tci E/M Coding Alert - 2022 Issue Q4

Reader Questions: Code In-House Services Inclusively

Question: Our group practice has a radiology department that performs several ultrasounds ordered by other group providers every week. The radiologists provide the interpretations for the ultrasounds. Later, the patients return, and the ordering provider reviews the test results with the patient. Can our practice report the ultrasounds if the ordering provider reports an evaluation and management (E/M) code? Arizona Subscriber Answer: Yes, if your practice performs and interprets the ultrasound, you may report the code for that service. Example: An established patient presents to their primary care physician (PCP) at your group practice complaining of abdominal pain. The...

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