AMA Clinical Examples in Radiology - 2021 Issue 2 (Spring)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer Orders for a screening mammogram on one breast and a diagnostic mammogram on the other breast were received. Is it appropriate to report a unilateral screening and a unilateral diagnostic mammogram for these procedures? No, it is not recommended to perform a screening examination on one breast and a diagnostic examination on the other breast. In this scenario, a single diagnostic mammogram of both breasts is indicated, rather than two separate examinations. According to the American College of Radiology (ACR) Practice Parameter for the Performance of Screening and Diagnostic Mammography, the overall final assessment...
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Article Overview
This Q&A article is aimed at radiology coding and billing professionals, physicians, and compliance staff who need a clearer view of how common imaging scenarios are handled in coding and reporting. It summarizes general guidance from major organizations and coverage policy sources on mammography workflow, lung cancer screening CT requirements, divided interpretations of a coronary CTA study, and the use of 3D-related imaging codes in connection with advanced CT technology.
Why This Topic Matters
These topics affect how imaging services are reported, how coverage requirements are met, and how interpretations are assigned across providers. Understanding the scope of the guidance helps practices reduce denials and align documentation and reporting with current policy expectations.
Article Sections
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Questions and Answers
General radiology coding questions and policy-oriented answers covering multiple imaging scenarios.
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Screening and diagnostic mammography on separate breasts
Discusses how a mixed screening and diagnostic mammography request is addressed in the context of radiology reporting and final assessment workflow.
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Low-dose CT lung cancer screening reporting requirements
Reviews current coverage and reporting considerations for lung cancer screening CT, including Medicare-related policy references and related diagnosis coding context.
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Split interpretation of coronary CT angiography
Explains the reporting context for a coronary CTA study interpreted by more than one physician and references radiology guidance on divided interpretations.
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4D CT imaging and 3D rendering codes
Covers how advanced CT motion imaging relates to 3D rendering reporting and when general 3D imaging guidance applies.
What You Will Learn
- How the article frames common radiology coding questions in a Q&A format
- Which organizations and policy sources are referenced for imaging guidance
- The general reporting considerations discussed for mammography, lung cancer screening CT, coronary CTA interpretation, and 3D imaging
- How coverage and documentation concerns can affect radiology reporting workflows
Who Should Read This
- Radiology coders
- Medical billers
- Radiologists
- Cardiologists
- Compliance staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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