confusing question but I have searched and searched and cant find a thing!! We have an orthopedic physician that leases space out of town from a chiropractor. We travel to that office once a week. The chiropractor has an xray machine. The chiropractor does not bill Medicare for xrays because they are not covered by a chiropractor. We are wondering if our Orthopedic physician can bill the technical component to Medicare even though we do not own the equipment. Or......could the chiropractor bill Medicare the technical component and list our Ortho as the ordering and get it covered that way???? I would appreciate any feedback! Thank you!!!!
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Chiropractor xrays for Medicare!
- Thread starter lsimkins
- Start date
pammalou
Networker
I do not believe that DC can bill xrays at all, not the technical or professional component.
Yes, the ortho can bill the professional componant in this case, since the DC isn't billing anything.
If the DC is billing globally, say if the patient has Blue Cross that pays xrays, then the ortho won't bill anything.
If the DC is billing globally, say if the patient has Blue Cross that pays xrays, then the ortho won't bill anything.
ejlehman
Networker
Medicare will not pay for Xrays billed by a chiropractor but the Ortho can bill for the technical under Medicare Guidelines.
aaron.lucas
Expert
No, the ortho should not be billing -TC if he/she does not own the equipment, regardless of whether or not the chiro is billing. The chiro may be able to get paid for the technical if they provide documentation. Hope this helps!