AMA Clinical Examples in Radiology - 2018 Issue 1 (Winter)
QUESTIONS AND ANSWERS
QUESTIONS AND ANSWERS QUESTIONS AND ANSWERS Question Answer One of our physicians performed a barium study on a patient. Months later, the same physician was asked to do a consult for the same patient for a medical indication unrelated to the barium study. Is the consult considered a new patient encounter or an established patient encounter? Note that neither our physician nor any other radiologist from our practice has ever billed an evaluation and management (E/M) service for this patient within the last 3 years . A barium study would not be considered an event to distinguish a new vs...
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Article Overview
This Q&A article addresses radiology coding topics for CPT-based reporting, including patient status determination, separate reporting of regional spine studies, and use of vascular Doppler studies with pelvic and scrotal ultrasound exams. It is intended for radiology coders, physicians, and billing staff who need to understand how the article discusses imaging combinations, related coding guidance, and documentation references. The discussion also references coding guidance sources and compliance-related considerations that affect how these studies are reported.
Why This Topic Matters
It helps readers quickly assess whether the article covers the imaging and documentation topics they need, especially when working with radiology CPT reporting questions and related coding guidance.
Article Sections
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Patient status and prior services
Discusses how prior professional services are considered when determining patient status for E/M reporting in a radiology setting.
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Reporting cervical, thoracic, and lumbar spine studies
Addresses radiographic reporting for separately ordered spine regions and references broader spine imaging code groupings within CPT guidance.
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Doppler studies with pelvic and scrotal ultrasound
Covers the use of vascular Doppler imaging alongside pelvic or scrotal ultrasound and notes related coding guidance and documentation considerations.
What You Will Learn
- How the article frames patient status questions for radiology E/M purposes
- How the article treats separately ordered spine radiographs across different spinal regions
- How the article discusses Doppler imaging in relation to pelvic and scrotal ultrasound exams
- What general documentation and compliance issues are mentioned for combined imaging studies
Who Should Read This
- Radiology coders
- Physicians
- Radiology billing staff
- Coding educators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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