Posted on 12. Feb, 2009 by in Hot Coding Topics
76942 and 78808 on a single claim needs a second look
43,006. That’s the number of additions Correct Coding Initiative (CCI) 15.0 creates. We’ve got what radiology coders need to know, including the 411 on an edit affecting a new nuclear medicine code.
This round of CCI, effective Jan. 1, attacks the usual suspects — such as including guidance codes 76942 (Ultrasonic guidance for needle placement …) and 77002 (Fluoroscopic guidance for needle placement…) into a code whose descriptor includes imaging guidance: 55706 (Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance). CCI also had to create new edits to reflect the changes to the hydration/infusion code digits.
But watch out: Some changes aren’t as obvious. In particular, ultrasonic guidance codes 76942 and 76998 (Ultrasonic guidance, intraoperative) are bundled into new code 78808 (Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous [e.g., parathyroid adenoma]).
Focus on New Code 78808 (Vs. 38792)
As CPT Changes 2009: An Insider’s View explains, you use 78808 to “report an injection for radiopharmaceutical localization by non-imaging probe study. This code reflects the resources required to provide those radioactive drugs by intravenous routes prior to gamma probe localization.”
“The most common use for this code is IV injection of sestamibi, which is taken up by the parathyroid and can help the surgeon locate a parathyroid adenoma when he takes gamma probe readings over the thyroid area during surgery,” says Jackie Miller, RHIA, CCS-P, CPC, vice president of product development for Coding Metrix in Powder Springs, Ga.
And note that 78808 is an IV injection, unlike interstitial injection code 38792 (Injection procedure; for identification of sentinel node), which you may use when the provider...
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