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Abdominal duplex scan assigned more than once on the same day
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Billing for handheld ultrasound
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Charge codes for paracentesis or thoracentesis depend on area studied and findings
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Coding and modifiers for biophysical profiles performed on triplets
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Coding and reimbursement for full, follow-up and limited pregnancy ultrasounds
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Coding for a core lymph node biopsy and a core breast biopsy with ultrasound guidance
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Coding for a fluoroscopic sniff test (diaphragm fluoroscopy)
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Coding for arterial and duplex scans
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Coding for arterial and duplex scans
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Coding for arthritis ultrasound survey when multiple joints are requested for one session, whether ipsilateral or bilateral, and for complete imaging of a single joint
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Coding for bedside ultrasound for suspected pulmonary edema
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Coding for breast ultrasound and diagnostic mammography performed on the same day
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Coding for complete abdominal ultrasound, for a limited procedure, for US-guided paracentesis and for identifying ascites
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Coding for duplex scan of the carotids/vertebrals and grayscale imaging of the thyroid
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Coding for duplex scan or color Doppler ultrasound of abdomen, ovaries or scrotum
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Coding for groin ultrasound for possible inguinal hernias
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Coding for locating a vein and marking it for mapping purposes
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Coding for non-diagnostic reduced-service exams
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Coding for pre- and post-void bladder ultrasound
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Coding for pre- and post-void bladder ultrasound
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Coding for pyloric and abdominal ultrasound
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Coding for scrotal ultrasound including bilateral inguinal hernia evaluation
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Coding for transabdominal studies and transvaginal follow-up evaluation
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Coding for transvaginal and transabdominal pelvic ultrasound performed on the same day
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Coding for ultrasound for nuchal translucency measurements with suboptimal results
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Coding for ultrasound guidance for vascular access
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Coding for ultrasound guidance used in the operating room
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Coding for ultrasound of a groin-area hematoma after a catheter procedure for pseudoaneurysm
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Coding for ultrasound of soft-tissue mass in the upper back
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Complete ultrasound of the abdomen — required and additional elements for coding
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Contrast ultrasound of liver or other area, e.g., a limited abdominal study
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Correct reporting of limited ultrasound of right upper quadrant of abdomen and lower right quadrant appendiceal
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Documentation and coding for outpatient arterial and venous ultrasounds performed on the same day
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Documenting and coding for ABIs, evaluation & management, venous duplex, arterial duplex or non-invasive ultrasound exam
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Documenting and submitting “for comparison” venous imaging
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Doppler scan not required for aorta ultrasound reimbursement
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Duplex charges for scrotal, pelvic, transvaginal and obstetric ultrasounds
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Limited or follow-up transvaginal or pelvic ultrasound exam
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Medical necessity and documentation requirements for obstetric ultrasound plus nuchal transparency (NT) screening
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MRI-guided focused ultrasound thermal ablation for Parkinson’s disease tremors
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Payors covering one complete ultrasound; other exams coded separately
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Proper coding for ultrasound to rule out or follow-up on AAA; plus other CPT codes for related, other organ and duplex studies
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Radiologist interpreting hystersonograms is acceptable with level 3 supervision
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Reimbursement guidelines for follow-up cerebrovascular arterial studies
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Renal ultrasound of bladder
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Required testing for ankle-brachial index (ABI) and bilateral lower extremity arterial duplex reimbursement
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Billing for administration of free samples of contrast enhancing agent
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Ultrasound guidance code included with arterial intervention codes
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Ultrasound guidance images and description needed for reimbursement
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Ultrasound of pregnant uterus for fetal and maternal evaluation
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Ultrasound screening for abdominal aortic aneurysm (AAA)
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Unilateral breast ultrasound, including axilla when performed
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3D post-processing is required and is included in computed tomographic angiography
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Acceptable to report whole-body exam was done and that remainder of scan was unremarkable
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Appropriate ICD-10-CM coding for retrolisthesis of C5 relative to C6
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AUC consults must now be performed by the referring physician, or else neither the hospital nor the interpreting physician will be paid
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Billing for radiologist supervising a PA performing a radiology procedure
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Breast localization codes now require device HCPCS codes when billing under OPPS
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Clarification on minor procedures and requirement for attending physician
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Coding diagnoses for radiology professional component reports
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Coding for abbreviated breast MRIs
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Coding for abdominal, retroperitoneal, and pelvic ultrasounds are distinguished between complete and limited exams
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Coding for breast ultrasounds
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Coding for CTs of the pancreas and pelvis with and without contrast
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Coding for incision and image-guided fluid collection drainage by catheter
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Coding for IV contrast dose for CT scan of abdomen
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Coding for multiple follow-up angiograms during embolizations
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Coding for radiological examination from nose to rectum for foreign body – child
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Correct billing for hospital-based radiology department physicist review of radiation dosing
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Correct billing for NDC number
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Correct coding for abscess drainage
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Correct orders for unilateral screening and unilateral diagnostic mammograms
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CT and MR exams and physician supervision
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Determining and coding for percutaneous transluminal revascularization of acute total/subtotal occlusion
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Diagnosis coding for gunshot wounds
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Do not report a current cancer diagnosis code when the patient is no longer being treated for the cancer
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Documentation best practices for CT exams using iodinated contrast
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Documentation needed for manual application of stress in joint radiography
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Documentation needed if non-hospital imaging center does an exam not ordered by the patient’s treating physician
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Documentation needed when using ultrasound guidance to access a vein or artery for an angiogram
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Documenting concurrent supervision for CD volume-rendered images
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Fluoroscopic guidance for needle placement usually documented in the operative report
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For a complete first trimester OB ultrasound, the maternal uterus and adnexa are required elements. If they can’t be seen, the reason must be documented or a limited exam must be reported.
