BC Advantage - 2022 Issue 2

Coding for a Performance of an X-ray Service vs Counting the Work as a Part of MDM

When x-rays are audited on the same date as an E/M encounter, we have one of three decisions to make about the work that went into the radiological exam when the practice owns x-ray equipment and does their own interpretations internally. First, we must determine whether the x-ray was completed on that date and personally interpreted by the rendering provider, supporting a separately billable x-ray service. Second, we must review documentation to be able to tell whether the provider reviewed an external x-ray report of another provider to be counted toward an element of Medical Decision Making (MDM). Third...

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