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  2012 CT/MR Coder
ct codes, ct imaging, ct or mri, cat mri, mri cpt, cpt mri, mri codes


 
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Product Code: PCT12

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Description About eBooks
 

Keep your coding and billing up to date

The technology behind CT and MR studies has advanced tremendously in recent years. At issue is whether your coding and billing practices have kept pace. Trust our CT/MR Coderbook to walk you sure-footedly through the complexities, equipping you to receive the full appropriate reimbursement while avoiding compliance pitfalls. Highlights:

  • Detailed guidance in billing for all codes defining CT and MR procedures, by both hospital (technical) and physician (professional) entities
  • Interprets the rules/regulations involving CT, CTA, MRI, MRA and MRV
  • Assistance with common challenges, such as billing for MRA procedures and combination MRI procedures, reconstruction charges and coronary/cardiac CT/CTA studies
  • Clarification of CTA procedures and the billing of contrast materials
  • How infusion therapy codes may be used in conjunction with CT/MR services
  • Coding tips by body section, along with assignable revenue codes
  • Updated APC and RVU payment information; includes comprehensive RVU tables, encompassing physician work, facility, non-facility and total
  • Guidance with medically unlikely edits (MUEs) and Correct Coding Initiative (CCI) policy
  • NEW FOR 2012:
      • New information on coding for infusions and injections and when you may charge for these services

Findings from MedLearn consulting experts
MedLearn publications address your real-world challenges and concerns, including the following examples shared by our consulting experts.

Incorrectly coded CTA studies For CTA studies of the abdomen and lower extremities, weve identified several instances incorrect coding. Specifically, when these studies are medically necessary and documented correctly, providers may assign two codes; yet they frequently only use a single code. On the APC payment side, this under-coding translates to a revenue loss of approximately $328 per procedure. For physicians, this equates to a loss of 1.4 RVUs. CT/MR Coder explains when it is appropriate to use two versus one code.

Misapplication of 3D codes Providers put themselves at risk for noncompliance by continuing to assign 3D codes for services which do not warrant these codes. Codes 76376 and 76377 carry no additional APC payment (N status indicators), but they do represent additional professional (global component) payment ranging from $105 to $143 nationally. Interestingly, while these codes may be over-used in some instances, they are under-reported in non-CT/MR areas, such as intracranial angiography prior to embolization. Following the guidelines in our book can help prevent this type of erroneous coding.



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