Question:

Pre-MRI screening orbit x-rays – we keep getting denials for using T15.90XA due to being unspecified. Do you know what other codes would be appropriate? Would Z18.10 be a useable code for this?
T15.90XA Foreign body on external eye, part unspecified, unspecified eye, initial encounter
Z18.10 Retained metal fragments, unspecified

Question:

Our hospital is receiving an edit for CPT® 19285 stating that we need a device code. We use needles for breast localization. Is there an appropriate HCPCS code that I should be adding to the claim?

Question:

Regarding the Appropriate Use Criteria (AUC) program, CMS recently stated “Currently, the program is set to be fully implemented on January 1, 2022, which means AUC consultations with qualified CDSMs are required to occur along with reporting of consultation information on the furnishing professional and furnishing facility claim for the advanced diagnostic imaging service. Claims that fail to append this information will not be paid.” Our hospital images are read by an outsourced radiology group. Will the hospital still receive payment for the technical portion if AUC requirements are not met? Will the radiologist’s claim be completely denied?

Question:

What are the essential elements of radiopharmaceuticals?

Question:

What is your opinion on how to use diagnosis Z18.10 – Retained foreign body fragments, metal – for a new gunshot wound (GSW)? I think of ‘retained’ as being old and embedded, but there are differing opinions in my department. If the patient has a new GSW to the tibia and fibula with fractures and for a chest and abdomen x-ray taken around the same time as the tibia & fibula, they state in the impression, “small metallic fragments project over the left middle to upper lung zone and left lateral abdominal wall, likely from a gunshot wound”, would you use Wound, unspecified to the abdomen and chest walls or retained foreign body fragments, metal? Or neither?

Question:

What is the difference between white bagging and brown bagging regarding patient supplied drugs?

Question:

If a patient has rheumatoid arthritis and comes in for a methotrexate injection, do we use the chemotherapy injection code?

Question:

For billing chemotherapy infusions, what determines the selection of the primary CPT code?