AMA Clinical Examples in Radiology - 2008 Issue 3 (Summer)
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 do you report a positron emission tomography (PET) myocardial perfusion study performed with wall motion and ejection fraction? Currently, there is no CPT code to describe positron emission tomography (PET) with wall motion and ejection fraction; therefore, it is appropriate to report one of the nuclear medicine unlisted procedure codes ( 78499 or 78999 ). Because Medicare currently considers PET wall motion and ejection...
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Article Overview
This article compiles frequently asked radiology coding questions and answers drawn from clinical examples and billing guidance. It addresses how the FAQ discusses nuclear medicine reporting, radiation therapy delivery and management, interventional fluoroscopic guidance, MRI marker-related guidance, same-day CT and CTA reporting, and Medicare claim locality and place-of-service issues. It is useful for radiology coders, billing staff, and physicians seeking the broad scope of topics covered in the newsletter.
Why This Topic Matters
Radiology coding often involves choosing among closely related imaging, procedure, and billing pathways. This FAQ helps readers identify whether the article is relevant to a specific radiology coding scenario before accessing the full premium guidance.
Article Sections
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Nuclear medicine and PET reporting
Discusses a PET-related myocardial perfusion question and the broader issue of reporting nuclear medicine studies when the standard code set does not directly match the service. The section also references Medicare-related billing considerations.
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Radiation therapy delivery and management
Covers total body irradiation treatment delivery, related radiation treatment management, and associated radiation oncology coding topics. It also mentions other service categories commonly linked to radiotherapy workflow.
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Interventional facet joint nerve destruction
Addresses a fluoroscopy-guided paravertebral facet joint nerve destruction scenario and the related imaging guidance component. The section focuses on how the FAQ frames the procedure within interventional radiology coding.
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MRI pain marker and diagnostic imaging
Reviews whether a pain-marker placement performed before diagnostic MRI is separately reportable. The section explains the context in which the MRI study and marker placement are discussed.
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Same-day CT and CTA billing
Examines circumstances in which a CT and a CTA of the same anatomic region may be performed on the same date of service. The section also notes the possibility of distinct procedural billing considerations.
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Place of service and payment jurisdiction
Explains claim-filing location, payment locality, and jurisdiction concepts for interpretation services under the Medicare physician fee schedule. The section also references multiple offices and purchased interpretations.
What You Will Learn
- How the FAQ organizes common radiology coding questions by modality and billing context
- Which broad topics are covered for PET, nuclear medicine, radiotherapy, interventional guidance, MRI, CT, and CTA
- How the article frames Medicare-related claim locality and jurisdiction issues
- What kinds of coding and billing scenarios the newsletter addresses for radiology practices
Who Should Read This
- Radiology coders
- Radiology billers
- Physicians and radiologists
- Interventional radiology staff
- Radiation oncology billing staff
- Practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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