Question:
How would you report the Z3A.- code in the setting of multiple gestations where different gestational ages are given to different fetuses? We had an OB ultrasound case today with twins and dates for fetus A being 8w3d (Z3A.08) and fetus B being 9w4d (Z3A.09). Would you code to the youngest date (Z3A.08), the oldest date (Z3A.09), or are we able to code both (Z3A.08, Z3A.09)?
Question:
We often report codes 76700 and 3975 together. Do we need a modifier?
Question:
May an abdominal duplex scan (93975) be billed more than once in the same day?
Question:
What are the documentation requirements when performing a microbubble ultrasound 76978/76979 and a diagnostic ultrasound 76705 during a liver biopsy? What verbiage is required to support performing/charging both in the report?
Question:
We have a referring physician that insists on ordering a unilateral screening mammogram on the same script as a unilateral diagnostic mammogram. Can you please advise as to the correctness of this order?
Question:
If we are billing only with the TC modifier for 77014 and the 76498 what are the documentation requirements?
Question:
When we perform a nuclear medicine thyroid scan and uptake using I 123 capsules are we allowed to charge the patient for the standard capsules?
Question:
The physician documented six follow-up angiograms during an embolization. How many may we report?
Question:
When the technique of a nuclear medicine exam states that a whole-body exam was performed, must the doctor document each area of the body, or may the doctor dictate any issues found and then state “remainder of whole-body scan was unremarkable”?
Question:
A progress note from our nurse practitioner (NP) indicated that she was called by nursing to see a patient due to “unequal pupils.” The NP ordered a CT/CTA to rule out associated dissection or blood clot post angiogram earlier today. Would it be correct to assign a diagnosis code for unequal pupils as primary?