Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Interventional Radiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 08-24-2011, 08:25 AM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Smile Arthrography

I was looking at older forums on arthrograms and wondered if the A9579 should be charged at any time with the 23350? Some said they charged it and others did not include it. Can someone please show me some guidelines or specifics on this. We do an MRI after but the report does read "sequences are acquired after instillation of dilute gadolinium". Any and all input would be appreciated!
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
  #2  
Old 08-24-2011, 02:41 PM
donnajrichmond donnajrichmond is offline
True Blue
 
Join Date: Apr 2007
Location: Alexandria, LA
Posts: 517
donnajrichmond is on a distinguished road
Default

Yes, if you provide the contrast, then code for it. ACR Coding Source, July/August 2010 has a great article on athrogram coding, including radiographic arthrograms, CT arthrograms and MR arthrograms.
Reply With Quote
  #3  
Old 08-24-2011, 02:50 PM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Default

Donna I actually have that article and where did you find that you charge for A9579? We found no info at all on this.
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
  #4  
Old 08-24-2011, 02:54 PM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Default

My question is if you charge the contrast during the arthrogram 23350 not with the CT or MRI. If anyone has any info on this I would appreciate it
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
  #5  
Old 08-24-2011, 03:11 PM
donnajrichmond donnajrichmond is offline
True Blue
 
Join Date: Apr 2007
Location: Alexandria, LA
Posts: 517
donnajrichmond is on a distinguished road
Default

After the chart of codes, it says:
"The charge for the contrast material (eg, low osmolar contrast, paramagnetic imaging agent) used during an enhanced CT or MRI study also should be reported using a Healthcare Common Procedure Coding System (HCPCS) Level II code (eg, A9579, Q9965)."
Reply With Quote
  #6  
Old 08-25-2011, 06:03 AM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Default

What I am asking here is if the contrast used during the arthrogram is charged with the 23350 or other arthrography codes. We do not inject the contrast during the CT or MRI, it is there and seen from the arthrogram injection done before they get to the CT or MRI suite. If anyone else has information on this please let me know. Some older posts from the AAPc site had info on charging it with the 23350 and others said not to. I would love to know what others are doing when charging arthrograms out at this time. Thanks!
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
  #7  
Old 08-30-2011, 07:49 AM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Default Any help out there?

I was looking at older forums on arthrograms and wondered if the A9579 should be charged at any time with the 23350? Some said they charged it and others did not include it. Can someone please show me some guidelines or specifics on this. We do an MRI after but the report does read "sequences are acquired after instillation of dilute gadolinium". Any and all input would be appreciated!
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
  #8  
Old 09-21-2011, 10:58 PM
Rajebpt Rajebpt is offline
Networker
 
Join Date: Apr 2007
Location: Chennai,Tamilnadu
Posts: 93
Rajebpt is on a distinguished road
Smile

HI
Gadolinum injection is done during arthrogram procedure so it should billed along with it .
Post or Mri arthrogram is a diagnostic study after the procedure in which we should not code A9579.in the ct report their should be a comment stating contrast coded in argthrogram report
eg:23350,73040,A9579 IN ARTHROGRAM REPORT
73201 OT 73221 IN CT REPORT WITH COMMENT CONTRAST CODED IN ARTHROGRAM REPORT.
AM I GETTING U THE ANSWER?
Reply With Quote
  #9  
Old 09-28-2011, 12:03 PM
jgf-CPC's Avatar
jgf-CPC jgf-CPC is offline
True Blue
 
Join Date: Apr 2007
Location: Columbus GA
Posts: 570
jgf-CPC is on a distinguished road
Default

Yes you have and thanks for understanding my question. I appreciate your explanation.
__________________
Jackie, CPC

Choose a job you love, and you will never have to work a day in your life. ~Confucius~
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 04:40 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC