I work for an orthopaedic group and we have a brand new x-ray machine. The PCP on the second floor of our building would like to refer his x-rays down to our office for my staff to take the x-ray, my physician to read the x-ray and dictate a report and then bill for the x-ray – even though they will never see or treat the patient themselves. Does anyone have any knowledge of how this would work or if it is even legal?
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Tag Archives: Xray
Needing Fluro/ Xray education
I bill for a ASC, and am needing more guidance regarding coding for fluroscopy and x-rays. Can someone direct me to an educational website or the guidelines that apply to ASCs? Thank you
Coding EKG RT bundle branch block & LT angle Xray
Claim denied for coding error: DX 426.4 is for a RIGHT Bundle
Branch Block. CPT on Line 3 is for CPT 73610 XRAY of ankle with LT meaning xray of left ankle which goes with DX 845.00-sprain of ankle. These are two separate
diagnosis. EM code 99285-25 also on claim.
Branch Block. CPT on Line 3 is for CPT 73610 XRAY of ankle with LT meaning xray of left ankle which goes with DX 845.00-sprain of ankle. These are two separate
diagnosis. EM code 99285-25 also on claim.
Should modifier 59 be added to 93005-EKG for RT bundle branch block (distinct procedural service)
X-Ray Question
Hello,
I work for an Orthopedic office we just started to code the x-rays, the mid-levels cannot read the x-rays so the doctors have to read it and dictate a separate x-ray report for me to code.
My understanding is that they have to dictate a diagnosis for that x-ray, also it is my understanding that I cannot use the diagnosis from the mid-levels report for the x-ray that the doctor dictated. I also understand that I can not use anything from the x-ray report to use as a diagnosis because the doctor has to interpret it and come up with a diagnosis.
Does the diagnosis on the mid-level report need to match the doctors diagnosis.
Can anyone let me know if my thinking is correct. We are trying to educate the physicians on the proper procedures.
Thank you,
LLR
Digital vs Plain Film X-ray (Adenoid & Sinus)
We were recently told that there is a reimbursement difference when billing for digital x-ray versus plain film x-ray. In particular we still perform lateral x-ray’s of the adenoids and occasionally sinus views on an older plain film machine and are needing to upgrade at this point. I do not see where there is a difference for CPT code regardless of plain film or digital. Can anyone elaborate on this specifically if there is a reimbursement difference? Thanks!
NP versus XRAY
So, I am new to an Orthopaedic Surgeons office and OMG is there a lot to learn!! Lets start with a basic, patient comes into the office on the 10th, never seen before and just gets an xray, then comes back on the 12th and sees the provider for the first time, new or not new patient? Keep in mind that xray will be billed under the same tax id as the provider, 2 days prior to the patient actually seeing the provider. Thank you in advance!
Xray coding
Can anyone give a general number of the average amounts of xray charges that can be expected to be coded daily? This would strictly be xrays (not MRI/CT or any other radiology scans).
Thank you!
X-Ray modifiers
Hello,
We are a family practice clinic with Digital X-ray equipment.
We also send the x-rays out for reading and we pay the fee to the radiologist.
How should we be coding the claim to get reimbursed for both the Technical Component and the Professional Component?
i.e.:
72100 X-RAY EXAM OF LOWER SPINE – Modifiers: TC, 76
72100 X-RAY EXAM OF LOWER SPINE – Modifiers: 26, 76
I appreciate the help in advance!
Rick
99211 for xray referral?
Our patient came in for an allergy shot.
While with our Medical Assistant, she told her that her foot was sore, which our MA then relayed to our MD.
Our MD then advised patient, through our MA, to go get an xray. The xray was performed elsewhere, but the results were given to us as a fracture.
The patient did not see the MD, but did see our Medical Assistant (MA)
Are we entitled to bill a 99211 for all of the above (plus the allergy shot)
thanks
While with our Medical Assistant, she told her that her foot was sore, which our MA then relayed to our MD.
Our MD then advised patient, through our MA, to go get an xray. The xray was performed elsewhere, but the results were given to us as a fracture.
The patient did not see the MD, but did see our Medical Assistant (MA)
Are we entitled to bill a 99211 for all of the above (plus the allergy shot)
thanks
Bilater hip X-ray question
I have a question for the bilateral hip x-ray codes. I have a visit where there were 3 views of the right hip taken, and 1 view of the left hip for comparison taken. How would this be coded? I have 2 different people saying 2 different ways.
Version one – 73502.RT and 73501.LT
Version two – 73522 (adding all the views together)
Any help would be appreciated!
Thanks,
Karla
:confused: