tci ED Coding & Reimbursement Alert - 2005 Issue 12

READER QUESTIONS: Don't Slight Your X-Ray Reimbursement

Question: Can we bill for concurrent radiology interpretations? Illinois Subscriber Answer: If you-re billing Medicare, and the emergency department physician has provided the service contemporaneously with the patient's care (and documented accordingly), you can bill for radiological interpretations. The key: Make sure the ED physician provided a complete, separately identifiable written interpretation, and didn't just receive previously interpreted results from the radiologist. If the ED physician performed the work first and the radiologist over-read it after the patient left the ED, you should bill for the interpretation. If the radiologist interpreted the image and sent a report to your...

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