Information on ICD-10 billing code requirements for medical imaging is now available on our websites along with other helpful resources for referring physician practices.
Ed Swager, CEO of Radiologic Associates of Fredericksburg (RAF), noted that the grace period for specificity rules for the new ICD-10 codes expired in October and the Centers for Medicare and Medicaid Services are enforcing the codes for processing claims. One requirement is specifying the laterality of a procedure, for example, which side of the body is being imaged. More importantly, use of unspecified codes and absence of complete specificity will result in claims being denied.
The physicians’ sections of the RAF, Virginia Interventional & Vascular Associates, and Medical Imaging websites also have additional resources. Topics include reviewing images remotely, radiation safety management, pre-medication protocols for IV contrast, scheduling exams/consultations, and insurance plans.
Referring physician’s offices with questions can also call the RAF Physician Concierge at 1-855-RAF-LINE.