General Surgery Coding Alert - 2011 Issue 25
Part B Coding Coach: 74176-74178: Compare 2011 Coding to How You Tackled These Notes in 2010
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Article Overview
This article reviews a sample radiology report and discusses how the 2011 CPT update affected abdominal and pelvic CT coding. It also addresses related reporting topics such as contrast-related CPT selection, HCPCS billing for contrast material, and diagnosis coding using ICD-9 in a hospital-style imaging scenario. The piece is aimed at coders, radiology billing staff, and others who work with imaging claims and documentation review.
Why This Topic Matters
It helps readers understand how coding changes can affect common CT claim selection and how related ancillary and diagnosis coding may be handled in the same encounter.
Article Sections
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Read the Report and Choose Your Codes
Introduces the sample imaging report and asks the reader to review the documentation before selecting a code set.
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Narrow Code Choices Based on Anatomic Area
Discusses how the anatomic findings in the report affect the general category of imaging codes under review and contrasts prior-year options with the newer code structure.
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Dig Into the Meaning of 'With Contrast'
Explains the article’s contrast-related documentation focus and how that affects the general coding comparison for the case.
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Round Out Your Claim With HCPCS and ICD-9
Covers ancillary billing and diagnosis reporting topics tied to the sample case, including contrast material reporting and diagnosis documentation considerations.
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Size Up Secondary Diagnoses
Addresses the broader issue of incidental findings and whether they may be considered for additional diagnosis reporting in the case context.
What You Will Learn
- How the 2011 update changed the general CT code selection landscape for abdominal and pelvic imaging
- How contrast documentation affects radiology coding review
- How ancillary supply reporting may be considered in a facility imaging scenario
- How diagnosis documentation influences whether a reported condition is coded
- How incidental findings are discussed in the context of secondary diagnoses
Who Should Read This
- Radiology coders
- Medical billers
- Revenue cycle staff
- Physician practice coders
- Hospital imaging billing staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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