1. S

    Radiology question

    Multiple axial images are through the abdomen and pelvis following the administration of oral and intravenous contrast. What CPT code(s) is/are reported for this service? a) 74160, 72193 b) 74177 c) 74170, 72194 d) 74174 Ans is B but why ? Administration of Oral contrast means no contrast is...
  2. M

    Question Radiology contrast documentation

    I have a question regarding documentation for contrast billing. Is it ok that the report states gadolinium for the injection, or does it specifically have to state Gadavist (the brand) in the report in order to have proper documentation for billing the contrast? Or is it sufficient enough that...
  3. Ceci22coder

    Question Coding Radiology Reports in the Ed Facility Setting

    Hi everyone, I’m in need of some assistance and clarification. There has been different information in my facility on whether we are allowed to pick up radiology diagnoses that’s is reported from the radiology report. For ex from a X-ray, MRI, U/S and or CT in the ED facility setting. Some...
  4. Ceci22coder

    Question Coding radiology Reports in ED Facility Setting

    Hi everyone, I’m in need of some assistance and clarification. There has been different information in my facility on whether we are allowed to pick up radiology diagnoses that’s is reported from the radiology report. For ex from a X-ray, MRI, U/S and or CT in the ED facility setting. Some...
  5. M

    Question MIPS Quality Measure #364--Incidental pulmonary nodule

    Can someone "dumb" down the criteria for reporting MIPS measure #364? I believe I understand, but would love confirmation: Report G9754 if report has incidental pulmonary nodule on a patient 35 and older, does not have cancer or history of, not a heavy smoker or a lung cancer screening...
  6. dgarri

    Question CT SCANOGRAM "HELP"

    We have a Provider who has a referring physician ordering CT Scanograms of various Extremity Joints (I.e. Hip, Knee, Shoulder, etc.). From a procedural standpoint it is performed on the CT, but they only run a high resolution Scout (AP View), with NO Axial images obtained. In essence, it’s...
  7. J

    Wiki Diagnostic Rad. Contrast Verbage

    Hi everyone, I was wondering if anyone knew if MRI procedures ever give oral contrast or is it always IV administered? For example, if the report says MRI of abdomen “pre-contrast” or “post contrast”, could we code 74150 or 74160 or would it HAVE to state “with “ or “without contrast”? And...
  8. D

    Wiki Personal Supervision of Diagnostic Procedures

    For diagnostic procedures with a 03-personal supervision indicator, is it required to document the performing tech's name and credential, and the level of supervision provided in the interpretation report in order to support the 03-personal supervision requirement?
  9. C

    Wiki Post-reduction x-rays

    Can someone please tell me if I can bill for pre- and post-reduction x-rays in the ER? I have recently been told that we can't bill for x-rays if there is not a radiology report. For example, a kid comes to the ER and has an obvious right forearm deformity after falling off his skateboard and...
  10. A

    Radiology coding tips/advise?

    Hey everyone! I recently got a job as a radiology coder and I was wondering if anyone had any advice or tips for coding radiology? It's my first coding job too! Thank you!
  11. E

    Question Unilateral screening mammogram

    Hello, colleagues! What is the appropriate way to code for a unilateral screening mammogram (post-mastectomy). I am aware that the provider can perform diagnostic mammograms for patients with history of breast cancer, but at this stage in the patient's remission the provider deems it is more...
  12. V


    HELP PLEASE If 1 or 2 fractions beyond a multiple of 5 at the end of a course of treatment are not reported separately, then why wouldn't the answer be 77427 x 1? A 71 yr old male patient with hepatic cancer receives 8 radiation treatments, during the course of the treatments the physician...
  13. C

    Wiki Central Venous Access Device

    Here is my situation: Doctor with hospital performs a Medi-I-Port Insertion CPT code 36561. Radiologist contracted by the hospital provides fluoroscopic guidance (77001) for the insertion. I am trying to bill for the professional component of the fluoro guidance but since the radiologist did...
  14. W

    Question Radiology Professional component

    When billing for the interpretation of an X-ray (PC) do you list the radiologist as the rendering provider?
  15. K

    Question Quick Reference Card for Radiology Diagnoses

    Has anyone come across any Quick Reference Card for Radiology Diagnoses that they would recommend? Mostly for Chest X-rays
  16. S

    Radiology CPT 70450 and 70496

    If the patient had a CT brain ordered and performed without contrast and then brought back to Radiology at a later time that same day, would the service be accurately coded as 70450 and a 70496? I am considering 70470 to report both. Thanks for your feedback.
  17. M

