Wiki CT brain without then with contrast - HELP

Dfreddie

Networker
Messages
33
Location
Beach, ND
Best answers
0
I need some help to clarify this situation. Radiology is telling me that they are billing both 70450 and 70460 because they were performed a little over an hour apart. Reason for the first scan was left-sided facial weakness, reason for the next w/contrast was possible dural mass.

In my research, this would not be appropriate and no modifier is applicable - the correct code on the same DOS would be 70470.

Am I right? Or am I missing something?
 
You are correct! Per the NCCI edits billing both is not appropriate and these will be denied. These should be bundled together into code 70470.

4297
 
So what happened... someone looked at the imaging without contrast and said, hey, I think we need some clarity here, do it again with contrast? Or did something else happen?
 
When a CT scan without contrast is reported on the same day as a CT scan with contrast, on the same anatomical site, use the code for "without contrast followed by with contrast". You are right, 70470 would be correct.
 
Top