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Injection of contrast material for diagnostic imaging

Pamela Posted Wed 19th of May, 2010 21:37:44 PM

I am working with a pediatric hospitalist group that is occasionally being called to administer IV contrast to patients prior to a diagnostic test. Since the physician is not coding for the CT scan, can he at least code for the administration of the contrast using CPT code '96374'? I appreciate any assistance that can be offered.

SuperCoder Answered Thu 20th of May, 2010 07:27:37 AM

No, you cannot bill 96374 separately, when the IV contrast material is being pushed for CT contrast procedure. The IV contrast administration is included in the main CPT code (CT, in this case) itself. Please refer to the NOTE in the CPT 2010 manual, just before the series 96365 starts, that says -- "Do not report 96365-96379 with codes for which IV push or infusion is an inherent part o fthe procedure [eg, administratiom of contrast material for a diangostic imaging study".

Sara Answered Mon 07th of June, 2010 20:19:32 PM

What is the code for ct massive pericardial effusion right side

Sara Answered Mon 07th of June, 2010 20:29:49 PM

Drainage of the percardium I can't seem to choose the right code.

SuperCoder Answered Tue 08th of June, 2010 05:52:08 AM

Pericardial effusion comes under the 420 series and 420.90 should be appropriate here. For the drainage of the pericardial fluid you need to report 33010

SuperCoder Answered Tue 08th of June, 2010 05:53:50 AM

It is better to create a new thread for a new question.

SuperCoder Answered Tue 08th of June, 2010 08:04:34 AM

420.90 is Acute pericardial effusion, whereas the ICD index will directly lead you to 423.9 for pericardial effusion (acute not mentioned). 423.9 is an unspecified code and if Medicare is the payer, there's more chance that they will deny this diagnosis code. Based on payer, you can code 423.8 (OTHER SPECIFIED disease of pericardium) or 423.9 -- unless ACUTE is mentioned.

As far as the Px is concerned, "Drainage of the percardium" can be coded based on the Px description. As Ash said in the previous response, you can code 33010 when NO INCISION is done on skin and a long gauge needle(with or without fluoroscopic guidance) is used to aspirate the pericardial fluid. 33015 will be your choice of code when a catheter is inserted into the pericardial space following needle insertion. You can code 33025 if INCISION is DONE on chest and in pericardium to create an opening or "pericardial window", through which the pericardial fluid is drained out. Usually this procedure is taken up when there is huge accumulation of pericardial fluid causing excessive pressure on pericardium and pleural space.

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