    Wiki Radiology coding modifiers for comparison-only views

    Example: patient is being x-rayed for pain in left knee. Physician's report only cites left knee pain as diagnosis. Three views are taken of the left knee. One view is also taken of right knee for comparison purposes. Would it be appropriate to use diagnosis code M25.562 for both procedures...
  18. S

    Radiology: O-arm images

    Radiology practice is asked to read images (post procedure) which were obtained during operative session using O-arm navigation. (O-arm uses fluoro + CT rendering.) Radiology provider dictates separate report. Seeking input on coding and guidelines.
  19. S

    Radiology: O-arm images coding

    Radiology practice is asked to read images (post procedure) which were obtained during operative session using O-arm navigation. (O-arm uses fluoro + CT rendering.) Radiology provider dictates separate report. Seeking input on coding and guidelines.
  20. C

    Stereotactic surgical planning

    Hello, I was hoping someone has some input on this. Our radiologists are doing MRI and in addition to the MRI they provide stereotactic surgical planning for the Neurosurgeons which takes quite a bit of time. We are looking for a code to bill for this if anyone can please provide some sort of...
  21. A

    Wiki Limited Vs. Complete Kidney Ultrasound

    Hello... I am reaching out for guidance and advise of the coding of a complete Vs. Limited Kidney US. Per the CPT book it states "if clinical history suggests urinary tract pathology, complete evaluation of the kidneys and urinary bladder also comprises a complete retro peritoneal ultrasound."...
  22. B

    Correct Coding for Renal Artery Doppler

    Good morning! I'm having trouble figuring out the correct code for a patient who came in for a Renal Artery Doppler. The code that I thought was correct, my boss disagreed with. She also presented the question to the provider, and he agreed with her. I guess I'm not fully grasping the way the...
  23. K

    Need Help with NeuroInterventional Radiology

    Hello Folks, We have just received an opportunity to bill for a neurointerventional radiologist. I do not know coding for this specialty. To learn, is buying the Interventional Radiology Coding Reference from ZHealth a good start. Also - is there somebody I can email to ask questions/review...
  24. L


    Can you bill for Gadavist (contrast) from both a 10ml AND 7.5 ml vial? The radiologist used 175 units of Gadavist, a whole 10ml vial, and 10 units from a 7.5ml vial, leaving 65 units of waste In our system, the NDC and pricing is tied to the 10ml vial. How would one bill for this?
  25. W

    Ordering Referring

    Can someone tell me which Types of bills for Part A require an ordering/referring physician on the UB for diagnostic test or DME supplies ordered
  26. J

    Transpedicular approach with decompression 63056

    We have an Interventional Radiology group who had a salesman come in and tell them they could make "major money" performing CPT 63056 in their office. From what I can find, this "open spine surgery" procedure doesn't appear to be allowed in the office setting. In addition, I am finding many...
  27. C

    93922 ABI help

    Radiologists are billing 93922 for ABI with the following documentation: INDICATIONS: r23.3 spontaneous ecchymosis FINDINGS: Right ABI: 1.22 Left ABI: 1.15 IMPRESSION: Symmetric and within normal limits I don't think that's enough. Any insight is appreciated
  28. M

    Wiki 71045 and 74018

    Has anyone noticed with the new for 2018 chest and abdomen x-ray single view codes that they hit a bundling edit? There is a CCI edit based on "HCPCS/CPT procedure code definition". It does say a modifier can be used, but we're still thinking the edit is in error as these are 2 distinct body...
  29. S

    Automated Breast Ultrasound

    We have been debating the use of 76641/76642 when an automated breast ultrasound is performed. Is it best to use an unlisted code 76999? Or is it acceptable to use the ultrasound CPT? Some are worried about using the ultrasound code since the exam is automated, however, the CPT description for...
  30. G

    HELP!! Radiology/EKG Coding

    I am new to radiology coding and I need some clarification. Here is the scenario: A patient, who is an inpatient, is experiencing shortness of breath. The physician orders a chest x-ray. The radiologist reports in the impression that opacities and pleural effusions are seen. Do we code the...
  31. A

    Coding for Complete Abdominal Ultrasound

    I have CPT 76700 and it was sent to my office with the diagnosis of Z71.1 - Person with feared health complain in whom no diagnosis is made. The patient presented for evaluation of possible gallstones. Our study concluded the patient did not have gallstones. Is this diagnosis still acceptable...
  32. C

    76706 Screening AAA for patient over 75

    Hi any advice for CPT 76706 if done on a patient over 75? The medicare guidelines state they cover this screening for male age 65-75 who has smoked. From the report below, is 76706 the only option? This seems not to be a screening because the patient has a known infrarenal aaa. Could CPT 93978...
  33. T

