The fetal MRI codes cannot be reported together with the codes for MRI of the pelvis (72195 to 72197). These codes include imaging of the placenta and maternal pelvic organs when performed. Code 74712 should be assigned for a single or first gestation and the add-on code 74713 is assigned for each additional gestation. Two new codes (7473) have been created specifically for fetal MRI and are defined by gestation. A single view X-ray exam of the femur is reported with 73551, and a multiple-view exam is reported with 73552. The existing femur code 73550 has been deleted and two new codes (7352) have been created. This code has been deleted, and the regular hip X-ray codes should now be used regardless of patient age. Also, prior to 2016 there was also a specific code for X-ray exam of the pelvis and hips in an infant or child (73540). This service should now be reported with hip X-ray codes 73501 to 73503 when unilateral intraoperative views are taken. Prior to 2016 there was a specific code for hip X-ray during operative procedure (73530). This makes a total of three views, so this study is now reported with code 73522 (bilateral, three to four views). Code 73520 (deleted for 2016) was formerly used to report a bilateral hip exam consisting of one view of the pelvis and one frog-leg lateral view of each hip. For example, this code should be assigned for an exam consisting of a single view of the hip and a single view of the pelvis. Code 73502 includes two or three views of the hip with or without pelvis. All of these codes include imaging of the pelvis when performed and are assigned strictly based on the number of views taken.Ĭode 73501 represents a single view of the hip, which would previously have been reported with now-deleted code 73500. The 2015 codes for hip X-rays have been deleted (73500 to 73540) and six new codes have been added: three for unilateral (73501 to 73503) and three for bilateral (73521 to 73523). Additionally, the existing code 72080 for thoracolumbar imaging was revised to include a minimum of two views. The full definition of these codes: "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical, and sacral spine if performed (eg, scoliosis evaluation) …" These codes require an exam of the entire thoracic and lumbar spine regions, and they include (but do not require) examination of the skull, cervical spine, and sacral spine if performed. Four new codes for scoliosis exams have been added for one view (72081), two or three views (72082), four or five views (72083), and a minimum of six views (72084). The procedure codes for the entire survey study (72010) and the codes typically used for scoliosis (7200) have been deleted for 2016. Some of the biggest changes are in the spinal X-ray codes. Next month, we'll feature changes in interventional coding. There are fewer coding changes in diagnostic imaging than in interventional services this year, so we will address those in this issue. There are many other updates including HCPCS codes, regulatory issues, edits, and more, so it is very important that imaging organizations identify all issues that impact your organization as you cross into 2016. This article provides a high-level overview of the new 2016 CPT® Procedures codes for radiology services. Some changes are small and have little to no impact, while others create some level of chaos either with our own processes or for the third-party payers we hope pay us in a timely manner. Mulaik, MSHS, CRA, FAHRA, RCC, CPC, CPC-HĪ new year is upon us and with it comes new coding, compliance, and reimbursement changes and challenges. Radiology Billing and Coding: Diagnostic Coding Changes for 2016 - First in Two-part Seriesīy Melody W.
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