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Radiology Coding Alert

CPT® 2017:
Use Updates To Refine Angioplasty and Sedation Coding in 2017
New angioplasty codes include S&I and disregard open vs. percutaneous approach. Th... Read more
ICD-10-CM Update:
Occipital Condyle Fractures Codes Now Become More Specific For Laterality
  Look for new codes for initial and subsequent encounters and sequelae. Effect... Read more
Compliance:
Follow These 3 Steps to Prepare For HIPAA Audit
Answer any verification requests and define clear compliance policies. Your practice ... Read more
Reader Question:
Cardiac Echo Depends On Complete or Component Stress
Question: Our radiologist did an echo and imaging during a cardiovascular stress te... Read more
Reader Question:
Catch the Cue for Osseous Surveys
Question: Our physician did an X-ray examination in a baby aged 4 months. The proce... Read more
You Be the Coder:
Check Date of Service before Appending GG Modifier
Question: Our radiologist detected abnormalities in a screening mammogram and then ... Read more
CPT® 2017:
2017: 3 Key CPT® Changes That Impact Radiology Coding Next Year
Diagnostic and screening mammography get new codes; imaging guidance may apply to interl... Read more
Category III codes:
Preferred Choice over Unlisted Codes
When a Category III code exists to describe a service or procedure, you must use that Ca... Read more
ICD-10 Update:
ICD-10: Make Sure You Have Implemented These Key Hemorrhage, Infarction Reforms
You needn’t confirm right and left side hemorrhage in ACA bleed. It is October a... Read more
Coding Quiz:
Quick Quiz: Be Your Own Judge For X-Ray Claims
Keep a close eye on views, modifiers, and face-to-face evaluations. X-rays claims are ... Read more
Reader Question:
Don't Miss Contrasts in Cyst Examination
Question: Our physician injected contrast into a cyst via a previously-placed catheter t... Read more
Reader Question:
Pelvis MRI includes Sacrum and Coccyx
Question: How can we report an MRI of the lumbosacral spine? The documentation ment... Read more
Reader Question:
Confirm Radiological Assistance in Injection Procedures
Question: For a patient diagnosed with soft tissue disorder related to overuse, our... Read more
Reader Question:
Turn to 76800 for Spinal Canal USG
Question: For a patient who presented with a mass on the back which was suspected t... Read more
You Be the Coder:
Consider Lateral Decubitus as Special View
Question: Our physician has documented “lateral decubitus” view in a ch... Read more
Interventional Radiology:
Adopt This Smart Approach For Head and Neck Angiography Coding
Look for catheter position and find the territory of imaging. Angiography procedures a... Read more
ICD-10 Update:
Mark These ICD-10 Changes In Key Obstetric And GI Diagnosis Codes Before October 1
You will check complete vs. partial for placenta previa and intrauterine pregnancy with ... Read more
Practice Management:
Focus on These 3 Key Areas To Make Way To Accurate Claims
Tips: Keep documentation, adopt changes, train, retrain, and audit. If your practice i... Read more
Reader Question:
Location Is Key for Hemangioma
Question: Our physician documented a diagnosis of cherry hemangioma in a patient wh... Read more
Reader Question:
Include All Symptoms in Diagnosis Coding
Question: In a patient with longstanding dyspnea, our physician documented a diagno... Read more
Reader Question:
Single View Femur Has a Discrete Code
Question: Can we report for a single radiological view of the femur? Do we have a s... Read more
Reader Question:
Confirm Each Step for Echo Procedures
Question: Our physician performed an office-based echo. The primary code we are sub... Read more
You Be the Coder:
Count Views for Scoliosis Examination
Question: How can we report the radiological examination of scoliosis? Can we repor... Read more
Screening:
Follow These Tips To Scale Up Your Claims For Bone Density Screening
Follow the two-year rule and limit diagnosis coding to screening encounters. If you do... Read more
Review of Basics and Indications
Osteopenia and osteoporosis are not the same. “Osteopenia is seen in patients over... Read more
ICD-10 Update:
Mark Myriad of Nervous System Changes in ICD-10 Codes For 2017
Specify levels for mid-cervical disorders; postprocedure nervous system hematoma gets new ... Read more
Documentation Check:
Adopt This 10 Item Checklist For Complete Documentation
Date, procedure details, impressions, and physician signature are key. Radiology claim... Read more
Reader Question:
Follow Per Vessel Rule for IVUS
Question: How can we report an intravascular ultrasound in the popliteal and femora... Read more
Reader Question:
Document TEE Monitoring for 93318
Question: Our physician did a transesophageal echo to aid cardiac monitoring. How c... Read more
Reader Question:
PET scan and PET-CT Aren't the Same
Question: How is a PET-CT different from a PET scan or CT? How can we report PET-CT... Read more
You Be the Coder:
Keep Count of X-ray Views
Question: Our physician obtained three shoulder views. Is 73030 the correct choice ... Read more
