Compliance Question of the Week

To provide you with the most actionable compliance and regulatory questions, we are retiring the pharmacy compliance question of the week to focus on answering more commonly asked questions that safeguard accurate coding and save reimbursement. The pharmacy archive will still be available and is accessible here. Compliance Question of the Week will continue to help you overcome compliance challenges, reduce operational waste, and optimize healthcare.

For the Week of June 27, 2022

Cardiology

Cardiology Question for the Week of June 27, 2022

Question:

For IFR what is the difference for codes 93571 and 93572? What is the difference in what the codes represent?

Read the Answer
Posted in Cardiology | Tagged , | Comments Off on Cardiology Question for the Week of June 27, 2022

Laboratory

Laboratory Question for the Week of June 27, 2022

Question:

What revenue codes are acceptable when reporting the 85XXX series? Is 0300 safe to report?

Read the Answer
Posted in Laboratory | Comments Off on Laboratory Question for the Week of June 27, 2022

Radiology

Radiology Question for the Week of June 27, 2022

Question:

What CPT® codes should be charged when performing a lymphoscintigraphy for pre-operative sentinel node localization? Is there an injection code? Should 38792 be charged?

Read the Answer
Posted in Radiology | Tagged | Comments Off on Radiology Question for the Week of June 27, 2022

Respiratory

Respiratory Question for the Week of June 27, 2022

Question:

What ICD-10 diagnostic code would we report for COVID-19 testing for asymptomatic patients prior to inpatient admissions, planned outpatient procedures, and immunosuppressant therapies as part of Pre-Procedure Screening for PFT?

Read the Answer
Posted in Respiratory | Comments Off on Respiratory Question for the Week of June 27, 2022

General

General Question for the Week of June 27, 2022

Question:

For respiratory therapy services, what does “room and board” mean?

Read the Answer
Posted in General | Comments Off on General Question for the Week of June 27, 2022

Looking for an answer?

CPT® copyright 2020 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.