Radiology Question for the Week of August 23, 2021
We occasionally go to the OR to use ultrasound to assist with D&C, fetal position, lumpectomy, and other procedures. Do we use US intraoperative code 76998?
We occasionally go to the OR to use ultrasound to assist with D&C, fetal position, lumpectomy, and other procedures. Do we use US intraoperative code 76998?
How is MRE different than USE?
Several changes and revisions are expected for radiology coding and guidelines come 2022. In an online posting titled “CPT 2022 Anticipated Code Changes,” the American
If we perform a bone density on the hips and forearm can we bill both 77080 and 77081 together?
Vascular embolization can prove challenging for many coders. Knowing the fundamentals of vascular embolization is important for successful CPT® coding. By gaining better comprehension of
Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?
If “MIP” is stated within the documentation, is that enough to support billing for 3D post-processing? If so, if the location that performed the Technical Component of this exam was not part of the official registry and an independent group of radiologists interpreted and billed for the professional reads for these studies is the radiology group at risk of potentially having to reimburse CMS (Medicare) for the services related to this code?
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?
What is meant by the term, “independent workstation,” in the descriptors for CPT codes 76376, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation, and 76377, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation?
If the doctor did an ultrasound of the abdomen to evaluate for ascites, would that be an unlisted code or 76705? He looked at the entire abdomen but did not document the elements required for 76700.
Are we able to bill for both A9539 and A9540 radiopharmaceutical codes when a ventilation and perfusion scan is performed? Medicare is denying the A9539 code. If not, which codes should we be billing?
Interventional radiology has long been filled with complex procedures with non- thrombolytic agent administration being one area of challenge. Reviewing the fundamentals of 61650–61651 are
Subscribe to receive our News, Insights, and Compliance Question of the Week articles delivered right to your inbox.




BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24