Changelog

The autocoder now codes interventional radiology (IR) reports. Before this release, an IR report was returned with an "IR not supported" hold. Now the report is coded, and a set of IR-specific review alerts protects the result.

What you will see on IR claims:

• IR procedures (vascular access, drainage, embolization, and similar image-guided interventions) are coded automatically from the report.
• New review alerts can appear on IR claims:
  • An add-on code billed without an acceptable primary code. The alert names the primary codes CMS accepts.
  • PICC placement billed together with bundled imaging.
  • A conflict between selective and non-selective catheterization codes.
  • Ultrasound guidance billed without the required documentation.
  • Moderate sedation billed without the required documentation.
• Diagnostic radiology reports that contain out-of-range codes still receive the existing "not supported" hold.

Also fixed in this release:

• Radiology claims no longer carry code 99100 for patients under 1 or over 70. That code is an anesthesia add-on and never belonged on a radiology claim. If you see 99100 disappear from radiology claims, that is correct.

What to look out for: the volume of auto-coded radiology work goes up, and the new IR alert names will appear in your review queues. Your team can ask your Hank representative to turn the IR lane off for your organization if you want to opt out.