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Resource Radiology Coding




What is Radiology?​


Radiology is a medical specialty that uses medical imaging to diagnose & treat diseases. A radiologist uses techniques such as X-ray, Computed Tomography (CT), CT Angiography (CTA), Magnetic Resonance Imaging (MRI), MR Angiography (MRA), Ultrasound, Nuclear Medicine, and Positron Emission Tomography (PET).

Components of Radiology Coding​

  1. Plain Radiography (X-Ray)
  2. Fluoroscopy
  3. Computed Tomography (CT)
  4. Ultrasound
  5. Magnetic Resonance Imaging (MRI)
  6. Nuclear Medicine (NM)

Typical CPT codes​

  1. Diagnostic Radiology (Diagnostic Imaging) – (70010 – 76499)
  2. Diagnostic Ultrasound – (76506 – 76999)
  3. Radiologic Guidance – (77001 – 77022)
  4. Breast Mammography – (77046 – 77067)
  5. Bone/Joint Studies – (77071 – 77086)
  6. Radiation Oncology – (77261 – 77799)
  7. Nuclear Medicine – (78012 – 79999)

RADIOLOGY
2020 Radiology and Imaging CPT® Changes5/1/2020https://www.aapc.com/blog/50520-2020-radiology-and-imaging-cpt-changes
Radiology Coding Audit Quick Tips6/10/2019https://www.aapc.com/blog/47298-radiology-coding-audit-quick-tips
Rising Radiology Prices Trigger Appropriate Use Criteria/Clinical Decision Support6/1/2019https://www.aapc.com/blog/47266-ris...priate-use-criteria-clinical-decision-support








 
Services that may not be reported separately with radiation oncology procedures list.


The “Internet-Only Manual (IOM)”, “Medicare Claims Processing Manual”, Publication 100-04, Chapter 13, Section 70.2 (Services Bundled Into Treatment Management Codes) defines services that may not be reported separately with radiation oncology procedures. Revision Date (Medicare): 1/1/2022 IX-14 Based on these requirements, the NCCI program contains edits bundling the following CPT codes into all radiation therapy services:

11920-11922 (Tattooing)
16000-16030 (Treatment of burns)
36000, 36410, 36425 (Venipuncture or Introduction of catheter)
51701-51703 (Urinary bladder catheterization)
96360-96368 (Intravenous infusion)
90832-90838 (Psychotherapy)
90839-90840 (Psychotherapy)
90846 (Psychotherapy)
90847 (Psychotherapy)
90863 (Pharmacologic management)
97802-97804 (Medical nutrition therapy)
99151-99153 (Anesthesia – Moderate conscious sedation)
99202-99215 (Evaluation & Management) (CPT code 99201 was deleted
January 1, 2021.) (See Radiation Oncology, Section 1 above)
99217-99239 (Evaluation & Management)
99281-99498 (Evaluation & Management)

 
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