The CPT code for a Lasix renal scan is 78260. This code encompasses the entire procedure, from the initial administration of Lasix (furosemide) to the acquisition and interpretation of the images. Remember to accurately document the procedure in your medical records to support billing practices.
Accurate coding requires careful consideration of the specific services rendered. If additional procedures are performed in conjunction with the Lasix renal scan, you’ll need to report separate CPT codes for each. For example, if a diuretic renogram is also performed, you may need to use code 78261. This ensures appropriate reimbursement.
Modifiers may be necessary depending on the circumstances of the scan. Consult your payer’s specific guidelines and coding policies to determine the appropriate modifier(s). For instance, modifier 26 might be necessary to indicate that only the professional component of the service is billed.
Staying current with CPT code updates is vital for accurate billing. Regularly review the official CPT codebook or subscribe to a reputable coding resource to ensure you’re using the most current and accurate codes. Failure to do so can lead to claim denials.
Always verify your specific payer’s policies. Reimbursement rates and coding requirements can vary between insurance companies. Contacting your payer’s billing department directly can help clarify any uncertainties.
Maintaining meticulous documentation significantly reduces the risk of claim denials. Detailed notes should include the type of equipment used, the amount of Lasix administered, the timing of images, and the interpretation of the results. This supports your billing and ensures proper medical record-keeping.
