CT brain without then with contrast - HELP

Dfreddie

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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?
 
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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
 
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