “when visible.” So, do the doctors not have to document it when it is not visible?

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Radiology Question for the Week of June 21, 2021

Our physician from nuclear medicine wants to charge a consult when he meets with the patients before doing leutathera treatments. He states that he has to see the patient and review their labs and make sure that the plan of care from oncology is something that the patient is able to withstand. Sometimes after the review of this information, he will change the plan of care.
I’m not sure if this visit is something that would be included with the administration of the therapy (I’m thinking the CPT would be 79101?) Do you have any input on whether a consult would be something that would be medically necessary for him to provide the treatment? He thinks it is medically necessary for him to meet with the patient and review all of their labs before he could approve their therapy. He stated that he had spent 40 minutes with the patient that he had yesterday. To me, I would think this would be included with the therapy, but I don’t find anything in writing that I can point to.

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Cardiology Question for the Week of June 14, 2021

How is the following scenario coded? A patient has an SVG anastomosed to the LC obtuse marginal (OM). Next, this graft “jumps” to the RC posterolateral branch. Through the vein graft, the OM lesion is treated with angioplasty and bare-metal stenting, and a second lesion in the posterolateral branch of the RC is treated with angioplasty and bare-metal stenting.

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