Radiology billing, Coding, Documentation, CPT codes, denial management, and Reimbursement.

Unrelated/Coexisting Conditions/Diagnoses in radiology billing

The physician interpreting the diagnostic test may report unrelated and coexisting conditions/diagnoses as additional diagnoses. Example: A patient is referred to a radiologist for a chest X-ray because of a cough. The result of the chest X-ray indicates the patient...

Can we bill Incidental Findings dx code as primary dx code?

Incidental Findings Incidental findings should never be listed as primary diagnoses. If reported, incidental findings may be reported as secondary diagnoses by the physician interpreting the diagnostic test. Example 1: A patient is referred to a radiologist for an...

Instruction to Determine the Reason for the Test

As specified in the Balanced Budget Act (BBA), referring physicians are required to provide diagnostic information to the testing entity at the time the test is ordered. On the rare occasion when the interpreting physician does not have diagnostic information as to...

Determining the Appropriate Primary ICD-9-CM Diagnosis Code

Determining the Appropriate Primary ICD-9-CM Diagnosis Code for Diagnostic Tests Ordered Due to Signs and/or Symptoms If the physician has confirmed a diagnosis based on the results of the diagnostic test, the physician interpreting the test should code that...

ICD 9 – dx code correct usage in radiology billng

Use of ICD-9-CM to the Greatest Degree of Accuracy and Completeness The testing facility or the interpreting physician should code the ICD-9-CM code that provides the highest degree of accuracy and completeness for the diagnosis resulting from test, or for the...