Mammogram ICD code and guildelines

What differentiates a diagnostic from a screening mammography procedure?  Medicare’s definitions of screening and diagnostic mammography, as noted in the Centers for Medicare and Medicaid’s (CMS’) National Coverage Determination database, and the American College of...

HOW TO Work on Duplicate claim denial – CO 18

Denial reasons CO 18 – Duplicate claim/service Corrected claim should be filed with the 4th digit of the bill type ‘7’. How to Avoid Duplicate Claim Denials Check your remittance advice for previously posted claim Verify reason initial claim was denied Don’t...

CPT code 78451 and 78451 – SPECT guidelines

CPT code and Description 78451: Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study,...