Transcription of Radiology Coding - AAPC
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Radiology Coding - AAPC
4/11/201111 Radiology CodingPresented by:Ruth Broek, MBA, RT(R), CIRCC, CPC-H, CCS, CHC2 Radiology Coding Agenda Diagnostic Radiology Appropriate Coding of problem-prone procedures Use of modifiers in Radiology Physician documentation Tips for other modalities Ultrasound Computed Tomography (CT) Magnetic Resonance Imaging (MRI)4/11/201123 Radiology Coding Problem prone procedures Fluoroscopy KUBs Extremity imaging Chest X-rays Simple interventions4 Radiology Coding Fluoroscopy (76000) Designated as a separate procedure Bundled into all RS&I procedures Don t report separately with conventional X-ray of same site Bundled into cardiac catheterizations4/11/201135 Radiology Coding Fluoroscopy (76000) Bundled into endoscopies Bundled into most surgical procedures6 Radiology Coding Fluoroscopy (76000) Don t use when there is a more specific code (77001, 77002, 72291, etc.) Report RS&I procedures for interventions4/11/201147 Radiology Coding Fluoroscopy (76000) Solutions for Radiology Department Transfer staff hours in surgery to surgery department Have line items in RIS for tracking fluoro that don t bill Don t report it8 Radiology Coding When can you code 76000 When it is the only imaging performed and not a normal part of the procedure To aid in FB removal/identification To watch diaphragm movement In conjunction with surgical procedures that cross-walk to it Repositioning of a CVC4/11/201159 Radiology Coding KUBs Included in gastrointesti
•Preliminary KUB included •Post-void film included 10 Radiology Coding •KUBs –Do not use for •CT scout films of the abdomen •An X-ray following an angiogram to view renal function. 4/11/2011 6 11 Radiology Coding •Extremity Imaging –Do Nots …
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