In Coding
Apr 1st, 2018
Look at what kind of fracture it is, then decide whether it’s restorative or definitive care. By Jeannie Dean, CPC, COC, CPMA, CEMA, CEDC, CPC-I There is a common misconception that you cannot bill for fracture care in the emergency department (ED). In fact, emergency physicians regularly provide fracture care. To determine if fracture care ...
In Billing
Feb 2nd, 2018
Payment for outdated X-ray technology is reduced more each year. For 2018, the Centers for Medicare & Medicaid Services (CMS) is targeting computed radiography. New Modifier Applies Reduction Medicare Physician Fee Schedule (MPFS) and Outpatient Prospective Payment System (OPPS) payments for the technical component (TC) of X-ray services taken using computed radiography technology (cassette-bas...
In Coding
Dec 4th, 2017
Code changes affect nearly every specialty. CPT® 2018 introduces over 350 new Category I and III codes changes, as well as revised introductory guidelines, and new and revised parenthetical references. Two areas that have been consistently misinterpreted in the past are revised for more concise coding: (1) international normalized ration (INR) monitoring and education; and ...
Anatomy, views, laterality , and modifiers are important when coning radiological exams. By Sivaraj Ramesh, CPC, CEMC, CCS Ribs are long, curved bones that are slightly twisted on a long axis. The rib cage consists of 12 pairs of ribs, 12 thoracic vertebra, the sternum, and xiphoid process. It encloses and protects the heart and ...
In Coding
Dec 12th, 2016
Question: Can a physicians code separately for reading X-rays or imaging studies taken elsewhere? For instance, could we report the appropriate X-ray CPT® code with modifier 26 Professional component attached? Answer: If another provider (e.g., hospital radiologist) previously read/interpreted the image, and has issued a report, your physician cannot separately code or be paid for ...