AMA Clinical Examples in Radiology - 2017 Issue 1 (Winter)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer Radiology practices are being asked to print three-dimensional (3D) models of different organs for various surgical interventions, including pretransplant planning. The referring physician requests a 3D model of the organ with the clinical problem (eg, tumor, aneurysm) in order to plan for surgery and address the problem. Can this be charged? There is no code that accurately describes this type of 3D printing. However, since 3D reconstruction is necessary for 3D printing, codes 76376 , 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing...
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Article Overview
This article answers practical coding questions for radiology and related imaging services. It addresses broad reporting considerations for 3D reconstruction and printing, abdominal ultrasound completeness, ICD-10-CM specificity, low-dose CT screening, and the transition between HCPCS Level II and CPT mammography reporting. The content is useful for radiology coders, billing staff, compliance teams, and practices navigating payer-specific coding differences.
Why This Topic Matters
It helps readers identify whether current documentation and payer context affect reporting choices in common radiology scenarios and highlights where coding systems or payer policies differ.
Article Sections
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3D Printing and 3D Reconstruction Reporting
Discusses reporting considerations for 3D-related imaging work in radiology, including reconstruction services and their relationship to related angiography studies.
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Complete vs Limited Abdominal Ultrasound
Reviews documentation and exam scope considerations for abdominal ultrasound reporting and distinguishes broad from limited study types.
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ICD-10-CM Unspecified Code Use
Summarizes general guidance on when unspecified diagnosis coding may be acceptable and the importance of matching claims to documentation.
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Low-Dose CT Screening Code Reporting
Covers reporting of low-dose CT screening services and the interaction between a legacy HCPCS Level II code and the newer code used for the service.
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Mammography Coding Transition in 2017
Explains the coexistence of HCPCS Level II and CPT mammography reporting during a transition period and notes payer-specific differences.
What You Will Learn
- How the article frames reporting issues for radiology services that do not have a straightforward code fit
- What factors affect whether an abdominal ultrasound is treated as complete or limited
- How the article treats unspecified diagnosis coding in ICD-10-CM
- How payer context affects reporting of low-dose CT screening services
- How mammography reporting changes are addressed across Medicare and non-Medicare payers
Who Should Read This
- Radiology coders
- Medical billers
- Compliance staff
- Radiology practice managers
- Physician documentation staff
Codes Discussed
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