AMA Clinical Examples in Radiology - 2007 Issue 1 (Winter)
Radiology FAQ
Radiology FAQ If you have a question you would like to see addressed in the newsletter, please e-mail clinex@acr.org. The editorial staff will pick the most frequently asked questions for publication. Question: Answer: How are the gold marker seeds, which are used to facilitate localization of the prostate during subsequent image-guided external beam radiotherapy, coded? In the office setting, the gold marker seeds used to facilitate localization of the prostate during subsequent image-guided external beam radiotherapy are coded separately. HCPCS code A4649 , urgical supply; miscellaneous, should be used to report the costs associated with the markers. According to...
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Article Overview
This article compiles frequently asked questions about radiology coding changes and reporting practices, with emphasis on 2007 CPT updates, HCPCS reporting, and related hospital outpatient considerations. It is useful for radiology coders, billing staff, and compliance professionals who need a high-level view of the kinds of topics addressed in the update, including imaging guidance, computer-aided detection, functional MRI, transplant kidney ultrasound, and codebook reorganization.
Why This Topic Matters
Radiology coding changes can affect charge capture, claim accuracy, and how services are reported across office and hospital settings. This FAQ helps readers identify which coding topics and code sets are discussed so they can decide whether the full article is relevant to their workflow.
Article Sections
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Prostate marker seed placement and associated imaging guidance
Discusses coding considerations for prostate localization markers and the related imaging guidance that may accompany placement. Also notes hospital outpatient payment context and references to broader device placement issues.
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Radiology code relocations within the CPT codebook
Summarizes the organizational restructuring of radiology-related CPT content and the movement of certain services into new sections. Mentions codebook updates, section changes, and reference materials for the 2007 code set.
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Ultrasound of a transplanted kidney with duplex Doppler
Addresses coding for transplant kidney ultrasound scenarios and the related diagnostic imaging context. Also notes a deleted code referenced in the discussion.
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Computer-aided detection with chest radiography and breast MRI
Covers reporting questions for computer-aided detection in radiology and distinguishes between different settings and workflow arrangements. Includes discussion of add-on code updates and an order-related question in the office setting.
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Functional MRI and neurofunctional testing
Explains a radiology and testing scenario involving functional MRI, with separate roles for imaging interpretation and cognitive or neurofunctional assessment. Refers to brain MRI coding, test administration, and the relationship between imaging and nonimaging components.
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Ultrasound terminology changes
Addresses a terminology update affecting ultrasound descriptors and whether the change alters reporting practices. Places the update in the broader context of 2007 radiology codebook revisions.
What You Will Learn
- Which radiology coding topics are covered in this FAQ
- How 2007 CPT updates affected several radiology-related services
- What kinds of imaging, testing, and guidance scenarios are discussed
- Which code sets and specialty areas are referenced in the update
- How the article frames office and hospital reporting considerations
Who Should Read This
- Radiology coders
- Medical billers
- Compliance staff
- Radiology practice managers
- Hospital outpatient coding teams
- Physicians and advanced practice providers involved in imaging services
Codes Discussed
Code Ranges Discussed
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