AMA Clinical Examples in Radiology - 2018 Issue 4 (Fall)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer Our typical renal ultra-sound exam includes the kidneys and pre-void bladder imaging. We occasionally receive a request to perform a pre- and post-void urinary bladder ultrasound, in addition to the standard renal ultrasound exam. This involves additional time waiting for the patient to void and imaging the bladder again after voiding. In this case, we report both pre- and post-void bladder volumes and comment on any residual urine post-void. How should the pre- and post-void bladder exam be coded? The decision to report renal ultrasound code 76770 , Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real...
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Article Overview
This Q&A article from Clinical Examples in Radiology discusses common coding and billing questions in diagnostic imaging and related procedures. It focuses on how established radiology coding principles apply to ultrasound, MRI post-processing, fluoroscopic guidance, and therapeutic services in an IDTF setting. The piece is useful for radiology coders, billing staff, and physicians who want to understand the scope of covered services and the coding references cited by the AMA and CMS.
Why This Topic Matters
The article helps readers recognize when imaging work is bundled into a base service, how certain MRI-related processing is viewed from a coding perspective, and where facility billing restrictions apply. It also points readers to the cited professional and Medicare guidance sources that shape radiology coding practice.
Article Sections
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Renal ultrasound with pre- and post-void bladder imaging
Discussion of how a renal ultrasound question is handled when additional bladder imaging is requested around voiding. The section addresses the broader relationship between the renal study and related bladder assessment.
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MRI of the knee with cartilage map post-processing
Discussion of knee MRI coding when post-processing images are created on an independent workstation. The section also places the topic in the context of MRI coding principles and computer-aided detection.
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CPT parenthetical guidance involving bone marrow biopsy and fluoroscopic needle placement
Discussion of CPT editorial changes and instructional parenthetical references tied to a biopsy service and fluoroscopic guidance. The section references updates noted in a later CPT publication.
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Therapeutic hip injection billing at an IDTF
Discussion of whether a therapeutic injection service may be billed in an independent diagnostic testing facility setting. The section cites Medicare manual and facility billing limitations.
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Continuing education units and quiz access
Administrative information about CEU eligibility, quiz access, and availability of issue-specific online quizzes. The section also mentions the AMA education platform update.
What You Will Learn
- How the article frames ultrasound coding questions involving additional bladder imaging
- How the article discusses MRI coding and post-processing considerations
- How CPT instructional parenthetical changes are presented in the article
- How the article addresses billing restrictions for therapeutic services in an IDTF
- Where the article points readers for quizzes and continuing education information
Who Should Read This
- Radiology coders
- Medical billing staff
- Radiologists
- Physician practices
- Compliance staff
Codes Discussed
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