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  1. S

    MRI Spinal Survey

    Question: Which CPT code should I use for a total spine MRI without contrast? Answer: You won't find a single CPT code that describes a “total spineâ€� MRI, but you may report a code for each region the radiologist examines: • 72141 — Magnetic resonance (e.g., proton) imaging, spinal canal...
  2. S

    Lordosis

    The normal curvature of the cervical spine is often straightened or even reversed in muscle strain / sprain of the neck region. Straightening of the lordosis is when the spine does not have it's normal slight curvature We can't code it as 737.20. May be 738.5
  3. S

    ELEVATED LFT's DX?

    790.6 as per ICD manual
  4. S

    ELEVATED LFT's DX?

    790.6
  5. S

    Radiology Mri Brain w/Attn Pituitary Gland

    Per the ACR, if MRI brain and MRI pituitary are separately ordered and performed w/a full series of sequences specifically of the pituitary gland, then MRI brain CPT should be reported two times w/a mod 59 on the second study. There needs to be "clear, separate, and distinct" indications for the...
  6. S

    Hypertensive heart disease

    Hypertension with Heart Disease Heart conditions (425.8, 429.0-429.3, 429.8, 429.9) are assigned to a code from category 402 when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code from category 428 to identify the type of heart failure in...
  7. S

    Hypertensive heart disease

    Hypertension with Heart Disease Heart conditions (425.8, 429.0-429.3, 429.8, 429.9) are assigned to a code from category 402 when a causal relationship is stated (due to hypertension) or implied (hypertensive). Use an additional code from category 428 to identify the type of heart failure in...
  8. S

    Mammo

    v76.12 first , then findings
  9. S

    rectal adenocarcinoma

    When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category V10, Personal history of malignant neoplasm, should be used to indicate the...
  10. S

    ERCP-BILIARY Coding help

    I'd go with 74328
  11. S

    Depression/Anxiety - ICD-9 and E/M

    Question: What is the code assignment for depression and anxiety? Answer: Assign codes 311, Depressive disorder NEC, and 300.00, Anxiety state, unspecified, for a diagnostic statement of depression and anxiety. Code 300.4, Dysthymic disorder, is not appropriate since the provider has not...
  12. S

    Back pain

    signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes
  13. S

    Back pain

    if the pt is having radiculitis , you don't have to report back pain.
  14. S

    icd-9 for encephalomalacia and Levoscoliosis

    encephalomalacia -348.89 Levoscoliosis is considered a form of scoliosis. The standard definition of scoliosis is the curvature of the spine in one direction or another. Levoscoliosis is the curvature of the spine to the left side of the body.-737.30
  15. S

    lung opacity

    793.19
  16. S

    global days on 10060

    type of info- select payment policy indicators and modifier - select global- then u can see 010 global days for 10060
  17. S

    abnormal d dimer

    D-dimer is a fibrin degradation product (or FDP), a small protein fragment present in the blood after a blood clot is degraded by fibrinolysis. It is so named because it contains two crosslinked D fragments of the fibrinogen protein.[1] D-dimer concentration may be determined by a blood test to...
  18. S

    Adrenal mass

    255.9
  19. S

    abnormal d dimer

    790.92
  20. S

    Fluid in cul-de-sac

    793.5
  21. S

    Lung Granuloma

    I'd go with 515.
  22. S

    Which dx used for exophytic cystic lesion of kidney

    I'd go with 593.2 lesion-cystic takes you to cyst.
  23. S

    ICD-9 for s/p partial nephrectomy

    if you go to absence- it says (organ or part ) (complete or partial)
  24. S

    status indicator m

    PAYMENT STATUS INDICATOR: CMS is creating a new payment status indicator, “M” (service not billable to FI). This status indicator is assigned to services which are neither billable to the FI nor to the DME regional carrier. Generally, status “M” codes identify physician services and are not...
  25. S

    status indicator m

    Status Indicator “M” was created for services that are not billable to the fiscal intermediary and not payable under the OPPS. Could you elaborate on this? TIA
  26. S

    History codes

    could you be more specific?
  27. S

    Icd-9 updates

    ICD-10 CM 2013 updates are available now. http://www.cdc.gov/nchs/icd/icd10cm.htm#10update
  28. S

    global days on 10060

    http://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx
  29. S

    global days on 10060

    1.Download the most current physician fee schedule from the Center for Medicare and Medicaid Services website at www.cms.gov. 2 Find your desired CPT code and look at the "global period" column for its corresponding global period. 3 Use CMS' physician fee schedule search on the website. The...
  30. S

    HCC Coding....

    http://www.hccblog.com/category/hcc-codes/ http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Reports/downloads/pope_2000_2.pdf
  31. S

    Importance of Correct Coding

    then let her face the denials....
  32. S

    V-codes for CXR's and medicare

    N. Patients receiving preoperative evaluations only For patients receiving preoperative evaluations only, sequence first a code from category V72.8, Other specified examinations, to describe the pre-op consultations. Assign a code for the condition to describe the reason for the surgery as an...
  33. S

    Ct Sacrum

    January 2, 2012 Question For a computed tomography (CT) scan of only the sacrum, should we assign 72192 (CT pelvis) or 72131 (CT Lumbar)? Answer While no specific information has been published relative to coding for a CT of the sacrum, the American College of Radiology has stated that...
  34. S

    DM and Neuropathy

    you can't assume , the doctor has to document. you can assume only in the case of HTN and CKD.
  35. S

    611.72

    611.72 is not gender specific.
  36. S

    cpt code for mrcp - Hello Radiology Experts out there

    A magnetic resonance cholangiopancreatography (MRCP) study includes MIP(3D) cholangiographic images, as well as any axial and/or coronal abdominal MR cross-sectional images.
  37. S

    Coding for Trauma

    Trauma: Did you know that if the reason for the radiology service is specified only as trauma, coders cannot code it as an injury and should instead assign V71.4 (observation following other accident) (Vol. 23, No. 1, first quarter, 2006).Coding clinic
  38. S

    cpt code for mrcp - Hello Radiology Experts out there

    QUESTION: How should an MRI of the abdomen performed in conjunction with an MRCP study be reported? ANSWER: If imaging of the abdomen is performed concurrently with a magnetic resonance cholangiopancreatography (MRCP) study, it is appropriate to report one of the MRI of the abdomen codes (74181...
  39. S

    Radation Oncology

    http://campus.ahima.org/audio/2009/RB100109.pdf try this one. though this is an old version, might be of help.
  40. S

    "Incorrect instrument count"

    I'd go with V71.89.
  41. S

    Overdose ICD-9 codes

    Etylene Glycol -982.8 Polysubstance- Synthetic Stimulants (bath salts)- Tylenol - acetaminophen- 965.4 the other two - we need to dig deeper.
  42. S

    Gadovist gadolinium

    A9585 is specific to gadobutrol. A9579 is gadolinium based contrast - Not Otherwise Specified.
  43. S

    Diagnosis code question..

    I'd go with the same.
  44. S

    Modifer 25 - My co-workers

    Use modifier -25 only on E&M services, when a procedure with 0 or 10 global days is performed by the same physician on the same date of service. Use it only when the E&M service is separate and distinct http://www.physicianspractice.com/pearls/content/article/1462168/1862786
  45. S

    suburethral cyst code

    true.
  46. S

    Negative result on x-ray

    i'd go with v71.8x.
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