AMA Clinical Examples in Radiology - 2016 Issue 4 (Fall)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer A patient with a clinical history of "pain" had 2 X rays taken of his left knee. There were no significant findings. Can we use the diagnosis code for left knee pain? As reported in the November–December 2004 ACR Radiology Coding Source ( www.acr.org/Advocacy/Economics-Health-Policy/Billing-Coding/Coding-Source-List/2004/Nov-Dec-2004/ICD-9-Cooperating-Parties-Support-ACR-Position-On-Coding ), the Cooperating Parties (American Hospital Association, American Health Information Management Association, Centers for Medicare & Medicaid Services, and National Center for Health Statistics) for the International Classification of Diseases, Tenth Revision, Clinical Modification, (ICD-10-CM) support reporting of the diagnosis code for pain after a body-specific imaging study...
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Article Overview
This article presents a set of practical coding questions and answers for radiology-related services. It addresses how to think about diagnosis reporting, breast biopsy imaging guidance, CT angiography post-processing, lung cancer screening diagnosis selection, and hip/knee imaging reporting. The content is aimed at coders, billers, and radiology compliance staff who need to understand how specific coding guidance applies to common imaging scenarios.
Why This Topic Matters
Radiology coding often depends on the details documented in the study, the imaging guidance used, and whether post-processing or additional imaging can be reported separately. This article helps readers recognize the general coding topics and policy sources involved in these decisions.
Article Sections
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Question and Answer: Knee pain and radiology diagnosis reporting
Discusses a lower-extremity imaging scenario and the related diagnosis-reporting guidance referenced from radiology coding sources and federal organizations.
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Question and Answer: Breast biopsy guidance questions
Covers breast biopsy coding when different imaging guidance approaches are involved and touches on related post-procedure imaging reporting.
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Question and Answer: Abdominal CTA post-processing and segmentation
Addresses abdominal computed tomography angiography reporting and the treatment of additional image-processing work in the coding context.
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Question and Answer: Lung cancer screening and smoker status; hip imaging follow-up
Reviews a screening-related diagnosis issue tied to smoker status and includes a brief hip radiography coding clarification.
What You Will Learn
- How the article frames diagnosis reporting in radiology Q&A format
- Which coding topics are discussed for breast biopsy imaging guidance
- How post-processing issues are treated in CT angiography reporting
- What general screening and radiography topics are included in the article
Who Should Read This
- Radiology coders
- Medical billers
- Coding auditors
- Revenue cycle staff
- Radiology compliance personnel
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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