diagnostic

  1. L

    Wiki Diagnostic Medial Branch Block - how long good for?

    I have a patient who had diagnostic medial branch blocks in June of 2018, with 80-85% improvement, followed up by the RFA a few months later. It has been 18 months since they had their last injection. Do they need to repeat the diagnostic blocks again or can we repeat the therapeutic RFA...
  2. A

    Wiki Diagnostic or Therapeutic Wedge

    I am not very confident in this part of my coding and I want to make sure I am coding this correctly. The op note is below and I want to code it wit 32608: :confused::confused: History of an abdominal GIST tumor s/p resection a few years ago. As part of her monitoring she was found to have a...
  3. M

    Wiki 71045 and 74018

    Has anyone noticed with the new for 2018 chest and abdomen x-ray single view codes that they hit a bundling edit? There is a CCI edit based on "HCPCS/CPT procedure code definition". It does say a modifier can be used, but we're still thinking the edit is in error as these are 2 distinct body...
  4. R

    Wiki TC and 26 mods for 92083

    We have a clinic with 2 offices in 2 different states (both right along the border so still fairly close to each other). One of them has a Humphrey's and the other one doesn't yet. One of my doctors frequently sends paitients to the office with the visual field machine for just the test and then...
  5. R

    Wiki Modifiers TC and 26

    Do the TC and 26 modifiers need to be used when the test is split up between 2 different office locations on different days? The 2 locations are in different states but in the same company. Thanks!
  6. Lisa Griffin

    Wiki colonoscopy screening vs colonoscopy diagnostic

    Hi, Question, we seem to be having some confusion when it comes to ordering colonoscopies. For simple, asymptomatic patients who just need a screening we are using Z12.11 plus 45378. It seems that this confuses some of our patients when they see that 45378 is colonoscopy, diagnostic. If we are...
  7. J

    Wiki Diagnostic Injection for PET scans

    Hello - I am wondering if anyone has guidance on how to code for the administration of a diagnostic agent that is used for PET scans? I know if a radiology procedure code includes the words "with contrast" then the administration of the contrast is included. However, the PET codes (78608, for...
  8. B

    Wiki ER coding help

    hello, Is anyone able to assist in some coding for hospital charges? I work for a physician office, so hospital visits are not my speciality. I'm trying to assist a family member with their bill and want to be sure I'm pulling correct information. The hospital will only provide an itemized...
  9. D

    Wiki Coding charges dm

    What is the ongoing rate for coding diagnostic radiology per report?
  10. J

    Wiki IDTF Billing

    I am looking for someone with whom I can discuss billing for an independent diagnostic testing facility. Needed ASAP. Thanks!
  11. R

    Wiki Modifier 51 on diagnostic test codes

    Does modifier 51 apply to diagnostic procedure codes or just surgical codes? If it applies to diagnostic codes, under what circumstances should it be used? What about ophthalmology diagnostics - if one procedure is performed by a tech and another by the physician, should we use modifier 51?
    • rainagates
    • Thread
    • diagnostic modifier 51 ophthalmology
    • Replies: 1
    • Forum: Modifiers
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