Compliance Question of the Week

For the Week of April 24, 2017

Cardiology

Cardiology Question for the Week of April 24, 2017

Question:

One of our cardiologists performed the following: a left heart cath w/ coronaries, then a selective left subclavian angiogram to see whether there was a stenosis in the subclavian, and then a selective left internal mammary artery (LIMA) looking at it for a possible grafting site. How would we code this?

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Laboratory

Laboratory Question for the Week of April 24, 2017

Question:

Is there any chance that CMS will change the deadline for reporting the private payer information needed to create the new CLFS?

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Pharmacy

Pharmacy Question for the Week of April 24, 2017

Question:

How does CMS determine payment for a drug that is not listed in the ASP file?

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Radiology

Radiology Question for the Week of April 24, 2017

Question:

What CPT code would you recommend for an ultrasound of the temporal artery for giant-cell arteritis?

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Respiratory

Respiratory Question for the Week of April 24, 2017

Question:

Can you provide an example of a mutually exclusive respiratory procedure?

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General

General Question for the Week of April 24, 2017

Question:

I have read that CMS will be developing “episode groups.” What are these?

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