Compliance Question of the Week

For the Week of June 18, 2018

Cardiology

Cardiology Question for the Week of June 18, 2018

Question:

Can we charge for two kissing balloons when one is for a lesion and one is for protection of a stent but no lesion? The internal iliac had a lesion, and the external iliac had a stent that needed protection. Would the codes be 37220 and 37222?

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Laboratory

Laboratory Question for the Week of June 18, 2018

Question:

If a test kit contains a card with five different spots each testing for a different species of an infectious agent, how many units of service (UOS) can be reported for Medicare claims?

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Pharmacy

Pharmacy Question for the Week of June 18, 2018

Question:

We (hospital) are looking for billing instructions related to roster-billing for the influenza virus vaccine and the pneumococcal vaccine provided to inpatients. Can you provide any guidelines?

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Radiology

Radiology Question for the Week of June 18, 2018

Question:

What are the codes for renal stone protocol (CT scan for kidney stones)?

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Respiratory

Respiratory Question for the Week of June 18, 2018

Question:

Our facility has assigned code 94150 (vital capacity, total) to line items described as “peak flow.” Is this appropriate under Medicare?

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General

General Question for the Week of June 18, 2018

Question:

How does CMS define the term “separate procedure” that is used in CPT® code descriptions?

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