Compliance Question of the Week

For the Week of January 18, 2021

Cardiology

Cardiology Question for the Week of January 18, 2021

Question:

Can we bill for an angiogram and catheter placement for a failed access site done during a Left Heart Catheterization (LHC)? For example, the right radial artery (RRA) access was obtained but we could not navigate the wire to the right subclavian. Right brachial artery angiography was performed through the diagnostic catheter. There was moderate tortuosity and the vessel size was small, and a decision was made to pursue a right femoral artery access. Could we bill 36140-59 and 75710-59 with LHC 93458?

Read the Answer
Posted in Cardiology | Tagged , | Comments Off on Cardiology Question for the Week of January 18, 2021

Laboratory

Laboratory Question for the Week of January 25, 2021

Question:

What is the update to the local clinical laboratory fee?

Read the Answer
Posted in Laboratory | Comments Off on Laboratory Question for the Week of January 25, 2021

Pharmacy

Pharmacy Question for the Week of January 18, 2021

Question:

Are injectable drugs such as intravenously administered drugs normally eligible for inclusion under the “incident to” benefit?

Read the Answer
Posted in Pharmacy | Comments Off on Pharmacy Question for the Week of January 18, 2021

Radiology

Radiology Question for the Week of January 25, 2021

Question:

A CT of the head without contrast is performed in the morning, and a CT of the head with contrast is performed on the same day in the afternoon. Is it correct to code this scenario using 70450 with 70460 separately accompanied by modifier 59, or choose just 70470?

Read the Answer
Posted in Radiology | Tagged | Comments Off on Radiology Question for the Week of January 25, 2021

Respiratory

Respiratory Question for the Week of January 25, 2021

Question:

What is the APC status indicator for 94016?

Read the Answer
Posted in Respiratory | Tagged | Comments Off on Respiratory Question for the Week of January 25, 2021

General

General Question for the Week of January 18, 2021

Question:

What is the appropriate ICD-10-CM for retrolisthesis of C5 relative to C6? There is nothing in ICD-10 under “retrolisthesis” and I wasn’t sure if you go to “displacement” intervertebral disc, cervical M50.222? Or is there another term to look under for retrolisthesis. Does the doctor need to change how he documents this problem?

Read the Answer
Posted in General | Comments Off on General Question for the Week of January 18, 2021

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.