Will reimbursement be impacted by the 2024 final PFS rule starting next year?
Should screening mammography be delayed after a recent COVID-19 vaccination?
With the great resignation creating knowledge gaps, Medicare reimbursement constantly under threat of reduction, coding complexities, and endless opportunities for errors, now is the time
Can 76942 be billed more than once per session during trigger-point injections (e.g., 20553) if multiple areas are injected, or should it be one 76942 per session?
How do you code for a 3, 6, 9, and 12 o’clock breast mass/lesion since there are no “other specified site” or “unspecified quadrant” codes? ICD-10-CM code N63 (Unspecified breast lump) requires specification of the quadrant of the lump site. The radiology report states, “12 o’clock right breast mass.”
What type of mammogram should a patient receive who has a personal history of biopsy-proven benign breast disease?
How do you code for a 3, 6, 9, and 12 o’clock breast mass/lesion since there are no “other specified site” or “unspecified quadrant” codes? ICD-10-CM code N63 (Unspecified breast lump) requires specification of the quadrant of the lump site. The radiology report states, “12 o’clock right breast mass.”
We received an order from a referring physician that requested an ultrasound (US) thyroid for nodule assessment and a US soft tissue for a submental mass palpable on the exam. The facility coder believes that the facility should get two charges. The interpretation covers both areas in one report. It is my understanding that head and neck (CPT® 76536) would cover both of these assessments. Am I correct? The evaluation is performed for two separate reasons, but the imaging is of the neck.
Can we report 77067-52-LT and 77065-RT together for a screening mammogram on the left breast and a diagnostic mammogram on the right breast? The patient feels a lump in her right breast, but it’s time for her annual screening mammogram so her doctor wants to complete a screening on the left side.
As discussed last month, new category III codes that could impact your interventional radiology coding services are now effective as of January 1, 2022. With
Can you clarify whether a screening mammogram or a diagnostic mammogram should be performed on an asymptomatic patient with augmented breasts (e.g., breast implants)?
Our hospital is receiving an edit for CPT® 19285 stating that we need a device code. We use needles for breast localization. Is there an appropriate HCPCS code that I should be adding to the claim?
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