Tips for Radiology Coding – CPT Codes for Radiology
Tips for Radiology Coding – CPT Codes for Radiology http://www.cco.us/cpt-2015-updates-yt
JoAnne: Q: Can you elaborate and give tips on Radiology Coding?
A: Diagnostic Radiology does include many services and these services can include your basic plain film x-rays, diagnostic ultrasounds, CT scans, MRIs, mammograms, diagnostic nuclear medicine and PET scans.
When a coder is coding for Radiology, specific information has to be provided to the coder. We want to know the name of the study that was performed, and you want to pay attention to the number of views or sequences. For example, if a doctor does a radiological exam on the hand and it’s only 2 views, you want to make sure you pick that CPT code because there’s one for 3 views and so forth; so you want to make sure that matches up.
Then of course the reason for the exam, being medical necessity, and the findings, impressions or conclusions of the findings is the definitive diagnosis basically which you would link to the radiology procedure. Then of course the provider signature must be on there. If there are any plain films or any print out of the diagnostic studies, that would be copied into the electronic medical record to have, the coder would be able to pick out exactly what was the form.
But the most important facet of the radiology is understanding the global, professional and technical components because most radiology procedures include both a technical and a professional component. Coders need to know when to report these technical, professional and global services. This is not so challenging once a coder is established in a particular health care establishment, because if you work for a hospital you’ll know what you have to do. If you work for a physician’s group that has the equipment and does everything, you’ll know how to bill.
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