An expertly aggregated resource to overcome coding challenges while helping to ensure unprecedented accuracy.
“Frequently performed” does not necessarily translate to “easy coding.” This is the case with coding and billing for mammography and other breast imaging procedures, as well as bone density scans — among the most common services in hospitals and imaging centers. Every year brings advances in technologies and procedures, along with new state and federal mandates and changes to codes and coding guidelines. Is your department staying on top of all these changes?
Through years of change, coders and billing departments have depended on the steady guidance provided by our Breast & Bone Density Procedure Coding Guide. In one resource, you get comprehensive help, from clear explanations of CPT® codes and their practical application, to clarification of common questions. If the full, appropriate payment is important to your facility, you need this tried-and-true guide!
Features and Benefits
In this edition:
Explanations and practical application of any new and revised codes
Updated billing tips and expanded guidance through common problem areas
The latest information on federal dense breast notification laws
Guidance related to COVID-19
Payment information, including reductions where the impact will fall
Our experts address common questions, concerns, and problem areas:
How to report a screening vs. diagnostic mammogram
The use of “complete” CPT codes for breast interventions
Clarification of when you may code for a diagnostic and screening mammogram during the same patient encounter
Avoiding inappropriate billing for evaluation and management services
Help with ICD-10 coding for various procedures, including bone density scans
Addressing National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUEs)
Documentation required to support code assignments
Clear, step-by-step guidance through the tasks you perform every day:
Coding for a full range of diagnostic and interventional procedures, including breast interventions, mammography, digital breast tomosynthesis, bone density scans (DEXA/DXA) —including the new trabecular bone score (TBS) measurements, and imaging guidance (ultrasonic, CT and MR)
Discussion of alternate imaging types such as ultrasound elastography, contrast-enhanced ultrasound and bone density ultrasound
Covers and translates code assignments by both hospital (technical) and physician (professional) entities
A proven quick-reference approach for busy professionals:
Codes are organized by types of procedures and technologies, and then by CPT/HCPCS code sequence
Each section includes:
Listings of CPT/HCPCS codes, revenue codes and modifiers, along with the corresponding procedures
Medicare payment table containing RVUs and hospital OPPS rates
Description of procedures by CPT/HCPCS codes
Billing tips
Case examples and Q&As to help clarify and reinforce key points