tci Part B Insider - 2013 Issue 34

Part B Coding Coach: Smart Tips For Pulmonary Ventilation Perfusion Scanning

Look for injection or inhalation to determine perfusion or ventilation scans. When your physician performs a ventilation/perfusion scan (or VQ scan) to help rule out a suspected pulmonary embolism, you might encounter terms such as “MAA” and “DTPA” in the clinical notes. The challenge is that you won’t be able to locate these terms in the CPT® code descriptors. This can be confusing, and can cause coding inconsistency — putting your practice at compliance or financial risk. In order to code with consistency, you will need to confirm if your physician provided a perfusion or ventilation...

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