What makes an extremity ultrasound complete?

Posted Posted in Radiology

NON-VASCULAR EXTREMITY ULTRASOUNDS – WHAT MAKES AN EXTREMITY COMPLETE? Complete vs. limited exams are a consistent source of questions and noncompliance. For ultrasound exams, some of our most frequent questions are around understanding the guidelines for complete vs. limited exams. Many of the code choices for ultrasounds make the distinction between a complete exam and […]

AUC Program Participation is Mandatory in January – Are You Ready?

Posted Posted in Radiology

APPROPRIATE USE CRITERIA – PROGRAM IMPLEMENTATION IS COMING Appropriate Use Criteria (AUC) for advanced diagnostic imaging – this topic has been looming for the past couple of years as voluntary participation in the program began in 2018. However, with mandatory program participation starting in a few months and more guidance and information being recently released […]

CTA Medical Necessity and Documentation Requirements: A New Audit Focus

Posted Posted in Radiology

COMPUTED TOMOGRAPHY ANGIOGRAPHY – MEDICAL NECESSITY AND DOCUMENTATION REQUIREMENTS When it comes to coding and billing for CTA, the codes have (for the most part) been around for a while, but that doesn’t mean challenges don’t exist. Issues with documentation and medical necessity are common risk areas from a coding and reimbursement perspective – especially […]

Myocardial PET – Get Ready to Reset

Posted Posted in Radiology

Background Possibly the single largest exam performed in nuclear medicine is the myocardial perfusion exam. This study provides differentiation between ischemic and infarcted cardiac tissue. Infarcted tissue (otherwise referred to as myocardial infarction, or MI) describes cardiac tissue that is dead–this tissue is not currently being supplied by blood. Ischemic tissue describes tissue that is […]

Complete vs. Limited Ultrasound

Posted Posted in Radiology

It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.