Radiology Coding Alert

READER QUESTIONS:

Ask OR About Fluoro Charges

Question: I code for a hospital radiology department (not a physician). If we send personnel and equipment to the operating room to provide fluoro during surgery, can I code for this, or does the OR get the credit when it charges for time?


Washington Subscriber


Answer: You need to ask yourself two questions before you charge for this fluoro:

1. Is the fluoro bundled into the procedure?

Payers often bundle fluoro into procedures and instruct you not to unbundle it.

2. When fluoro isn't bundled, is the OR charging for it?

The surgeon may perform a procedure with a recognized imaging component (such as fluoroscopic guidance for a central catheter, +77001, or endoscopic retrograde cholangiopancreatography supervision and interpretation, 74328-74330). In those cases, you may charge for the imaging as long as the OR doesn't charge for it, too.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Radiology Coding Alert

View All