Radiology Coding Alert
Don't Count on 0147T Component Pay
Question: We perform coronary artery CTA in our multi-specialty group's imaging facility. We have a cardiologist to read the results, but we're thinking of having a local radiology group assist us with cases to increase our turnaround time for patients. Can we report the technical portion of 0147T while the radiologists report the professional component? Answer: The good news is that you can report the technical and professional components separately for 0147T (Computed tomography, heart, without contrast material followed by contrast material[s] and further sections, including cardiac gating and 3D image postprocessing; computed tomographic angiography of coronary arteries [including native and anomalous coronary arteries, coronary bypass grafts], with quantitative evaluation of coronary calcium).
New Jersey Subscriber
Example: You report 0147T-TC (Technical component) for your portion of the service, and the radiology group reports 0147T-26 (Professional component) for interpreting the images.
Resource: You can find the CMS transmittal announcing this change at www.cms.hhs.gov/Transmittals/
downloads/R897CP.pdf.
Snag: CMS did not assign RVUs to 0147T, so reimbursement -- if any -- is carrier-priced.
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