Questions and Answers

QUESTIONS AND ANSWERS Question Answer Version 20.2 of the NCCI edits lists the myelography supervision and interpretation codes and the CT codes with a modifier indicator of (1). Occasionally, our physicians may perform both studies on the same day. Is it appropriate to use a modifier to bypass the NCCI edits when both studies are performed on the same day of service? National Correct Coding Initiative (NCCI) edits were established with a modifier indicator of (1) for the reporting of Current Procedural Terminology (CPT®) myelography codes 72240 , 72255 , 72265 , and 72270 with computed tomography (CT) codes 72125...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This Q&A article explains how radiology coding policy applies when more than one imaging study is performed in close proximity, with emphasis on National Correct Coding Initiative guidance, CMS commentary, and mammography/tomosynthesis workflow. It is useful for radiology coders, billing staff, and compliance reviewers who need to understand the general circumstances discussed in the article and the coding references involved.

Why This Topic Matters

The article helps readers recognize when common imaging combinations are being discussed under NCCI policy and when follow-up breast imaging may occur after screening. It is relevant to accurate radiology claim review, compliance, and interpretation of same-day service scenarios.

What You Will Learn

  • How the article frames same-day radiology reporting questions under NCCI guidance
  • How the article discusses myelography and spinal CT as separate imaging studies in a compliance context
  • How the article addresses screening and diagnostic tomosynthesis in a follow-up imaging scenario
  • What organizations and policy sources are referenced in the discussion

Who Should Read This

  • Radiology coders
  • Medical billers
  • Compliance staff
  • Physician documentation staff
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed


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