AHA Coding Clinic® for HCPCS - 2022 Quarter 1; In This Issue
Coding tips from the NCCI Policy Manual - Chapter IX
A patient presented for a left breast MRI guided core needle biopsy. Core samples were taken and clips were placed to mark the biopsy site(s). Following the procedure, a post biopsy mammogram was performed for confirmation of clip placement. Is it appropriate to report the post-procedure mammogram with CPT code 77065 , Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral , to verify clip placement when performed after an MRI guided breast biopsy since the MRI and mammography represent two separate modalities? ...
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Article Overview
This premium article reviews selected coding guidance from the National Correct Coding Initiative (NCCI) Policy Manual, Chapter IX, for radiology services. It is aimed at coders and billing staff who work with diagnostic imaging, nuclear medicine, and radiation oncology, and it highlights broad areas where CPT, HCPCS Level II, and Medicare-related guidance affect reporting. The article also includes question-and-answer examples illustrating how the guidance applies in common radiology scenarios.
Why This Topic Matters
Radiology coding often involves service bundling, modality-specific rules, and special reporting considerations across multiple sections of the NCCI manual. Understanding the scope of this chapter helps coders evaluate whether an article applies to their workflow before reviewing the full premium content.
Article Sections
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Non-interventional diagnostic imaging
Overview of selected NCCI guidance for routine diagnostic imaging modalities and reporting considerations across common exam types.
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Interventional/Invasive diagnostic imaging
Selected guidance for invasive diagnostic imaging, contrast-related services, and reporting relationships between related imaging studies and procedures.
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Nuclear medicine
Selected guidance involving nuclear medicine imaging, including multimodality studies and associated HCPCS Level II imaging agent references.
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Radiation oncology
Selected guidance for radiation therapy services, including treatment planning, management, physics consultation, and brachytherapy-related reporting.
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Below are a few questions and answers to illustrate this guidance
A brief question-and-answer example section that applies the chapter’s guidance to a radiology billing scenario.
What You Will Learn
- How Chapter IX organizes radiology-related NCCI guidance
- What broad categories of imaging and therapy services are addressed
- Which code sets and organizations are referenced in the chapter overview
- What kinds of question-and-answer examples are included at the end of the article
Who Should Read This
- Medical coders
- Billing staff
- Radiology coding professionals
- Compliance teams
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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