Your Part B Questions Answered: Think Twice Before Reporting Dual Scans

Why This Topic Matters

These topics affect claim accuracy, compliance, and payment across several frequently encountered Part B situations. The article helps readers recognize when coding choices may be constrained by bundling, documentation, place of service, or modifier use.

Article Sections

1. Reporting CT and CTA on the Same Date

   Discusses a diagnostic imaging question about same-day studies of the same anatomic area and the role of bundling guidance. The section also references professional society rationale and notes an exception scenario.

2. Nurse Code Calls for Face-to-Face Encounter

   Reviews an outpatient E/M question involving staff contact, chart review, and nursing facility-related services. The section focuses on whether direct patient interaction is present for reporting purposes.

3. Don't Let Modifier 53 Stop Proper Coding

   Covers a procedure that is stopped before completion and discusses modifier use in that context. The section also mentions related diagnosis reporting concepts tied to the reason the procedure ended.

4. Supplies Coding Depends On POS

   Addresses whether office supplies can be separately reported and how payment rules differ by setting. The section includes a general example involving an office procedure and place-of-service considerations.