AMA Clinical Examples in Radiology - 2025 Issue 2 (Spring)
Questions and Answers
Spring 2025 page 23 QUESTIONS AND ANSWERS QUESTION ANSWER A patient, who has a history of chylous ascites following a right nephroureterectomy and a lymphatic leak identified on a previous magnetic resonance (MR) lymphangiography, underwent a mesenteric lymphangiography (image-guided percutaneous access of a mesenteric lymph node) with fluoroscopic-guided embolization of mesenteric lymphatic ducts and ultrasound guidance for initial needle access. What would be the appropriate codes to report for this scenario? For the embolization performed to address the lymphatic leak, it would be appropriate to report codes 37244 , Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation...
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Article Overview
This article presents a set of coding questions and answers drawn from a spring 2025 education page. It addresses how different imaging and procedure scenarios are discussed in relation to CPT, HCPCS, and CMS guidance, including when services are considered separate, when additional imaging may or may not be reported, and how modifiers and documentation issues are handled in broad terms. The material is useful for coders, billers, radiology staff, and compliance teams who work with imaging and interventional procedure reporting.
Why This Topic Matters
The page helps readers understand how current coding guidance is applied to common diagnostic and therapeutic imaging scenarios. It is especially relevant when reviewing whether services are reported together or separately and when documentation and modifier use may affect claim processing.
Article Sections
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Spring 2025 page 23
Introductory page marker for a Q&A roundup. The content that follows covers multiple coding topics across imaging and procedure reporting.
What You Will Learn
- How the article addresses coding questions across imaging and interventional procedures
- How the discussion frames reporting issues involving diagnostic and therapeutic services
- How the page treats related topics such as modifiers, documentation, and medical necessity
- How CMS and CPT guidance are referenced in broad coding scenarios
Who Should Read This
- Medical coders
- Radiology coders
- Billing staff
- Compliance professionals
- Physician office staff
- Hospital outpatient coding staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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