Marianne Posted Wed 19th of January, 2011 13:51:04 PM
'Q9967' Must I mention in the radiology CT report the amount and name of the contrast used? E.G., 90 mL of Optiray 350 IV contrast was administered for the report. If I negelect to see these in the report, will it preclude insurance payment?
Sorry, no backtick characters on keyboard, used apostrophe in stead.
Nikhil Answered Thu 20th of January, 2011 07:54:11 AM
Definitely it is a payor-specific criteria, and is logical also. So, you need to mention it. Normally, the problem happens when you don't have the knowledge of payor reimbursement criteria.
In such cases, it is always preferred to contact the payor to know their reimbursement criteria on such codes which you may not have billed earlier, so as to avoid rejections at the first attempt of billing.