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Radiology Insights

Trends, tips, best practices, and more from our Radiology coding experts!

Breast & Bone Density Procedure Coding Guide FY20Q1 Update

Thank you for being a valued subscriber to the Breast & Bone Density Procedure Coding Guide for 2020. As you know, breast imaging and interventions continue to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources provide

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Ultrasound Coder FY20Q1 Update

Thank you for being a valued subscriber to the Ultrasound Coder for 2020. As you know, ultrasound services continue to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources provide the most current and complete solutions to

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Nuclear Medicine & PET Coder FY20Q1 Update

Thank you for being a valued subscriber to the Nuclear Medicine & PET Coder for 2020. As you know, nuclear medicine is facing two new code sets this year, we are eager to tackle the challenges that are sure to arise from them together. We put all our energy into making sure your resources provide

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Duplex Scans – A Closer Look at 2020’s New Codes

Duplex scans are a common area of confusion across the country, and 2020 saw the introduction of two new codes for duplex scans, making for a potentially tricky start to the new year. Before we dive in to the new codes, let’s review some general guidelines for noninvasive vascular diagnostic studies. Noninvasive vascular studies include

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CT/MR Coder FY20Q1 Update

Thank you for being a valued subscriber to the CT/MR Coder for 2020. As you know, CT and MR services continue to face challenges when it comes to coding and compliance, we are eager to tackle those challenges together. We put all our energy into making sure your resources provide the most current and complete

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Radiology Code Changes – Are You Ready?

2020 RADIOLOGY CODE CHANGES – CRITICAL ADDITIONS, DELETIONS AND REVISIONS It seems impossible that a new year is just a few weeks away, yet here it comes along with numerous changes we’ve anticipated throughout the year. As we get closer to January 1st, it’s critical to ensure all staff have a complete understanding of the

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What makes an extremity ultrasound complete?

NON-VASCULAR EXTREMITY ULTRASOUNDS – WHAT MAKES AN EXTREMITY COMPLETE? Complete vs. limited exams are a consistent source of questions and noncompliance. For ultrasound exams, some of our most frequent questions are around understanding the guidelines for complete vs. limited exams. Many of the code choices for ultrasounds make the distinction between a complete exam and

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What’s new for 2020? SPECT and SPECT-CT codes

We are bracing for a storm of change. It’s not breaking news that we are seeing an overhaul of the code set for cardiac PET procedures in 2020. However, that’s not the end of the changes for nuclear medicine departments this year – there’s also an overhaul for SPECT and SPECT-CT. These changes have been

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AUC Program Participation is Mandatory in January – Are You Ready?

APPROPRIATE USE CRITERIA – PROGRAM IMPLEMENTATION IS COMING Appropriate Use Criteria (AUC) for advanced diagnostic imaging – this topic has been looming for the past couple of years as voluntary participation in the program began in 2018. However, with mandatory program participation starting in a few months and more guidance and information being recently released

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CTA Medical Necessity and Documentation Requirements: A New Audit Focus

COMPUTED TOMOGRAPHY ANGIOGRAPHY – MEDICAL NECESSITY AND DOCUMENTATION REQUIREMENTS When it comes to coding and billing for CTA, the codes have (for the most part) been around for a while, but that doesn’t mean challenges don’t exist. Issues with documentation and medical necessity are common risk areas from a coding and reimbursement perspective – especially

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Myocardial PET – Get Ready to Reset

Background Possibly the single largest exam performed in nuclear medicine is the myocardial perfusion exam. This study provides differentiation between ischemic and infarcted cardiac tissue. Infarcted tissue (otherwise referred to as myocardial infarction, or MI) describes cardiac tissue that is dead–this tissue is not currently being supplied by blood. Ischemic tissue describes tissue that is

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Unbundling CT Scans: A Renewed Focus

Generally, ‘bundled’ codes refer to procedure codes for less extensive exams being included in (or bundled with) procedure codes for more extensive exams being performed at the same anatomic location, or site.

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Complete vs. Limited Ultrasound

It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.

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Breast MRI: New Year, New Codes, New Questions

It’s no secret that many CPT® codes for ultrasounds make a distinction between a ‘limited’ exam and a ‘complete’ exam. From a coding standpoint, it’s made fairly clear that in order to report a complete exam, all required components for the complete exam must be imaged and documented.

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3D Rendering with CT – 2 Codes, So Many Questions

76376 and 76377 – the CPT codes describing 3D rendering of 2D images to give the images an illusion of depth. These codes may be applied in addition to site-specific imaging codes assuming the criteria are met for utilization…which sounds fairly straightforward. However, proper use of these codes is among the top questions received by

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