General Compliance Question of the Week

General Question for the Week of February 15, 2021

Posted Posted in General

Question:

We have a question regarding the requirement, if any, for the technique in an MRI report. Sometimes we don’t get any technique, but here are some examples of what we are getting: “TECHNIQUE: MRI of the right knee was performed before and after the uneventful intravenous administration of 12/17 mL ProHance.” “TECHNIQUE: MR images were obtained of the left hip without intravenous or intra-articular contrast.” Should we be insisting on a description of the images that were obtained?

General Compliance Question of the Week

General Question for the Week of January 25, 2021

Posted Posted in General

Question:

I am trying to find a diagnosis code for chronic anterior cruciate ligament tear of the right knee. The clinical history is knee pain, evaluate meniscus and cartilage with history of recurrent patella subluxation. If I go to tear ligament it directs you to sprain. Sprain cruciate ligament, anterior is S83.511, which doesn’t seem right because this isn’t a current tear. Any suggestions?

General Compliance Question of the Week

General Question for the Week of January 11, 2021

Posted Posted in General

Question:

I am trying to find a diagnosis code for chronic anterior cruciate ligament tear of the right knee. The clinical history is knee pain, evaluate meniscus and cartilage with history of recurrent patella subluxation. If I go to tear ligament it directs you to sprain. Sprain cruciate ligament, anterior is S83.511, which doesn’t seem right because this isn’t a current tear. Any suggestions?