Scanning Section:
5 Key Questions Help Prevent Your Duplex Scan Codes From Falling Under The Radar
Complete documentation alone can help build clean claims. If you report non-invasive v... Read more
Be Aware of These 9 Reasons for Denials
The National Government Services (NGS) has listed nine reasons for reducing or denying t... Read more
ICD-10-CM Update:
New in ICD-10-CM: Prepare To Include Changes In GI Tumors And Prostate Dysplasia
Anatomical location and histological features gain importance. In addition to the exte... Read more
Payment Piece:
CMS Calls Providers Liable For Overpayments
Identify overpayment, check time frame, and return if you received surplus. CMS has sh... Read more
Reader Question:
0262T Is Now Obsolete For TPVI
Question: How can we report TPVI procedure in a patient of Tetraog of Fallot with c... Read more
Reader Question:
Do Not Forget Injection Code in Subclavian Venogram
Question: How can we report the diagnostic venography in the subclavian vein? Wis... Read more
Reader Question:
+0439T is The New Echo Cat. III Code
Question:  What are the new Category III codes expected for echo procedures this Ju... Read more
Reader Question:
Laterality will Guide Your Coding for Hand Joint Pain
Questions: Are there any new codes proposed for joint arthralgia in ICD-10-CM for 2... Read more
You Be the Coder:
Not All X-Ray Claims Qualify For Modifier 50
Question: When can we append modifier 50 to bilateral X-ray claims? New York Subs... Read more
Interventional Radiology:
Raise These 7 Questions Before You Code For Central Radiosurgery Procedures
Lesion count supersedes session counts in radiosurgery. Radiosurgery coding is complex... Read more
ICD-10 Update:
Prepare To Implement Revisions In Your Hodgkin Lymphoma Diagnosis Coding
Expect to Go Beyond Classical in Hodgkin Lymphoma An important change you can anticipa... Read more
Quick Review:
Types and Classification of Hodgkin Lymphoma
The World Health Organization (WHO) classifies Hodgkin lymphoma into 2 main groups: ... Read more
News You Can Use:
CMS Proposes New Quality Payment Program
Cost and quality willbring in credits and incentives. Physician payment programs, esta... Read more
Reader Question:
Distinguish Diagnostic and Therapeutic Amniocentesis
Question: In a patient with a rapidly increasing uterine size at 22 weeks gestation... Read more
Reader Question:
Any Contrast Can Qualify for 74270
Question: Our physician did a barium enema in a patient diagnosed with encopresis a... Read more
Reader Question:
Count Lesions in RCM
Question: What are the new edits applicable to RCM procedures? New Jersey Subscri... Read more
You Be the Coder:
Target 76536 for Thyroid USG
Question: Our physician did a thyroid sonogram to evaluate a thyroid mass. How can ... Read more
Interventional Radiology:
Review Codes For Percutaneous Biliary Interventions and Radiological Assistance
Codes include imaging guidance and radiological supervision. In the past few issues of... Read more
ICD-10 News:
News: You will See The First Annual Update In ICD-10 Manual Later This Year
Prepare to welcome new codes, additions, and deletions this October. The CDC has poste... Read more
Compliance Update:
Follow These Best Practices For Insurance Verification And Safeguard Your Payment
Never default to confirm enforcement of patient’s insurance before first visit. ... Read more
Top 3 Questions That Can Help You Verify Your Patient's Insurance
Before you can verify your patient’s insurance, know what information you need to ... Read more
Reader Question:
Note the Revisions for Vascular Embolization in 2016
Question: What are the recent 2016 revisions for vascular embolization codes 37241-... Read more
Reader Question:
Earn for Injections and Radiography in Wrist Arthrography
Question: How do we report wrist arthrography with injections into each of the thre... Read more
Reader Question:
Displacement and Laterality Guide You for Jones Fracture Coding
Question: What is the most appropriate diagnosis code for Jones fracture? What are ... Read more
You Be the Coder:
Target 76776 for US with Doppler
Question: How can we report ultrasound of transplanted kidneys done without duplex ... Read more
Imaging Refresher:
Make Your Way To Easy Coding For Renal Imaging
Distinguish ultrasound and duplex vascular scan. With so many potential uses of a rena... Read more
Intervention Procedures:
Check Your Compliance For Changes In Intracranial Arterial Therapeutic Intervention Coding
Distinguish thrombolysis and vasodilation, know services that the new codes include. W... Read more
ICD-10 Coding:
Prepare Your Practice To Be Precise For Pathologic Fracture Coding
Look for the site, cause, and location of the pathologic fracture. When coding a patho... Read more
Reader Question:
Check Views and Laterality for Rib X-rays
Question: Our physician did an interpretation of rib X-rays. How can we report for ... Read more
Reader Question:
Imaging Guidance Guides Your coding for SI Arthrography
Question: How can we code for sacroiliac joint arthrography? Do the codes differ fo... Read more
