"Radiology" Articles

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December 22nd, 2020

ICD-10-CM 2021 Codes for your Specialty

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published December 22nd, 2020

13. Diseases of the musculoskeletal system and connective tissue (M00-M99) Code: Description:M05.7A Rheumatoid arthritis with rheumatoid factor of other specified site without organ or systems involvementM05.8A Other rheumatoid arthritis with rheumatoid factor of other specified siteM06.0A ...

August 10th, 2020

Modifier 50 — Four "Must Know" Tips For Getting Paid

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published August 10th, 2020

Modifiers added to an HCPCS or CPT© code alters the code description, providing clarity about the service for proper claim processing and reimbursement. Here are four things you must know about modifier 50 to ensure proper payment. - Modifiers are either informational or payment related. Informational modifiers provide additional...

July 14th, 2020

Are NCCI Edits and Modifiers Just for Medicare?

By Christine Woolstenhulme, QCC, QMCS, CPC, CMRS | Published July 14th, 2020

The National Correct Coding Initiative (NCCI) edits were developed by CMS to help promote proper coding and control improper coding that leads to incorrect payments with part B claims. It is important to understand that NCCI edits do not include every possible code combination or every type of un-bundling combination. With that ...

February 10th, 2020

A 2020 Radiology Coding Change You Need To Know

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published February 10th, 2020

The radiology section of the 2020 CPT© has 1 new, 18 revised, and 14 deleted codes. Interestingly, six of the 14 deleted codes were specific to reporting single-photon computerized tomographic (SPECT) imaging services of the brain, heart, liver, bladder, and others. If your organization reports radiology services, it is...

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October 1st, 2019

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published October 1st, 2019

Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ...

August 16th, 2019

Medical ID Theft

By Namas | Published August 16th, 2019 - Last Review/Update August 20th, 2019

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

August 9th, 2019

The OIG Work Plan: What Is It and Why Should I Care?

By Namas | Published August 9th, 2019 - Last Review/Update August 14th, 2019

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

July 12th, 2019

5 Ways to Minimize HIPAA Liabilities

By BC Advantage | Published July 12th, 2019 - Last Review/Update July 30th, 2019

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

March 18th, 2019

How to Report Imaging (X-Rays) of the Thumb

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published March 18th, 2019

If you've ever taken piano lessons, you know that the thumb is considered the first finger of the hand. Anatomically, it is also referred to as the first phalanx (finger). However, when you are coding an x-ray of the thumb, images are captured of the thumb, hand, wrist, and all ...

January 14th, 2019

Scanning the Unscannable: Improving Patient Flow in MRI

By BC Advantage | Published January 14th, 2019

Stay Ahead of your CEUs in 2019Get the latest webinars and earn over 24 CEUs each year included with your BC Advantage Magazine subscription. Latest Webinar: Scanning the Unscannable: Improving Patient Flow in MRI Presenter: Wendy Stirnkorb, President & CEO Stirnkorb Consulting, LLC Time: 46 Minutes Cost: $0.00 to all BC Advantage Magazine Subscribers CEUs: 1.0 On-demand: Watch 24/7 from work or ...

January 4th, 2019

Nine New Codes for Fine Needle Aspirations (FNA) in 2019

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published January 4th, 2019

If your practice performs a lot of fine needle aspirations (FNA), you probably have the code options memorized (10021 without image guidance and 10022 with image guidance). However, the 2019 CPT codes now include nine (9) new FNA codes (10004-10012), one deleted FNA code (10022) and one revised FNA code ...

October 17th, 2018

Wolters Kluwer Drug Pricing

By Find-A-Code | Published October 17th, 2018

Wolters Kluwer provides unit and package pricing for multiple drug price types: Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), Direct Price (DP), Manufacturer's Suggested Wholesale Price (SWP), Centers for Medicare & Medicaid Services, Federal Upper Limit (CMS FUL), Average Average Wholesale Price (AAWP), Generic Equivalent Average Price (GEAP). Average...

February 1st, 2018

Diagnosis Codes Used With : Vertebroplasty, Vertebral Augmentation and Computed Tomography

By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS | Published February 1st, 2018

Per CGS Administrators LCD L34048 the following codes are the ICD-10-CM Cdes that support Medical Necessity: (Be sure to verify with your local payer) Stand Alone ICD-10 codes M80.08XA M80.88XA M80.88XG Primary Diagnosis Codes M48.51XA M48.52XA M48.53XA M48.54XA M48.55XA M48.56XA M48.57XA M48.58XA M84.68XA Secondary Diagnosis Codes One of the following diagnosis codes must be reported with one of the codes above in group 2.Combination coding of the primary diagnosis(group 2) of pathologic fracture ...

