Radiology Question for the Week of May 21, 2018

Posted Posted in Question of the Week, Radiology

Question:

Our facility is doing epidural steroid injection (ESI) in radiology using fluoro. The patient is an outpatient and does not report to the ambulatory surgical unit before or after the procedure. We are using the following CPT code. What revenue code would be used?

64483 Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level

Radiology Question for the Week of May 7, 2018

Posted Posted in Question of the Week, Radiology

Question:

I have a follow-up question regarding the instructions given in the April 23 radiology question for the venous duplex scans of both the upper and lower extremities. The instructions were to add modifier -59 to the second 93970 to indicate that it was a different body area. This follows standard coding guidelines; however, we received a denial from our MAC (WPS or NGS) indicating we were to use modifier -76 based on CMS Transmittal 1702 (https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R1702CP.pdf) which states:

For only those instances that involve more than one bilateral procedure and are medically necessary and appropriate, hospitals are advised to report the procedure code with a modifier -76 (repeat procedure or service by same physician) in order for the claim to process correctly. Appending modifier -76 to one of the reported bilateral HCPCS code indicates that the bilateral procedure or service was repeated on the same day for the same patient.

Is this information still applicable?

Radiology Question for the Week of April 30, 2018

Posted Posted in Question of the Week, Radiology

Question:

We are interested in developing an order set with specific codes when providers want to rule out obstruction of arteries and veins prior to heart catheterization. Which of the following would make more sense?

Order/charge out arterial duplex/venous duplex with reduced modifiers since they are only looking at the groins.
Use a “pre-line” order that involves the internal jugular vein, subclavian vein, and common femoral vein but eliminates the jugular and subclavian veins and adds the common femoral arteries.
Order/charge out arterial duplex/venous duplex with reduced modifiers since they are only looking at the groins.

Use a “pre-line” order that involves the internal jugular vein, subclavian vein, and common femoral vein but eliminates the jugular and subclavian veins and adds the common femoral arteries.