You Be the Coder:
Do Not Report IVC Filter as Foreign Body Removal
Question: How can we report the retrieval of an intravascular vena cava filter? Can... Read more
2016 Update:
Give A Makeover To Your X-ray Reporting With These New CPT® Codes
Views gain precedence in spine, pelvis, hip, and femur X-rays. X-rays may be one of th... Read more
Diagnostic Procedures:
Make Your Way To Clean Claims For Abdominal Diagnostic Venography
Focus on laterality for renal and hemodynamics for hepatic and portal assessments. For... Read more
ICD-10 Update:
Reporting Enlarged Lymph Nodes Is Clear And Easy In ICD-10
Key: Localized vs generalized enlargement guides you to right codes. If you come acros... Read more
Reader Question:
Check Bundles before Submitting 93050
Question: Is the code 0311T deleted? How can we now report assessment of central ar... Read more
Reader Question:
Say Goodbye to Add-on Code for Endobronchial Ultrasound
Question: With the deletion of 31620 in 2016, how can we report endobronchial ultra... Read more
Reader Question:
Report for Polyps with Sinusitis
Question: Our physician has documented a diagnosis of chronic rhinosinusitis and na... Read more
Reader Question:
Site of Puncture Is Key for Reporting VP Shuntogram
Question: How can we report shuntography for a non-vascular ventriculoperitoneal sh... Read more
Reader Question:
Turn to Dorsopathy Codes for Lumbosacral Subluxation
Question: Our physician documented a diagnosis of subluxation of the lumbar and sac... Read more
You Be the Coder:
Append Modifier 76 with Second X-Ray Claims
Question: Our physician obtained an X-ray after the orthopedic surgeon did manipula... Read more
CPT® 2016:
Follow These 3 Tips From Experts For Noncoronary Intravascular Ultrasound Coding in 2016
Prepare to strike off four codes and add two new codes. The AMA’s CPT® and R... Read more
ICD-10 Quiz:
Two Easy Steps To Scale Diagnosis Codes For Nontraumatic Subarachnoid Hemorrhage
Hint: Site and side of the bleed guide you to the correct code. Nontraumatic subarach... Read more
Gage How Much You Understand For Diagnosis Codes For Nontraumatic Subarachnoid Hemorrhage
Answer 1: The correct option is a, I60.00. The ICD-10 codes for nontraumatic subarachn... Read more
Billing Corner:
Check These 5 Key Requirements For Guaranteed Billing
Contrast, contributions, complete exam, service components, and clear impressions are ke... Read more
Reader Question:
Report Supervision as General, Direct, Personal
Question: A technician in our office performed an elbow MRI under direct supervisio... Read more
You Be the Coder:
Do not Report MUGA with MPI
Question: Can we report for MUGA (multigated acquisition) scan with myocardial perf... Read more
HCPCS 2016:
Make Sure You Submit Clean Claims for USG contrast and CT Scans This Year
Look for updates for Lumason, include modifier CT, and watch before you submit J code fo... Read more
ICD-10 Update:
Top 3 Tips That Help You Tackle Any Challenges In Pulmonary Embolism Coding
Check for sepsis and cor pulmonale, distinguish acute vs chronic. Confused about pulmo... Read more
Strengthen Basics of Pulmonary Embolism to Make Your Way to Correct Code
What is a pulmonary embolism? Pulmonary embolism is a blood clot in the lung that usua... Read more
Practice Updates:
Meet These 10 Essential Requirements To Keep Appeals At Bay
Check what the MAC says; keep flawless documentation. Are you appealing for denied cla... Read more
Reader Question:
77072 Is Specific For Bone Age Studies
Question: Our physician performed an X-Ray for a child to determine age. The medica... Read more
Reader Question:
Earn for MRI Guidance for Tumor Ablation
Question: Our physician provides MRI guidance for ablation of renal tumor. How can ... Read more
You Be the Coder:
Differentiate PET from PET-CT
Question: Is PET-CT different from a PET scan? How can we report for a PET-CT? Mi... Read more
CCI Update:
Exercise Caution When You Handle The Ablation/Duplex Edit Change
Adopt modifier indicator 1 when you report duplex and ablation codes. Effective Oct. 1... Read more
ICD-10-CM Coding:
Five Simple Steps To Ease Your Neoplasm Coding
Confirm the anatomical site and get the terminology right to make your way to the right ... Read more
Analyze These Coding Examples To Test Your Understanding Of Reporting Neoplasms
Here are some examples that will help you gain a better understanding of neoplasm coding... Read more
Claims Appeals:
Revamp Your Understanding Of Redeterminations And Reconsiderations
CMS revises scope, specifies guidance for post-payment review or audit only. The ... Read more
Reader Question:
93306 Covers Color Flow And Spectral Doppler
Question: Our physician performed 2D and spectral Doppler echo and arrived at a dia... Read more
Reader Question:
There is No Bundle for 93653 and 93312
Question: Can we submit code 93312 before an EP AFib ablation which our physician d... Read more
You Be the Coder:
Fluoro Codes Include Technical Component of C-Arm
Question: Our physician uses fluoroscopy and C-arm guidance for joint injections. H... Read more