Wiki Looking for the "final" answer

[Ksumansky]

ASC center who owns the C-arm. Can you bill for the 7.... (exp 74420) cpt code if the doctor mentions his finding throughout his operative report, or do you have to have a separate operative type report for his radiology findings?

I have been everywhere looking for a black and white answer....like everything in coding....all I can find is the gray area.

Thanks

 

[hmfarrell]

from the S&I guidelines:
"When a physician performs both the procedure and interpretation, a combination of procedure codes outside the 7000 series and imaging and interpretation codes are to be used."

so yes, I would say you need another code. Hope this helps!

 

[bethh05]

I recently had the same issue, I emailed Mr. Paul Cadorette from MD Strategies and this was his reply:

As long as you have a separately dictated report for the retrograde, you should additionally report. Per Addenda BB, Code 74420 has a Z2 status indicator meaning;

Z2
Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight.

Hope this helps!!