I've been coding for an orthopedic practice for about 6 months. One of the providers occasionally documents use of flouroscopy intra-operatively with an open surgical procedure. He documents the length of time he operated the fluoroscopy independently. My co-worker says that we can't charge that, only the facility can. I don't see anything in guidelines that specifies whether I can charge it or not. I understand it wouldn't be charged with an arthroscopic procedure, as fluoro is inherent to that procedure. I'm just confused as to why I couldn't charge for it, as it lengthens the time of the procedure when the physician needs to use fluoro.