Your Part B Questions Answered: Think Twice Before Reporting Dual Scans
Question: Is it appropriate to report both a CT and CTA of the same anatomic area performed on the same date?Answer: Typically, charging for both Computed Tomography (CT) and Computed Tomographic Angiography (CTA) exams of the same anatomic area on the same date is not appropriate. You should report the CTA alone.CCI support: The Correct Coding Initiative (CCI) edits bundle many CT and CTA codes for the same anatomic areas. For example, CCI bundles CT codes 70450--"70470 (Computed tomography, head or brain ...) into CTA code 70496 (Computed tomographic angiography, head, with contrast material[s], including non-contrast images...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: