tci Outpatient Facility Coding Alert - 2013 Issue 3

Reader Question: Always Have a Written Order for 76376

Question: Does the ordering doctor need to request the use of 3D reconstruction codes? We’re in our own center (not a hospital). Colorado Subscriber Answer:  Many payers explicitly instruct that the referring provider must request 3D reconstruction. Additionally, the ACR Radiology Coding Source (Nov./Dec. 2005) “strongly encourages radiology practices to obtain an order from the referring physician in the nonhospital setting. In the hospital setting, radiologists may generate their own order, but they are strongly encouraged to justify medical necessity for the use of 3D rendering in a separate dictation.” To ensure compliance with payer...

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