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Radiology Coding 101

Radiology Coding 101. Jennifer Bash, RHIA, CIRCC, RCC, CPC Director of Coding Education. OBJECTIVES. Radiology Basics Anatomy & Terminology Radiology Report Modality Basics General Coding Basics Q&A. BASICS OF RADIOLOGY. What is Radiology? The Radiologist’s Role Interpretation

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Radiology Coding 101

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  1. Radiology Coding 101

  2. Jennifer Bash, RHIA, CIRCC, RCC, CPCDirector of Coding Education

  3. OBJECTIVES • Radiology Basics • Anatomy & Terminology • Radiology Report • Modality Basics • General Coding Basics • Q&A

  4. BASICS OF RADIOLOGY • What is Radiology? • The Radiologist’s Role • Interpretation • Professional/Technical/Global Billing

  5. ANATOMY & TERMINOLOGY • Angiography • Anterior • Appendicular • Cranial • Diagnostic • Distal • Lateral • Oblique • Posterior • Proximal • Therapeutic • Visceral

  6. ACRONYMS • DX • CMS • CNS • CT • E&M • ICD-10 • IR • LCD • MAC • MIPS • MRI • NCCI • NM • QPP • RS&I • US • VIR

  7. THE RADIOLOGY REPORT • Clinical History • Report Title/Header • Technique • Findings • Impression

  8. MODALITIES IN RADIOLOGY • Diagnostic X-Ray • Breast Imaging • Ultrasound • CT • MRI • Nuclear Medicine • Interventional Radiology

  9. DIAGNOSTIC X-RAY • Common Terms • Directional • Special views • Views vs. Images vs. Films • Must document number of views • “Complete”, “Series”, “Protocol”

  10. BREAST IMAGING • Mammography • Tomosynthesis • Breast Ultrasound • Breast MRI • CAD • Laterality

  11. ULTRASOUND • Common Terms • Limited vs. Complete • Nonvisualization • Duplex

  12. CT • Common Terms • CT • CTA • Contrast • 3D Reconstruction

  13. MRI • Common Terms • MRI • MRA • Contrast

  14. NUCLEAR MEDICINE • Common Terms • Types of Studies • PET • Radiopharmaceuticals • Pharmacologic Intervention

  15. INTERVENTIONAL RADIOLOGY • Common Terms • Non-Vascular • Vascular • Diagnostic vs. Therapeutic

  16. CPT CODING BASICS • CPT Book Tips • Category I, II, & III CPT codes • Unlisted Codes

  17. ICD-10 CODING BASICS • Highest Specificity • Signs and Symptoms • Incidental Findings

  18. CODING RESOURCES • Authoritative Guidance • Societies • When to Use Caution

  19. THE IMPACT OF CODING • Compliance • Reimbursement • Communication

  20. jennifer.bash@radadvocate.com

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