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 Radiology Coding
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RE: procedure not completed  Wanda Michaud
 Jan 19, 2009 09:21 PST 

You should use the CPT that reflects what was performed. You shouldn't
use a modifier if there is a code that is specific to what you did.

-----Original Message-----
From: Hall, Jeri [mailto:Jeri-@texashealth.org]
Sent: Monday, January 19, 2009 12:06 PM
To: SERAD-@topica.com
Subject: RE: [SERADlist] procedure not completed

We have had similar discussions about billing procedures not completed
as ordered. Specifically for us it would be a CT or MRI that is ordered
with and without contrast. If the patient does not receive contrast -
usually due to patient refusal or kidney function contraindicating
administration - is it appropriate to bill a CT or MRI with/without
contrast with the -52 modifier? Or should we report the CPT code that
reflects what we were able to perform (CT or MRI without contrast)?

Thanks,
Jeri



-----Original Message-----
From: Wanda Michaud [mailto:wmic-@mbraa.com]
Sent: Monday, January 19, 2009 10:39 AM
To: SERAD-@topica.com
Subject: RE: [SERADlist] NM procedure not completed

You can code the 78464 52 and the A9500. No modifier on drug codes.




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