AMA Clinical Examples in Radiology - 2017 Issue 2 (Spring)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer Current Procedural Terminology (CPT®) code 93965 was deletedon January 1, 2017. What is the replacement code? CPT 93965 , Noninvasive physiologic studies of extremity veins, complete bilateral study (eg, Doppler waveform analysis with responses to compression and other maneuvers, phleborheography, impedance plethysmography) , was determined to be an old code that is no longer in use. If a duplex Doppler imaging study is performed, code 93970 , Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study , or code 93971 , Duplex scan of extremity veins including responses to compression and other...
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Article Overview
This Q&A article addresses several coding and reporting topics relevant to radiology, screening, and procedure documentation. It discusses code replacement and code selection issues, ICD-10-CM screening and smoking-status reporting, fluoroscopy dose documentation for quality reporting, use of unlisted procedure coding when a service does not fit existing CPT descriptors, and Medicare payment indicator context for a moderate sedation code. It is intended for coders, billers, radiology practices, and compliance staff who need a broad understanding of how these subjects are discussed in current guidance.
Why This Topic Matters
The article helps readers recognize common coding questions that arise in radiology and related clinical documentation, especially where code updates, reporting requirements, and payer guidance affect claim accuracy and compliance.
Article Sections
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Replacement for a deleted vascular study code
Discusses a deleted CPT vascular study and the broader category of codes referenced as potential alternatives.
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Documenting radiation dose for fluoroscopy reporting
Reviews documentation expectations for radiation exposure reporting in a quality measure context, including the need to identify the type of quantity and units used.
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ICD-10-CM screening and smoking-status coding
Addresses coding questions involving low-dose CT lung cancer screening and the relationship between screening diagnosis reporting and smoking history/status.
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Ultrasound of extremity muscle groups
Explains a procedure-reporting question involving extremity ultrasound and whether it fits within existing nonvascular ultrasound descriptors.
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Moderate sedation payment indicator context
Provides background on a moderate sedation code, its payment indicator, and related reporting considerations in hospital outpatient settings.
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Cryoablation of nerves and moderate sedation references
Notes a coding update discussion tied to cryoablation procedure codes and the handling of moderate sedation in the CPT code set.
What You Will Learn
- How coding questions are framed around deleted or revised procedure codes
- What types of information are expected when documenting fluoroscopy radiation exposure
- How screening and smoking-status ICD-10-CM questions are addressed in the context of LDCT screening
- When a service may fall outside an existing CPT descriptor and prompt consideration of an unlisted code
- How a Medicare payment indicator is discussed in relation to moderate sedation reporting
- How CPT guidance changes can affect references in specialty publications
Who Should Read This
- Medical coders
- Radiology billing staff
- Compliance professionals
- Clinical documentation specialists
- Physician practices
- Hospital outpatient coding staff
Codes Discussed
Code Ranges Discussed
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