Cardiology Coding Alert
Find Out What to Use for Doppler With Optiscan
Question: Does a CPT code exist for a Doppler that uses optison, an isotope/contrast material, which is sometimes called the optiscan? Should I code for the injection? What HCPCS code should I use for the optison? Almost always, the cardiologist provides all of these services during this situation.
Michigan Subscriber
Answer: For this service, you should report the following components:
Keep in mind: The AMA defines a contrast echo as the injection of a small amount of contrast material intravenously during an echocardiography.
You could possibly report this injection with 90772 (Therapeutic, prophylactic or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) when the cardiologist uses contrast media for imaging during echocardiography.
Remember: CPT deleted 90782 (Therapeutic, prophylactic or diagnostic injection [specify material injected]; subcutaneous or intramuscular), effective Jan. 1. Consequently, you should use 90772 instead.
Also, you can report the optison supply using A9700 (Supply of injectable contrast material for use in echocardiography, per study).
Cardiology Coding Alert
- NCCI 12.0 Update:
4 Ways to Avoid Denials--Check Out These EP, Endovascular Repair Code Edits
Watch out for edits with modifier indicators of '0'--you can't separate them
You'll have to modify [...] - You Be The Coder:
Find Out What to Use for Doppler With Optiscan
Question: Does a CPT code exist for a Doppler that uses optison, an isotope/contrast material, [...] - Improve CABG Coding With 33510-33545 Essentials
Resist the temptation to append modifier 51 to 33517-33523
If you're confused [...] - Quick Guide to Flawless CABG Coding
Learn what to report if your op note supports additional procedures
Before you begin to code [...] - 3 Rules Make Reporting E/M And Diagnostic Codes Easy
Hint: Only apply modifier 25 when your cardiologist performs minor procedures
When a patient presents for [...] - READER QUESTIONS:
Bypass NCCI Pacer Implant Edits With Modifier
Question: Should we bill a temp pacer implant with a generator replacement during the same [...] - READER QUESTIONS:
You Can Report 75774 Several Times per Session
Question: Using a right groin stick (right common iliac artery), the cardiologist performed an abdominal [...] - READER QUESTIONS:
Same Specialty, Same Day, Don't Code
Question: We have a "moonlighter" cardiologist who will admit a patient at 2 a.m. for [...] - Peripheral Vascular Billing Boot Camp
Presented by Jim Collins, CPC, CHCC
The following supplement to Cardiology Coding Alert is the transcript [...]
