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Wiki Disco coding

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tcraig

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Andrews, TX
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I code for an ASC. We do the injection portion of a disco or CPT code 62290/62291. I was recently audited and was told by the auditor that in addition to these codes I should be billing a 72285/72295. Since I A) do not employ a radiologist and B) do not have a CT machine, I totally disagree. The definition for these codes are the radiologist interpretation of the CT post disco. She is telling me that the AMA says, blah blah blah. I need proof that she is wrong, or I am wrong. Can someone please help.
 
if you are coding for the facility you should be utilizing those codes with the TC modifier. The radiologist will use the 26 modifier for his portion.
 
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