Billing radiology with surgical procedures

nadened

New
Messages
5
Best answers
0
I am wondering in what situations it is appropriate to bill a physicians radiology read that is performed during a surgical procedure.
 

halebill

Guest
Messages
145
Location
Capital Coders, Columbia, SC
Best answers
0
My orthopedic surgeon often uses the "C-arm" during surgery for verification of screw/pin placements, etc. He reports the radiology code with modifier 26, since he is performing only the professional component. The hospital reports the radiology code with modifier TC, since they own the equipment.


Bill Hale, CPC
 

halebill

Guest
Messages
145
Location
Capital Coders, Columbia, SC
Best answers
0
Since your question said, "during a surgical procedure", I responded with an example that I have first hand experience with. As far as x-rays which are performed in the hospital setting, I'm pretty sure the professional component is going to be reported by the radiologist. If your doc is just reviewing the films, this may be included in the initial service he/she is performing.
 
Top