#1. When both a limited retroperitoneal US CPT code 76775 and a bladder US for urine capacity measure/pre-post void residual (CPT code 76857) are ordered on the same dos how are these exams appropriately coded? Do we convert the 76775 lmtd renal US to a complete US (76770) or is it appropriate to bill both 76775 and 76857? We would also like to verify that CPT code 51798 is incorrect to bill for the post-void residual study as our radiologist is dictating a formal report.
#2. When ordering a pre-MRI screen of the orbits for foreign body, we would like to know what is required as far as meeting documention requirements, dictation requirements, and ordering physician requirements. i.e. is it okay to have the orbit dictation on the same report as the MRI, or does it need to be on a totally separate report. Does the facility need to generate 2 requisitions for both the obits and for the MRI? Also, does it meet documention requirements to have both exams listed on the same order from the ordering physician? Also, we are finding a major commercial insurance carrier has started to deny our orbit exams for pre-screening as inclusive to the MRI exam.
#3 Our facility has started to generate a requisition for Intra-operative Fluoroscopy used by a physician other than our hospital based radiologist for placement of VAD's done in the OR. Requisition states PLEASE DICTATE FILM ALSO. Our radiologist are dictating single spot fluoroscopy films for placement of vascular device. Is it appropriate for our radiologists to bill for these spot images? If yes, what CPT code should be assigned?
Thanks in advance for the assistance with these coding questions
#2. When ordering a pre-MRI screen of the orbits for foreign body, we would like to know what is required as far as meeting documention requirements, dictation requirements, and ordering physician requirements. i.e. is it okay to have the orbit dictation on the same report as the MRI, or does it need to be on a totally separate report. Does the facility need to generate 2 requisitions for both the obits and for the MRI? Also, does it meet documention requirements to have both exams listed on the same order from the ordering physician? Also, we are finding a major commercial insurance carrier has started to deny our orbit exams for pre-screening as inclusive to the MRI exam.
#3 Our facility has started to generate a requisition for Intra-operative Fluoroscopy used by a physician other than our hospital based radiologist for placement of VAD's done in the OR. Requisition states PLEASE DICTATE FILM ALSO. Our radiologist are dictating single spot fluoroscopy films for placement of vascular device. Is it appropriate for our radiologists to bill for these spot images? If yes, what CPT code should be assigned?
Thanks in advance for the assistance with these coding questions