AMA Clinical Examples in Radiology - 2012 Issue 2 (Spring)
Q&As
Questions and Answers Question: Answer: What CPT code should be used to report a lumbar CT performed after discography? Is a CT scan postdiscography considered a "with contrast" study? The correct CPT code to report a postdiscography lumbar computed tomographic (CT) study is code 72131 , Computed tomography, lumbar spine; without contrast material. A postdiscography CT scan is not considered a "with contrast" study because an intradiscal injection is given. The introductory guidelines in the Radiology/Administration of Contrast Material(s) section of the CPT 2012 codebook state: "The phrase 'with contrast' used in the codes for procedures performed using contrast for...
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Article Overview
This article compiles short coding questions and answers for radiology and radiation oncology. It focuses on how CPT guidance is applied across imaging, paracentesis, and radiation treatment-related services, with references to professional coding guidance from CPT and ASTRO/ACR materials. It is most relevant to coders, billers, radiology practices, and radiation oncology teams looking for clarification on common reporting scenarios.
Why This Topic Matters
The article helps readers understand how general CPT and specialty guidance is discussed in practical radiology and radiation oncology scenarios. It is useful for identifying which services are being compared and how coding guidance is framed in common outpatient and treatment-room workflows.
What You Will Learn
- How the article frames CPT questions in radiology and radiation oncology settings
- Which broad imaging and treatment scenarios are addressed
- How specialty guidance sources are used to clarify reporting topics
- What kinds of documentation and workflow issues are discussed at a high level
Who Should Read This
- Medical coders
- Radiology billers
- Radiation oncology coders
- Physician practices
- Compliance staff
Codes Discussed
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