• 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..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

medicare rules for x-ray notes

jpenland1

Networker
Messages
44
Location
Asheville-Hendersonville
Best answers
0
Has anyone heard the new medicare rules for x-ray notes? My understanding of this is, If an office sends patients out for x-rays, labs, ect...then our doc would do a separate report from that. but we do all of our x-rays in the office, the doc sees them after the x-ray, and a note is dictated along with the regular office note. I guess my question is..do we still have to have totally separate dictation from the office notes for x-rays if they are done in house?
Any help is appreciated!!
Jen P
 

emeskina

Networker
Messages
30
Location
Kansas City MO
Best answers
0
To bill for the professional components for radiological services there must be a separately dicated report and either hard copies of films or reproducible images in the patients medical records. CMS prefers the interpretation be dictated as completely separate report, but will also accept an interpretation on the same note as the E/M as long as it is carved out under a separate heading.
 

MarciaH

Guest
Messages
65
Location
Flint, Michigan
Best answers
0
I found this interesting as I work in a Podiatrist office and we do our own xrays too. The doctors dictate the findings of the xray in with the dictation of the E/M visit.

My question is: an xray is done to rule out a fracture and a fracture is found. Do I code the xray for pain as the reason or do I code it as a fracture since a fracture was found after the xray was done? I know if no fracture is found, I code pain as reason for xray. Any help would be appreciated!
Marcia
 
Top