tci Part B Insider - 2014 Issue 32

Reader Question: 76140 Payment Remains Tricky

Question:  We are receiving repeated denials for code 76140. How can we earn for the X-ray that our physician read? Answer: Medicare and some private payers assign “0” relative value units (RVUs) to 76140 (Consultation on X-ray examination made elsewhere, written report) and will not reimburse you for this service. If your commercial insurer allows payment for this service, ask for the coverage guidelines in writing before billing 76140 to avoid unnecessary denials. If you want to ensure payment, consider having a patient sign an advance beneficiary notice for Medicare (or similar waiver for private payers) letting...

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