Radiology practice is asked to read images (post procedure) which were obtained during operative session using O-arm navigation. (O-arm uses fluoro + CT rendering.) Radiology provider dictates separate report. Seeking input on coding and guidelines.
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Tag Archives: Radiology
Radiology: O-arm images coding
Radiology practice is asked to read images (post procedure) which were obtained during operative session using O-arm navigation. (O-arm uses fluoro + CT rendering.) Radiology provider dictates separate report. Seeking input on coding and guidelines.
Radiology Payer Steerage to Free-Standing Imaging Centers
In 2017, Anthem announced it would begin steering patients to free-standing imaging centers as a cost-saving measure. Rather than pay higher rates to facilities, Anthem required authorization to cover high-res imaging in the Hospital Outpatient setting. Special circumstances, patients under the age of ten, or those in areas without reasonable access to a nearby imaging center would be approved for HOPD imaging. ER and Inpatient imaging were not involved. Recently, UHC announced it would begin reviewing site of service necessity before authorizing MRI and CT services in HOPD. I am looking for input from someone in a state where Anthem already rolled out its steerage policy. We know the arguments for both sides and I have read extensively on the presumed impact, but there is nothing I have found on what has actually been experienced. For Billers/Managers in hospitals, have you truly felt a dip in your imaging services?
Thank you!
V. Richmond, MHA, CPPM
radiology coding
hello,
I just started radiology coding. There are not many radiology coding threads. I have some questions regarding the interpretation of terminology that is frequently used by radiologist. Can you please guide me to any threads that focus on radiology coding or where I can find help?
thank you so much,
benka
I just started radiology coding. There are not many radiology coding threads. I have some questions regarding the interpretation of terminology that is frequently used by radiologist. Can you please guide me to any threads that focus on radiology coding or where I can find help?
thank you so much,
benka
Please help. I am new to radiology coding Sclerotherapy 36465 ect
codes 36465, 36470 ect state include preliminary imaging, ultrasound guidance, and follow up imaging after therapy
My question is; Dr is doing initial consult and an ultrasound on Day 1
Day 4, pt comes in and has surgery.
What can Dr bill for on Day one? Does he only bill for the Consult code since the surgery code says"includes preliminary imaging" and he not bill for ultrasound even though ultrasound was done on patient? Or does he bill consult code and for ultrasound?
Thanks so much for your help,
Sherry
Help please! Radiology codes, multiple & modifier use
I am working on this case where 6 radiology studies were done in the same day. CT scans of the A/P, Brain, Chest & Neck-all with contrast except the Brain, a hip & chest XRay both 2 views. I got all the CPT codes and the DX was bad of course, cancer with mets, but can all those be coded without a modifier?
E&M plus Radiology on same DOS
Hi,
I am doing an audit on modifier 25 use and came across a finding that the PCP is adding modifier 25 to the E&M when x-rays are done the same DOS. I have been told that it was due to them both billing under the same TIN. I always believed that the modifier is only needed (per CCI) if the service is by the same TIN AND Specialty. I would appreciate any feedback, as we definitely don’t want to bill with an unnecessary 25 modifier.
TIA,
Shelly L. Kubacki, BS, MPA, CPC, CPMA
E&M plus Radiology on same DOS
Hi,
I am doing an audit on modifier 25 use and came across a finding that the PCP is adding modifier 25 to the E&M when x-rays are done the same DOS. I have been told that it was due to them both billing under the same TIN. I always believed that the modifier is only needed (per CCI) if the service is by the same TIN AND Specialty. I would appreciate any feedback, as we definitely don’t want to bill with an unnecessary 25 modifier.
TIA,
Shelly L. Kubacki, BS, MPA, CPC, CPMA
radiology guidelines in regards to exposure
hello! Does anyone know if there are guidelines for radiologists as far as the maximum amount of radiology exposure daily they are allowed? Any help or guidance would be welcomed! Thanks so much!
5 Questions Every Radiology Coder Should Ask
The answers to proper medical coding and reimbursement are not always transparent. From the referral to the claim submission, there are many opportunities for errors that result in a claim denial, improper payment, or even an audit. To secure proper payment, here is a checklist of five essential questions to ask yourself as you code […]
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