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Wiki Physician reading of an MRI

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cmedina

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To all who can answer this question:

Our ortho ordered an MRI... the interpretation & MRI films are received... the physician would like to append the -26 modifier to the MRI code for reading the MRI.. is this acceptable after we receieved the interpretation? I am confused because I am getting different answers from everyone, 2 of the 3 claims that were billed were paid (Medicare & NJBS). Any advice would be greatly appreciated.

Also, I just spoke with NJ Medicare & they informed me that a second reading is payable with the -26 modifier & a repeat modifier. I asked the question in every possible way, and they informed me that the payment was correct. Can anyone give me some feedback on this scenario.

Thank You
 
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