    Wiki ICD-10 Code on final dictated report

    I'm looking for sources/documentation or any information on the risks involved with having the ordering provider's ICD-10 code listed on the final dictated radiology report. Can anyone help?
  34. K

    Radiology CPT Coding

    When it comes to radiology coding, where do you get the CPT from, the order or the report? Example: Ordering Physician states to do a Pelvic Ultrasound (76856/76830) but in addition to this the Radiologist also does a complete Doppler (93975). Would you code directly from the order (which is...
  35. S

    Interventional radiology training courses

    Hi All, I am taking on a new role at work which involves reviewing IR charges to ensure the proper procedures was performed and billed. I'm looing for a course in IR that will lay the foundation to understanding the services and as well as information on documentation and coding. Any...
  36. J

    Standing knee (73565) and 2 views one knee (73560)

    When a patient has both a standing knees xray (73565) and then an additional 2 views of right knee (73560), I know that you would combine the views for the right knee creating 73562-RT. However, do you then also bill 73560-59-LT for the left knee?? -Julie
  37. J

    Diagnostic Injection for PET scans

    Hello - I am wondering if anyone has guidance on how to code for the administration of a diagnostic agent that is used for PET scans? I know if a radiology procedure code includes the words "with contrast" then the administration of the contrast is included. However, the PET codes (78608, for...
  38. T

    MRI FUSION FOR PROSTATE BIOPSY in OFFICE question CPT billing-2 questions

    We perform MRI FUSION prostate biopsies in Office setting with a Radiologist that comes in 1x month bringing/using the MRI image disk and Fusion Program that we rent to use and pay him per patient. There is a question of the billing for this by our office. 1.We have been billing 55700...
  39. A

    Rad Onc Encounter Help

    I am new to CHONC world and don't have someone I'm training under, can anyone answer a question I have: If you are coding for an encounter for radiation therapy and they have a secondary malignancy that they are treating, do you still code the primary malignancy too? I was told that we don't...
  40. H

    Radiology Diagnosis Coding

    Is it appropriate to use the result of a Cat Scan exam to support ordering the test? I am being asked to code from the test results when applying diagnosis codes for the encounter when the test was ordered. I feel that since they don't know the result at that point, it would be inappropriate to...
  41. D

    Coding charges dm

    What is the ongoing rate for coding diagnostic radiology per report?
  42. N

    simple radiology

    what is considered simple radiology? I know there is a guidline out there some where
  43. M

    Billing CPT 32555 and 10022 together

    Can I bill 32555 and 10022 together? I think they cannot be, but my manager is saying they can be. Also, can 32555 be done in an ER setting? Our radiology department is saying that it can't be. Thank you in advance
  44. C

    Wiki multiple chest x-rays

    Hello, I started coding for a radiology department... we are seeing denials for multiple chest x-rays on the same date they are all medically necessary? 71010 performed by Radiologist A. 7 AM 71010 Performed by radiologist A 10 AM 71010 Performed by radiologist B 4PM 71010 performed by...
  45. P

    Magnetic Resonance Spectroscopy Billing

    I work for a Neurologist that does a lot of specialized MRI's. We do CSF Flow Studies, Volumetric's and now Spectroscopy's. We have a CPT code 76390 but is not sure if that is to be billed with the Brain MRI as a secondary code. Example 70551 and 76390. And then the next question I have is if...
  46. M

    New Radiology Codes - HELP !!!!!

    Absolutely do not see any new radiology codes that replace 73500, 73510 or 73520. All new codes include pelvis view. What do we use if we do NOT take AP pelvis? If we just take one view of hip, what is the correct code?? Also, with new code 73501, how do you take a unilateral hip with...
  47. S

    Professional CPC for Busy Radiology and Pathology Office

    We are seeking a professional CPC for our Radiology and Pathology Professional Billing and Coding Office. This position is Full-time and would be Temporary, however may lead to a permanent position. We are located in Stroudsburg Pa. and would like to have an in house coder, but will consider...
  48. H

    Interventional Radiology Billing/Charge Sheet 2016

    Hello; I am looking for an updated charge/billing sheet for 2016 Interventional Radiology. Can someone please point me in the direction as to where I can find/buy it? Thank you so much for any guidance.
  49. A

    Radiology Professional Charges

    I am getting conflicting information so if someone can answer my question and tell me where to find the rule I would really appreciate it. I code Radiology and Interventional Radiology and with the new ICD-10 some are saying that my coding should only be off of the patients s-ray report or order...
  50. J

    Wiki ACDF coding with 77003 radiology code

    Our surgeon specializes in the spine and thinks that we are able to code 77003 for radiology during a ACDF 22551 for his services only and not the facility. So I guess my question is are we able to put the radiology code on the physicians services? Also would you only put it on the facilty...