Radiology Question for the Week of July 29, 2024

A physician ordered an ultrasound study to check for abdominal ascites and asked the skin be marked if the ultrasound study is positive. The ordering physician, subsequently, did the paracentesis procedure at the bedside “without” imaging guidance based on the skin markings. How are these studies reported?

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Radiology Question for the Week of July 22, 2024

A patient had two different gray-scale ultrasound exams (76536) completed at the same encounter; one for thyroid nodules and one to evaluate a soft-tissue lump on the patient’s jawline. Can we bill for both of these exams separately?

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Radiology Question for the Week of July 8, 2024

If left and right ultrasound exams for pleural effusions is performed, is it appropriate to report two units of code 76604? The code description states “includes mediastinum,” does that make it a unilateral or bilateral code?

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Radiology Question for the Week of June 24, 2024

An “ultrasound abdomen complete” (76700) is ordered with the indication of “Abdominal pain, evaluate for Umbilical Hernia.” The hernia images are not included in our protocol for abdomen complete, but we are adding them anyway. Should we be adding an abdominal limited code, one quadrant (76705), along with the abdomen complete code 76700, or does the complete include an evaluation of hernia?

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Radiology Question for the Week of June 17, 2024

We received a patient from the ER who presented with severe pelvic pain. The HCG indicated pregnancy, but there was no intrauterine pregnancy so an ectopic is suspected. What is the correct CPT® code for this scenario?

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Radiology Question for the Week of January 8, 2024

If an ultrasound of the liver/spleen is ordered and during imaging, the midline is crossed and everything in the right and left upper quadrants of the abdomen are imaged and documented, would this be coded as a complete exam?

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