Radiology Question for the Week of January 31, 2022
MedLearn Publishing
January 30, 2022
When should new 2022 codes 50436 and 50437 not be reported?
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When should new 2022 codes 50436 and 50437 not be reported?
Was code 50395 deleted? If so, are there new codes that replaced 50395 for 2022?
Can you provide the correct code for a nuclear medicine scan of the salivary gland? The patient was reported with a right parotid lesion. Images were taken from the head to neck using Tc 99m, and 17 minutes after the injection two ounces of lemon juice were given. Would 78800 be the appropriate code to assign?
With calcium scoring code 75571, 3D post-processing CPT code 76377 can be coded at the same session with a modifier. My radiologists always do the reformation of images for these studies on a separate workstation. With proper documentation, can I assign CPT code 76377 on those studied?
Would you clarify the use of modifier KX for the fourth PET scan for subsequent treatment strategy? Are hospitals required to use this modifier, or is it just for physicians?
When my doctor performs a diagnostic angiogram or interventional procedure such as embolization, what does he need to document?
If a patient had a chest x-ray with a clinical indication of “pre-op for hip surgery,” what would be the best ICD-10-CM code to assign?
As part of an interventional procedure, our radiologist performed an ultrasound-guided transhepatic access to the portal vein. After the procedure, the embolized the access tract with gel foam and coils. Can we report this as an embolization?
Please advise if CPT® code 78452 should be coded with 78830. The technique states: A Lexiscan stress protocol was used. 12 mCi of Tc-99m Tetrofosmin was administered intravenously at rest and 43.2 mCi was administered intravenously at stress. Gated SPECT images were obtained and processed. CT images were obtained through the heart. LIMITATIONS: No prone images were obtained. The low-dose CT acquisition was performed only for attenuation correction/activity localization. There is no intravenous contrast, further limiting the CT component of the study.
Please help me understand when it’s appropriate or not to charge for post-processing 3D imaging.
If we are doing an ultrasound of the abdomen, ovaries, or scrotum and we use Doppler over the same areas do we charge a Doppler complete (93975) or limited (93976) in addition to the body part US code?
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What is the status of the appropriate use criteria? Did the final rule provide any updates?
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