文档记录、编码和计费：腹部放射科医生需要了解的内容。

Documentation, coding, and billing: what abdominal radiologists need to know.

机构信息

Department of Radiology, NYU School of Medicine, Center for Biomedical Imaging, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY, 10016, USA.

Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

出版信息

Abdom Radiol (NY). 2018 Mar;43(3):734-741. doi: 10.1007/s00261-017-1235-z.

DOI:10.1007/s00261-017-1235-z

PMID:28664361

Abstract

This article reviews basic concepts of report documentation for abdominal imaging examinations, focusing on practical elements for ensuring appropriate physician reimbursement. Nuances of abdominal radiography, CT, MRI, and ultrasonography codes are highlighted. Special considerations for the coding of 3D-rendering and contrast administration are also described. Greater abdominal radiologist awareness of these codes and their reporting requirements can help ensure proper documentation within radiology reports, thereby optimizing legitimate reimbursement.

摘要

本文回顾了腹部影像学检查报告文件的基本概念，重点介绍了确保医生获得适当报酬的实用要素。本文还强调了腹部放射摄影、CT、MRI 和超声检查代码的细微差别。此外，本文还描述了 3D 渲染和造影剂给药编码的特殊考虑因素。提高腹部放射科医生对这些代码及其报告要求的认识，有助于确保放射科报告中的文件记录正确无误，从而优化合理的报销。