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For chronic anterior cruciate ligament tear of the right knee code as a current injury
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For coding, you only need to know that an MRI of X body area was done with or without IV, intrathecal, or intra-articular contrast
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For pelvic ultrasound, if a required element cannot be visualized, the reason for non-visualization must be given or the limited study code must be reported
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Hospitals, imaging centers and doctor’s offices should specify the type and volume of iodinated contrast that was used
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If you state and document that regular 2D digital mammography, as well as 3D tomosynthesis views, were performed, then you can code both
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Is it insufficient documentation if both the resident and the teaching physician use macros only?
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MRI and tomography documentation requirements
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NDC numbers required for contrast billing
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OB ultrasound of gestational sac and qualitative assessment of amniotic fluid
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Provider-based entity owned by the hospital and billing professional component
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Question of documentation for mammography regarding laterality
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Regarding pre-MRI screening orbit x-rays, certain ICD-10-CM codes are appropriate
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Requirements for an orbits x-ray for foreign body screening prior to an MRI
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When charging for computed tomography (CT) with contrast, contrast amount, type and route should be included
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When it’s appropriate or not to charge for 3D post-processing of initial imaging data
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Is there a specific code for a myocardial perfusion SPECT/CT scan?
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Any major coronary artery or one of its branches may be evaluated with (and coded for) intravascular ultrasound (IVUS) or IFR/FFR
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Billing for both an angiogram and catheter placement for a failed access site performed during a left heart catheterization (LHC)
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Cases when repeat diagnostic coronary angiography can be submitted — documentation needed
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Changes to the cardiac positron emission tomography (PET) codes
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Charging for a FFR computation for CTA done at another site
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Charging for two separate leads for implantation of a biventricular permanent pacemaker (PPM)
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Codes for quantification of coronary atherosclerosis are not suitable for hospital billing but may be payable under the physician fee schedule
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Coding and modifiers for started or completed procedures when inserting a drug eluting coronary stent
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Coding for 3D post-processing images reconstructed on an independent workstation with physician supervision
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Coding for a non-contrast CT of the heart with calcium scoring
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Coding for a single-study myocardial perfusion SPECT and multiple studies
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Coding for aortic valvuloplasty includes the temporary pacemaker
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Coding for duplex scan of lower extremity arteries or arterial bypass grafts
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Coding for in-hospital cardiac stress testing with echocardiography and continuous EKG monitoring, if performed
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Coding for mild calcified plaque of the left main (LM) and left anterior descending (LD) coronary arteries
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Coding for myocardial strain imaging on the facility side
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Coding for myocardial sympathetic innervation imaging
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Coding for noninvasive estimated coronary fractional flow reserve (FFR) tomography performed for different reasons
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Coding for percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction
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Coding for pericardial drainage procedures and noninvasive estimated coronary fractional flow reserve techniques with imaging
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Coding for stent placement an acute myocardial infarction (AMI) culprit vessel
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Coding for two different types of myocardial perfusion PET/CT studies
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Coding for vascular embolization during stent placement
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Coding for when a coronary perfusion PET and a myocardial viability scan are performed together
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Coding for when a percutaneous transluminal coronary angioplasty (PTCA) is performed, a drug-eluting stent (DES) is attempted, but provider is unable to cross lesion
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Coding modifier needed if doctor interprets an echocardiogram performed in-hospital
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Coding of stented vessels in acute myocardial infarction
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Correct billing procedures for performing an echocardiogram
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Correct coding for CTAs of different body areas, including heart and chest
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Correct details to include when submitting charges for Doppler echocardiography
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Coverage requirements for Absolute Quantitation of Myocardial Blood Flow
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Dates of service for CTA and FFR should be the date each was performed
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Diagnosis and CPT codes needed for proper coding of pediatric transthoracic echocardiograms for congenital abnormalities
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Diagnostic codes for echocardiogram with contrast
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Diagnostic ECGs done prior to, or after, a heart catheterization or coronary angiogram are separately billable with modifier 59
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For EKGs, you cannot take credit for the review for the E&M, only the order, as the review is included in the payment for the EKG codes
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In insertion of a pacemaker system, coding for RA and RV lead implanting
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Medical necessity determines justification for additional ECGs following a percutaneous coronary intervention
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Not appropriate to report coding for cardio-pulmonary resuscitation (92950) when defibrillation is performed
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Only one physician should bill for and interpret cardiac PET-CT scans
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Percutaneous transluminal revascularization and required elements for reimbursement
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Provider documentation required for billing myocardial strain imaging
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Reporting and coding for an echocardiogram with intravenous contrast for injectable suspension
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Revenue codes for a Swan Ganz catheter
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Three types of studies considered for myocardial perfusion billing are rest, stress, and redistribution
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With a 12-lead EKG with EP study, only add modifier 59 if the patient's condition warrants an EKG and only if ordered at a separate time
