Compliance Question of the Week

For the Week of June 21, 2021

Cardiology

Cardiology Question for the Week of June 21, 2021

Question:

I’m wondering what the provider documentation requirements are when reporting 93356. What do they specifically have to document in their interpretation to substantiate the myocardial strain imaging charge?

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Laboratory

Laboratory Question for the Week of June 21, 2021

Question:

How do we select between codes 88187-88189 for proper reporting?

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Pharmacy

Pharmacy Question for the Week of June 21, 2021

Question:

What are the essential elements of radiopharmaceuticals?

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Radiology

Radiology Question for the Week of June 21, 2021

Question:

Our physician from nuclear medicine wants to charge a consult when he meets with the patients before doing leutathera treatments. He states that he has to see the patient and review their labs and make sure that the plan of care from oncology is something that the patient is able to withstand. Sometimes after the review of this information, he will change the plan of care.
I’m not sure if this visit is something that would be included with the administration of the therapy (I’m thinking the CPT would be 79101?) Do you have any input on whether a consult would be something that would be medically necessary for him to provide the treatment? He thinks it is medically necessary for him to meet with the patient and review all of their labs before he could approve their therapy. He stated that he had spent 40 minutes with the patient that he had yesterday. To me, I would think this would be included with the therapy, but I don’t find anything in writing that I can point to.

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Respiratory

Respiratory Question for the Week of June 21, 2021

Question:

Does additional time impact the assignment for code 95816?

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General

General Question for the Week of June 21, 2021

Question:

What is your opinion on how to use diagnosis Z18.10 – Retained foreign body fragments, metal – for a new gunshot wound (GSW)? I think of ‘retained’ as being old and embedded, but there are differing opinions in my department. If the patient has a new GSW to the tibia and fibula with fractures and for a chest and abdomen x-ray taken around the same time as the tibia & fibula, they state in the impression, “small metallic fragments project over the left middle to upper lung zone and left lateral abdominal wall, likely from a gunshot wound”, would you use Wound, unspecified to the abdomen and chest walls or retained foreign body fragments, metal? Or neither?

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