tci ED Coding & Reimbursement Alert - 2005 Issue 4

Reader Questions: Check Carrier for X-Ray Rules

Question: Our ED physicians do a lot of their own  x-ray interpretations. If they interpret a chest x-ray and an EKG, we charge for the interpretation with modifier    -26 (Professional component). Usually, we only charge for one interpretation and include the other in the E/M work. Is it possible to charge for both and still use the points toward E/M?Connecticut Subscriber Answer: Technically, the ordering of an x-ray or electrocardiogram (EKG), interpreting the study results, and applying those results to the patient's clinical condition all require separate cognitive work by the physician. In fact, many radiologists...

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