AMA Clinical Examples in Radiology - 2021 Issue 3 (Summer)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer If a patient meets with a new physician to review his or her X-ray results, is it appropriate to report Current Procedural Terminology (CPT®) code 76140? If a patient consults a new physician for a second opinion on his or her imaging results, it is appropriate to report an evaluation and management (E/M) code based on whether the patient is new or established. Review of a patient's prior images is included in the medical decision making (MDM) of an E/M service; therefore, code 76140, Consultation on x-ray examination made elsewhere, written report, is...
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Article Overview
This article presents several coding questions and answers focused on diagnostic radiology reporting. It discusses general scenarios involving image review, diagnostic mammography and tomosynthesis, contrast use, breast biopsy imaging support, and multiple lung or mediastinal biopsy billing considerations. The piece is useful for radiology coders, billing staff, and compliance professionals looking for current guidance and payer-related considerations.
Why This Topic Matters
The topics covered affect how imaging services are reported across professional and facility settings, especially when multiple services occur in the same session or when Medicare-specific rules and payer policies may apply. It helps readers identify which broad coding references and administrative issues are involved before consulting the full article.
Article Sections
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Question and Answer
A brief Q&A format introducing a radiology coding scenario involving review of imaging results and related professional reporting considerations.
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Question and Answer
A Q&A segment addressing contrast-enhanced breast imaging, diagnostic mammography, tomosynthesis, contrast reporting, and Medicare-related considerations.
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Question and Answer
A Q&A segment covering breast biopsy imaging support and the reporting of contrast-related services during lesion localization workflows.
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Question and Answer
A Q&A segment focused on reporting multiple pulmonary nodule biopsies performed in the same session and related payer guidance.
What You Will Learn
- How the article frames common radiology coding questions and payer issues.
- Which broad imaging scenarios are discussed in relation to CPT and HCPCS Level II reporting.
- What kinds of Medicare and third-party payer considerations are raised for imaging and biopsy services.
- How the article organizes guidance for mammography, tomosynthesis, contrast use, and biopsy-related services.
Who Should Read This
- Radiology coders
- Medical billers
- Compliance staff
- Radiologists
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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