January 11th, 2018

Preventative Services: Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

By Find-A-Code | Published January 11th, 2018

The following information from the Medicare Learning Network provides guidance on Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

January 4th, 2018

Medical necessity for a diagnostic mammography

By Find-A-Code | Published January 4th, 2018

According to LCD L36342, a diagnostic mammography is a radiologic procedure furnished to a man or woman with signs and symptoms of breast disease, personal history of breast cancer, or a personal history of biopsy-proven benign breast disease, and includes a physician’s interpretation of the results of the procedure. Diagnostic mammogram(s) are allowed ...

December 13th, 2017

Specialty Exceptions — 2018 PE RVU Changes

By Raquel | Published December 13th, 2017

Some specialties are not included in the new PPIS PE/HR RVU changes

September 1st, 2017

Preventive Services: Cardiovascular Disease Screening Tests

By Find-A-Code | Published September 1st, 2017 - Last Review/Update February 2nd, 2018

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Cardiovascular Disease Screening Tests: 80061 - Lipid panel, this panel must include the following: 82465 - Cholesterol, serum, total 83718 - Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) 84478 - Triglycerides Z13.6 All Medicare beneficiaries without apparent signs or symptoms ...

September 1st, 2017

Preventive Services: Lung Cancer Counseling and Annual Screening for Lung Cancer With LDCT

By Find-A-Code | Published September 1st, 2017 - Last Review/Update January 31st, 2018

The following information from the Medicare Learning Network provides guidance on Lung Cancer Screening Counseling, and Annual Screening for Lung Cancer With Low Dose Computed Tomography (LDCT)....

September 1st, 2017

Preventive Services: Screening Mammography

By Find-A-Code | Published September 1st, 2017 - Last Review/Update January 31st, 2018

The following information from the Medicare Learning Network provides guidance on a Screening Mammography....

September 1st, 2017

Preventive Services: Screening Pelvic Examinations

By Find-A-Code | Published September 1st, 2017 - Last Review/Update January 31st, 2018

The following information from the Medicare Learning Network provides guidance on Screening Pelvic Examinations (includes a clinical breast examination)....

March 29th, 2016

PQRS Measures by Specialty (2016)

By InstaCode Institute | Published March 29th, 2016

Download CMS's Preferred PQRS Measures Lists by Specialty. 17 Specialties to choose from. Find out exactly what CMS is expecting to see reported for your specialty.

October 16th, 2014

CT (Computed Tomography) Enterography

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published October 16th, 2014 - Last Review/Update January 30th, 2017

Computed Tomography (CT) Enterography CT enterography is not a specific procedure but rather a protocol used with CT abdomen, CT pelvis or CT abdomen and pelvis. It uses CT imaging and two types of contrast to better visualize the anatomy of the interior small intestines. For years endoscopic techniques were the ...

July 31st, 2014

Repeat Procedures on the Same Day - When to Report Modifiers -76 and -77

By Aimee Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content | Published July 31st, 2014 - Last Review/Update January 25th, 2017

Have you ever had a claim deny as a ‘duplicate service’ only to find out upon further review that it was actually performed twice on the same day? This occurs more often than you realize and it is fairly easy to correct the error and get the claim paid. Modifiers ...

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"Radiology" Articles

ICD-10-CM 2021 Codes for your Specialty

Modifier 50 — Four "Must Know" Tips For Getting Paid

Are NCCI Edits and Modifiers Just for Medicare?

A 2020 Radiology Coding Change You Need To Know

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

Medical ID Theft

The OIG Work Plan: What Is It and Why Should I Care?

5 Ways to Minimize HIPAA Liabilities

How to Report Imaging (X-Rays) of the Thumb

Scanning the Unscannable: Improving Patient Flow in MRI

Nine New Codes for Fine Needle Aspirations (FNA) in 2019

Wolters Kluwer Drug Pricing

Diagnosis Codes Used With : Vertebroplasty, Vertebral Augmentation and Computed Tomography

Preventative Services: Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

Medical necessity for a diagnostic mammography

Specialty Exceptions — 2018 PE RVU Changes

Preventive Services: Cardiovascular Disease Screening Tests

Preventive Services: Lung Cancer Counseling and Annual Screening for Lung Cancer With LDCT

Preventive Services: Screening Mammography

Preventive Services: Screening Pelvic Examinations

PQRS Measures by Specialty (2016)

CT (Computed Tomography) Enterography

Repeat Procedures on the Same Day - When to Report Modifiers -76 and -77

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article topics