tci Outpatient Facility Coding Alert - 2015 Issue 10

Reader Question: Your Office Visit Includes MRI Review

Question: A patient brought in an MRI for the doctor to review. What do we bill along with the 99213?  Should we use a modifier? Ohio Subscriber Answer: In this case, the MRI review will be counted in the MDM (medical decision making) of the office visit, i.e., 99213 (Office or other outpatient visit for the evaluation and management of an established patient …). It will not be billed separately. ...

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