Wiki Radiological supervision and interpretation billed with surgical angiography codes on a facility claim

[bstephen]

Hello,
I am having trouble determining if it's appropriate to bill surgical procedure codes (example 36245) along with the corresponding Radiology S&I code for the same procedure on a facility claim. The interventionalist who performed the procedure is not the same as the person interpreting the images.. Example codes on one procedure: 36245, 36246, 36247 and 75716, 75736, 75774. Encoder is not identifying CCI edits for the S&I and procedure codes

 

[whatwouldyousay]

I have never seen intraoperative angiography interpreted by a radiologist who was not also performing the intervention.

 

[bstephen]

This is a neuro interventionalist performing the procedure, radiologist interpreted. Are the allowances for the surgical procedure code and S&I code based on whether it was the same or different procedure? I'm not really seeing that guidance anywhere?

 

[Jim Pawloski]

The Interventionalist is usually an Interventional Radiologist or a Neuro-Interventional Radiologist. They would almost never allow someone else to use their lab. Can you post a report, HIPPA approved?