Medicare Compliance & Reimbursement - 2015 Issue 6
Pulmonology Coding: 4 Tips Lead You to VQ Study Reimbursement Every Time
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Article Overview
This pulmonology coding article reviews how VQ study documentation is evaluated for ventilation, perfusion, combined, and differential pulmonary imaging services. It is aimed at coders and billers who need to understand the general documentation elements, scan types, and reporting considerations discussed for nuclear medicine lung studies.
Why This Topic Matters
Accurate identification of the type of pulmonary scan affects proper coding and reporting for VQ studies. The article helps readers recognize the broad documentation patterns and claim-reporting issues associated with these nuclear medicine services.
Article Sections
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Review the Intent of the Scan
Introduces the clinical purpose of pulmonary ventilation and perfusion scanning in the context of suspected pulmonary embolism. It explains the general relationship between the study intent and the type of lung imaging performed.
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Look for Details on Inhalation
Focuses on documentation cues that indicate a ventilation study. It discusses the kinds of terms and procedure details that may appear in the record for this type of nuclear medicine scan.
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If It’s Injected, It’s a Perfusion
Describes documentation features associated with pulmonary perfusion imaging. It covers the general distinction between injected radiopharmaceutical use and ventilation-based testing.
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Keep a Sharp Eye Out for Combined and Differential Procedures
Covers combined and differential pulmonary scan categories and related reporting considerations. It also addresses facility-based billing components and the role of radiopharmaceutical reporting.
What You Will Learn
- How the article distinguishes ventilation, perfusion, combined, and differential pulmonary imaging studies.
- What broad documentation clues are discussed for identifying lung scan types.
- Which general reporting considerations are mentioned for facility-based nuclear medicine services.
- How combined and differential VQ study categories are presented in the context of pulmonology coding.
Who Should Read This
- Medical coders
- Billing staff
- Pulmonology practices
- Hospital coding departments
- Nuclear medicine coding professionals
Codes Discussed
Modifiers Discussed
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