AMA Clinical Examples in Radiology - 2005 Issue 4 (Fall)
Radiology Test Case Answer
Radiology Test Case Answer (See page 9 for test case) 78195 Lymphatics and lymph nodes imaging A9520 Supply of radiopharmaceutical diagnostic imaging agent, technetium Tc 99m sulfur colloid, per mCi Discussion Coding Tips When imaging is performed, the injection of the radioactive tracer is not reported separately because it is included in the lymphoscintigraphy procedure. CPT codes 38500 - 38542 are used to report the biopsy of a sentinel node. Lymphoscintigraphy and the sentinel node biopsy are often performed on the same day, and both are separately reportable. 1 It is important to report the radiopharmaceuticals used even though...
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Article Overview
This premium article discusses a radiology test case focused on lymphatic imaging and sentinel node evaluation. It is intended for coders and billing professionals working with radiology and nuclear medicine services. The article provides coding-oriented discussion, including how related procedures and supplies are represented in the relevant code sets and why the case matters for documentation, reporting, and charge capture.
Why This Topic Matters
It helps readers understand how a specific radiology scenario is coded and why related supplies and procedures may need to be captured for accurate billing and reporting.
What You Will Learn
- The general radiology and nuclear medicine services involved in sentinel node evaluation
- How the case relates to coding and charge capture for imaging services and supplies
- What types of related procedure and supply reporting issues are discussed in the case
- Why the example is relevant to documentation and reimbursement workflows
Who Should Read This
- Medical coders
- Radiology coders
- Nuclear medicine coders
- Billing staff
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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