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?
Click here for more sample CPC practice exam questions with Full Rationale Answers
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Tag Archives: xrays
Medicare XRays for Nurse Practitioners
Apparently there were a lot of denials around 2013-2014 for not split billing the xrays for NPs.
From what I have read, NPs are not allowed to supervise the technical component and therefore cannot bill the technical component. How do you code the xrays for NPs?
If you split bill them between the NP for the professional component and the MD for the technical component, does it require a separate read or a signature on the NPs dictation for the supervising physician? I am just recently learning about this guideline and being told that they should be billed separately but there are no denials involved for anyone to have known this was an issue?
From what I have read, NPs are not allowed to supervise the technical component and therefore cannot bill the technical component. How do you code the xrays for NPs?
If you split bill them between the NP for the professional component and the MD for the technical component, does it require a separate read or a signature on the NPs dictation for the supervising physician? I am just recently learning about this guideline and being told that they should be billed separately but there are no denials involved for anyone to have known this was an issue?
Can anyone help?
Billing Professional services for X-Rays Outside reads
Hello,
I was asked can a Hospital Bill the Professional component for the x-ray if the radiologist is charging the Hospital for reading and not billing the insurance?
Thank you,
Denials for knee x-rays with bone length study???
:confused:Has anyone else been getting denials on x-rays done with the bone length stating services not payable with other service rendered on the same date? Our providers do pre and post operative xrays and bone length studies and recently we have started getting denials on the xray when billed with bone length study. Please help:confused:
X-Rays
Hello,
Can anyone help me on coding x-rays during a global period. Should they be coded as follows: Ex: TKA and on fu they did an x-ray to make sure everything is okay.
Z98.890
73560 – LT – 58
99024
Or is this part of the Global Package does it get a modifier 58 or not.
I just started coding x-rays and I am not sure.
Any help is appreciated.
Thank you,
LLR
coding xrays in a global period
Hello,
Can anyone tell me how to code for an xray in a global period. We just started coding xrays in an Ortho office.
Do I code:
Z98.890
73030 – RT – 58
99024
Any Help is Appreciated.
Thank you,
LLR
chest/ rib xrays
I am a little confused when it comes to the chest rib xray codes.
We have been billing 71100 – rib unilateral 2 views & 71046 – 2 views of the chest.
We have been receiving denials stating we should use 71101 – ribs unilateral 2 views with pa chest minimum of 3 views.
I thought 71101 was for only if we did 2 views of the rib and 1 view of the chest.
Is this correct and we should be using cpt code 71101 or did we list 71100 and 71046 with the 59 modifier on the chest xrays?
Thanks,
Jo
Help Needed! Coding off EKG & X-Rays
I have read where coders aren’t allowed to code off the EKG or x-ray report and we can only code the diagnosis after it’s been read by the treating physician.
Example: Dr. A, who is a Cardiologist, reads an EKG in the ER. He states in his report, the patient has an AV paced rhythm with a prolonged AV conduction. Dr. B, who is an ER physician, reads the EKG and notes that the patient has a left bundle branch block.
Do I code from Dr. A’s notes or Dr. B’s? Does anyone have any links or information pertaining to this subject?
Thank you so much in advance for your help!
Nurse practitioner and X-rays
I’m a new biller, working at a new urgent care clinic. We have 2 nurse practitioners who have been administering and reading x-rays. Our doctors who are supervising (but not actually in the building), our NPs, and our office manager all believe that the NPs are able to read the x-rays. However, insurance is denying payment, stating the x-ray codes are beyond the provider’s scope of practice. Any advice on a solution? Eventually, we will have a contract signed with an outside company who will be reading the x-rays. In this case, do we bill the x-ray code with TC modifier? (And the other company uses -26? or vice-versa?) What about a way to get our current x-rays paid for? Please provide quotes or links I can use for reference, if possible, so I can pass on the info. Thanks!
Help! Nurse practioners and xrays incident to?
FOR MEDICARE ONLY….WHAT MODIFIER TO WE PUT ON XRAYS DONE IN THE OFFICE WHEN BILLING UNDER A NURSE PRACTIONER, NOT INCIDENT TO? 26 OR TC?? WE HAVE BEEN PUTTING TC ON THE XRAYS WHEN BILLING OUR NURSE PRACTIONERS AS THEMSELVES BUT FOUND SOMETHING THAT SAID IT SHOULD BE 26? I THOUGHT THAT WAS ONLY FOR IF THE DOCTOR READ IT…..NOW WE ARE NOT SURE. JUST WANT TO GET IT CORRECT. PLEASE ADVISE WITH ARTICLES IF YOU CAN. :confused: