The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Patients may have additional charges, depending on the services provided. Patients may have additional charges, depending on the services provided. Evaluation of abdominal or pelvic trauma. Persistent unresolved symptoms not explained by initial imaging d. Z2 - Opens in a new window Acute myeloid leukemia with multilineage dysplasia, not having achieved remission - Other myeloid leukemia, in relapse C92. Publish this Article on your Website, Blog or Newsletter This article is available for publishing on websites, blogs, and newsletters.
Assessment of response to chemotherapy and radiation therapy in individuals undergoing treatment c. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Documentation must verify the distinct nature and medical necessity for both procedures. Advances in technology have brought about the double balloon enteroscopy and capsule endoscopy but visualizing the interior anatomy of the small intestines remained an issue. Please allow ample time in scheduling diagnostic services to insure the authorization process is completed and approved before the patient receives services. Evaluation of pelvic fractures or bony tumors c. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement.
Bill Type Codes: Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. X-Ray and Radiological Charges The following charges reflect the hospital's 20 most common x-ray and radiological procedures and include both hospital and professional charges. Endometriosis follow-up of abnormal ultrasound b. Infection, unexpected weight loss · Evaluation of known or suspected congenital abnormalities of abdominal or pelvic organs · Guidance for interventional, diagnostic, or therapeutic procedures within the abdomen or pelvis · Treatment planning for radiation therapy Pelvis a. To start viewing messages, select the forum that you want to visit from the selection below.
If you do not agree to the terms and conditions, you may not access or use the software. As a result, your final bill may differ from the estimates provided below. To view all forums, post or create a new thread, you must be an. As with scans performed on stationary units, the scans must be determined medically necessary for the individual patient. If you would like to publish this article, please contact us and let us know where you will be publishing it.
Diverticulosis by prior imaging study 4. Patients may have additional charges, depending on the services provided. Fever 101 degrees or greater d. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes. Out-Of-Pocket Expense Estimates The portion of your bill that is your responsibility is commonly referred to as your out-of-pocket expense. Prostate tumor — staging for regional adenopathy, as part of radiation treatment planning b. National Jewish Health makes no guarantees regarding the accuracy of the pricing information posted here.
If reported separately, these codes total 2. The following charges reflect the hospital's most common services offered by the Physical Therapy department. Clarification of findings from other imaging studies or laboratory abnormalities. Jaundice or abnormal liver function tests if ultrasound is normal or not indicated b. Fever and elevated white count, suspected abscess b. Any evidence of clinical deterioration while on steroids or immunosuppressives G.
You may also contact us at. Evaluation of abdominal or pelvic trauma. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Z - Opens in a new window Histiocytic sarcoma - Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue C96. Mass on abdominal, pelvic or rectal exam b.
Hematuria or blood in urine consider obtaining both abdomen and pelvis f. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. Based on the National Correct Coding Initiative Edits, codes 74150 and 72192 are listed as a component codes to code 74176. For more information about authorization requirements, providers may refer to the 2011 Texas Medicaid Provider Procedures Manual, Vol. Correct , the stand alone codes are still available and can be used in conjunction with the new codes 74176-74178 on the same day of service, when studies are performed at separate sessions. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims. Routine follow-up study after treatment, including evaluation for removal of drain g.
Failure of conservative treatment for 4 weeks b. The oral contrast is not a factor for code decision in this case. If the patient has a suspected disease that may spread through the peritoneal cavity or by lymphatics, then the pelvic scan should also be performed. Prior authorization is required and must be submitted to the MedSolutions Radiology Prior Authorization Department. In the unusual case that a patient undergoes more than one combined study per day and the services are documented appropriately, you may report both combined studies, with modifier 59, Distinct procedural service, appended to the second code. If you have any questions or concerns about your bill, we are here to help.