tci Medicare Compliance & Reimbursement - 2010 Issue 12

Reader Question: Examine X-Ray and Fluoro on Same Date

Question: When, on the same date, the radiologist places a central venous access device using fluoroscopy and then several hours later interprets a chest X-ray for the same patient because of breathing issues, may I report both the fluoro and the X-ray?Answer: Yes, you may report a chest X-ray performed later in the day in addition to fluoroscopy performed for a distinct reason earlier in the day.Example: For the device placement service, you report the fluoro (+77001, Fluoroscopic guidance for central venous access device placement, replacement [catheter only or complete], or removal [includes fluoroscopic guidance for vascular...

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