Wiki Abd/Pelvic CT Scan Question

[wverret]

I am an auditor for Oregon's Medicaid Program. Doing a chart review. Physician order reads Renal CT. Provider billed 74170 & 72194. Are these the correct codes based on the physician's orders? If not, what is the correct code?
Thanks
Willie

 

[JMAiken]

Renal CT

Yes, I am the billing manager for a Radiology Group in VA. They do the abdominal and the pelvic CT for 2 reasons here. 1 could be the placement of the kidneys...to get a full view of top and bottom. 2 to double check the ureters for further issues, especially if the referral reason was for blood in the urine.

 

[wverret]

Thanks JMAiken. I appreciate your knowledge.
Willie

 

[jgf-CPC]

Willie I also agree unless a pre-cert does not include both then the order would probably be for the the abdomen since it would see most of the renal area.