Wiki Myocardial Perfusion Studies (78451/2)

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Tvuong

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We have a clinical that owns their own nuclear imaging equipment and perform the studies in the office. Only certain providers are certified to read these studies. They are billing with 78452,TC to the ordering provider and 78452,26 to the interpreting provider.

The place of service they are billing with is 11.

Should this code be split in that manner or should the interpreting provider get the global code?
 
Since the office owns the equipment and the provider who reads the study is also in that office, the technical and professional components are inherent of each other, so it should be billed out as a global service. It's sort of a "double-dipping" situation when the TC is billed separately since the clinic owns the equipment.

If this was an outpatient hospital setting, the split between the TC and 26 could be made.
 
I have a follow up question...

Would you bill the nuclear isotope to the provider who was there for the study or the one that did the interpretation?
 
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