AMA Clinical Examples in Radiology - 2015 Issue 4 (Fall)
Questions and Answers
QUESTIONS AND ANSWERS Question Answer How do you code for a cervical injection guided by fluoroscopy, without the dedicated X-ray myelogram plain films, followed by a CT of the cervical spine? It would be appropriate to report codes 61055 , Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment, 77003 , Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid), and 72126 , Computed tomography, cervical spine; with contrast material, when the entire procedure is performed by the same physician. It should...
Subscribe or sign in to view the full article.
Article Overview
This article reviews coding questions in radiology with emphasis on procedure reporting for cervical spine myelography-related imaging and biliary drainage catheter work. It is intended for coders, radiology billing staff, and other professionals who need to understand the scope of applicable CPT guidance, associated imaging components, and related billing considerations discussed for these topics.
Why This Topic Matters
The article helps readers assess how changes and distinctions in radiology procedure reporting affect code selection for specific imaging and drain-management scenarios.
Article Sections
-
Questions and Answers
A pair of radiology coding questions covering spine imaging and biliary drainage procedures. The section discusses the types of services involved, the related CPT areas, and general reporting considerations.
What You Will Learn
- How the article frames coding questions for selected radiology procedures.
- Which broad imaging and interventional procedure areas are discussed.
- What general CPT-related topics are addressed in the Q&A format.
- intended_audiences":["Radiology coders","Medical billing staff","Compliance personnel","Physician practices handling imaging claims"],"topics":["Radiology coding","Myelography","CT imaging","Fluoroscopic guidance","Biliary drainage procedures","Cholangiography","Catheter exchange"],"medical_specialties":["Radiology","Interventional radiology","Gastroenterology"],"code_sets":["CPT"],"codes":[{"code_set":"CPT","code":"61055"},{"code_set":"CPT","code":"77003"},{"code_set":"CPT","code":"72126"},{"code_set":"CPT","code":"72240"},{"code_set":"CPT","code":"72255"},{"code_set":"CPT","code":"72265"},{"code_set":"CPT","code":"72270"},{"code_set":"CPT","code":"72129"},{"code_set":"CPT","code":"72132"},{"code_set":"CPT","code":"47531"},{"code_set":"CPT","code":"47536"}],"code_ranges":[{"code_set":"CPT","range":"62302-62305","start_code":"62302","end_code":"62305"}],"modifiers":[{"code_set":"CPT","modifier":"59"}],"content_type":"Q&A article","effective_dates":["2015","2016"],"organizations_mentioned":[],"keywords":["radiology coding","spine injection","cervical myelography","CT with contrast","biliary drainage catheter","cholecystostomy tube","cholangiography","imaging guidance"],"questions_answered":["How is a cervical injection with fluoroscopic guidance followed by cervical CT reported when no dedicated myelogram plain films are obtained?","What CPT code is reported for injection through an existing gallbladder tube to assess patency?","What CPT code is reported for exchange of an existing cholecystostomy tube?","When is modifier 59 mentioned in connection with additional catheter exchange?"],"access_description":"Public metadata summarizing a premium radiology coding Q&A article without reproducing instructional detail or code descriptions.","disclosure_check":{"contains_code_descriptions":false,"contains_modifier_descriptions":false,"contains_actionable_coding_instructions":false,"contains_article_conclusions":false,"contains_detailed_examples":false}}} ]}]}} ]}]} }}]} }]} }] }]}]}]} }]} }]} }]}]}]}]} }]}]} ]}]}]} ]}]}]}]} }]}]}]}]}]} }]}]}]}]}]} }]}]} }]}]}]}]} }]}]}]}]} }}]}]} }]}]} }]}]}]} }]} ]}]} }]}]} }]}]} }]} ]}]} }]} }]} ]}]} }]} }]} }]} }]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]} }]}]} ]}]}]}]}]}]}]}]} }]}]}]}]}]} ]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}] }]}]}]}]}]} }]}]} ]}]}]}]}] }]}]} }]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}]}]} ]}]}]}]}]}]} ]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]} ]}]}]}]}]}]}]}]} }]}]}]}]}]} }]}]}]}]}]}]}]}]}]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]} }]}]}]} }]}]}]} }]}]}]}]}]}]}]}] }]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]}]}]}]}] }]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}]}] }]}]}]}]} }]}]}]} }]}]}]} ]}]}]}]}]}]}]}]}]}]} }]}]}]} }]}]}]}]}]}]}]}]}]} }]}]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]} ]}]}]}]}]}]}]}]}]}]}]}]}]}]} }]}]}]}]}]}]}] }]}]}]}]}]}]}] }]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}]}]}]}]}]}]}]}] }]}]}]} ]}]}]}]}]}]}]}]}]} }]}]}]}]} }]}]}]}]}] }]}]}]}]}]}]}]} }]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}]}]}]}]}]}]}] }]}]}]}]}]}]}]}
Who Should Read This
- Radiology coders
- Medical billing staff
- Compliance personnel
- Physician practices handling imaging claims
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
