Ask Dr. Z

Please help us with this one. The Order is for a CTA CHEST W/IV CONTRAST W/DYNAMIC AIRWAYS with 71275 only attached. We are asking whether we should also be billing 71260.

TECHNIQUE: Ct Angiography of chest done using ECG-triggered dual source, high pitch Cardiac FLASH technique. IV Contrast given. Delayed images not obtained....Dynamic airway CT was performed using cine CT Technique. A 4 cm field of view was placed over area of interest, and CT was done over 1 to 2 respiratory cycles. Low dose technique was utilized. Images were reconstructed in axial, coronal, & sagittal planes. 3-D images were generated on independent workstation for better demonstration of c-v & airway structures.

IMPRESSION: Aorta anatomy as above (described in report). Artery of Adamkiewicz not clearly identified. No evidence of tracheobronchomalacia during dynamic evaluation.

Is the Dynamic evaluation part of the CTA, as 3D is employed?

71275 & 71260-59 or just 71275??

We would really like to settle this discussion.