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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

NM Bone scan Whole body with pt refusal of images

I have a pt that has come in to have a NM bone scan whole body. The pt refused images after the injection of 20.9 mCi of technetium 99 M labeled MDM due to him being claustrophobic.

I’m a little confused on which way to go with this one. At first I was thinking that I would bill for the body scan with the 52 modifier but now I’m thinking that I would only bill for the injection.

Can anyone help break this down for me?

Thanks

Medical Billing and Coding Forum

77080/dexa/bone scan HELP

I’m having great difficulty finding a LCD,NCD or anything giving me the covered ICD10’s for a Dexa scan. The one I pull up on line appears to only have about 10 dx’s this is an updated list from ones that were left off. Does anyone know where I can find this. I can’t find it on CMS either
Thank you very much.

Medical Billing and Coding Forum

Complete retroperitoneal ultrasound w/ bladder scan

One of the urologist physicians that I work for wants to report CPT 76770 along with CPT 51798 (Measurement of post voiding residual urine). Per AUA, a complete retroperitoneal ultrasound (CPT 76770) can be reported if complete evaluation of the kidneys and urinary bladder has been done and with clinical history suggesting urinary track pathology. AUA has added that "when an abdominal ultrasound and pelvic ultrasound are performed to evaluate the kidneys and bladder, technically both a 76705 and a 76857 are performed to evaluate each of these organs. However, the American Medical Association has determined that CPT code 76770 should be billed if the clinical history suggest urinary tract pathology." Based on this information, CPT 76705 + 76857 = 76770 (for evaluation of kidneys and urinary bladder). In addition, AUA indicates that "if the urologist performs bladder US to view the anatomy, the architecture , or the morphology of the full bladder as well as to DETERMINE PVR AFTER VOIDING, use CPT code 76857." My questions, is our physician wrong to report CPT 51798 if based on the information from AUA, the PVR is included in the complete retroperitoneal study? Or in what cases CPT 51798 can be unbundled since the it has indicator 1 when CPT 76770 and 51798 are report together? Hope I am making sense. Thank you in advance for any response

Medical Billing and Coding Forum

CT scan equipment- enhance the standard of medical profession

In the year 1971, a technique known as computed tomography have been introduced in the medical field to diagnose the condition of the patient. Now it is the choice of millions of people to cure many serious diseases. This is true that it is one of the most trusted and safest procedures but the main factor which decides the accuracy of the diagnosis is the CT scan equipment you are using. If a patient is not diagnosed properly even after these procedures then he can not be treated well further by a professional. It may be the fault of equipment or it has less features in comparison to what all required which ultimately unable you to examine the condition of the patient.

If you are concerned with the procedure of such kind of scanning then you must know that it is completely different from an X-ray, in which a little amount of ionizing radiation is used to capture a picture of the part of the body where it is radiated. On the other hand scan uses different angles to take pictures. It is the technique which makes it possible to make 3D model of the targeted body portion, which is considered as the better idea of treating the disease. A professional should avail the advantage of this device to cure the patient effectively and in less time. The range of radiation to which the body of the patient is exposed in this equipment is comparatively higher than X-ray but it does not harm the patient at all.

It is the technique which is normally adopted to get quick result suppose you had an accident and required immediate attention, the doctor can do a CT scan on you in less than 30 seconds to examine which part of the body is seriously damaged. In this way CT scan equipment is proved to be a life savior for many patients since 1980s as it becomes affordable for a medium class person also.

Lee Bond shares his views about CT scan equipment. He is a renowned radiology expert who has over 10 years of experience in the field, and another 10 as a regular surgeon.For more information, please visit radiology equipment.

More Medical Coding Articles

Billing technical and professional component for CT scan

Hopefully someone can help with this scenario!
I work for a specialty physicians office. We perform in house CT scans (70486). We pay a Radiologist from an outside facility to read our scans and he sends us his report. (He has his own NPI) Should I be billing the technical component for our physician and the professional component for the Radiologist under his NPI? Any insight would be greatly appreciated!

Medical Billing and Coding Forum

CT scan for the whole body

Has any one every code for a whole body CT scan before? I am looking for a code and the only code that I keep getting reference to is 76497 which is unlisted computed tomography procedure(eg, diagnostic, interventional). Does anyone know if this is correct, or do I need to code each area of the body separate for this test.

Thank you,
Felicia
CPC,CPB, AAPC Professional

Medical Billing and Coding Forum

Pet scan diagnosis question

Patient has right lower lung cancer and has had numerous PET scans with the dx of lung cancer – the patient has another PET scan where the cancer has been irradicated and the diagnosis is now personal history of lung cancer. We billed this with the personal history of lung cancer and we’re getting denials. Is a personal history of cancer covered?

Thanks,

Medical Billing and Coding Forum