CPT

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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Cardiology Question for the Week of January 18, 2021

Can we bill for an angiogram and catheter placement for a failed access site done during a Left Heart Catheterization (LHC)? For example, the right radial artery (RRA) access was obtained but we could not navigate the wire to the right subclavian. Right brachial artery angiography was performed through the diagnostic catheter. There was moderate tortuosity and the vessel size was small, and a decision was made to pursue a right femoral artery access. Could we bill 36140-59 and 75710-59 with LHC 93458?

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General Question for the Week of January 4, 2021

One of our breast-center doctors does not specify tomosynthesis in the technique section of mammograms, but tomosynthesis views are mentioned in the body of the report. Does she have to dictate them in the technique or will it be enough that it is mentioned in the body?

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