Radiology Question for the Week of September 18, 2017

Posted on Posted in Question of the Week, Radiology

Question:

Is there a CPT® code to use when performing a chest and abdominal single-view on an infant located in the neonatal ICU? We now use 71010 (radiologic examination, chest; single view, front) and just include a reading of the abdomen within the chest report. Is this correct, or would it be appropriate to do the same view as described and send the same view to two separate orders (chest 71010 and abdomen 74000)?

Radiology Question for the Week of September 4, 2017

Posted on Posted in Question of the Week, Radiology

Question:

Would the following scenario code out as an abdominal aortography with bilateral runoff with 75625 and 75716? Or would it be 75630 and 75774 as the department has charged? Selective catheterizations into the arteries were not described.

For a lower extremity revascularization procedure, access with a 5-french sheath was inserted into the right femoral artery and a sequential digital subtraction angiography was performed at multiple levels of the right lower extremity.

Next, a 5-french pigtail was advanced through the sheath over a standard wire into the distal abdominal aorta above the bilateral iliac ostium. From this position, a digital subtraction angiogram was obtained after the distal abdominal aorta.

A glidewire was advanced through the pigtail catheter into the distal left superficial femoral artery (SFA). The pigtail catheter was switched out for a straight tapered glide catheter advanced into the left common femoral artery, and multiple digital subtracted angiograms were obtained of the left lower extremity at multiple levels. Thereafter, endovascular revascularization proceeded.

Radiology Question for the Week of August 28, 2017

Posted on Posted in Question of the Week, Radiology

Question:

I assume that when magnetic resonance imaging (MRI) of the liver, regardless of the clinical indication, and the other abdominal structures are defined in the report, we should append modifier 52. If I understand the rules correctly, to meet the intent of 74181 all organs must be evaluated, anything less requires modifier 52 depending on the payer.