tci ED Coding & Reimbursement Alert - 2004 Issue 7
Reader Question: Coding Interpretation of X-Rays
Question: How should I report a scenario in which the physician did not take x-rays but interpreted them? Missouri SubscriberAnswer: Report the same codes you would if the physician had taken the x-rays himself, but make sure you append modifier -26 (Professional component) to the code for the x-ray. For example, if the emergency physician interprets two views of a patient's wrist, but someone else performed the x-ray, you should report code 73100 (Radiologic examination, wrist; two views) with modifier -26 attached. The modifier tells the payer that you are billing for the interpretation of the x-ray but not...
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