If a physician reviews an MRI report from a radiologist, does this qualify as an independent interpretation of a test for level of MDM?per AMA:
Unique: A unique test is defined by the CPT code set. When multiple results of the same unique test (eg, serial blood glucose values) are compared during an E/M service, count it as one unique test. Tests that have overlapping elements are not unique, even if they are identified with distinct CPT codes. For example, a CBC with differential would incorporate the set of hemoglobin, CBC without differential, and platelet count. A unique source is defined as a physician or qualified heath care professional in a distinct group or different specialty or subspecialty, or a unique entity. Review of all materials from any unique source counts as one element toward MDM.
No. They cannot just read a report that already has an interpretation. They would have to view the images and make their own separate interpretation report.If a physician reviews an MRI report from a radiologist, does this qualify as an independent interpretation of a test for level of MDM?
Unique test question: if a test for Flu A&B are ordered using CPT code 87804, they are reviewed in house, is this counted as two unique test or 1 unique test reviewed? I am not talking about billing but counting for data points.
You can count your order of the test (assuming your practice is not performing it). If your physician is also reviewing a test result that they did not order nor previously review, you may count that as well.What if our physician reviews test results ordered by a separate entity. Then orders the same type of test for comparison or progression? Can I count the review of the separate, and the order of the new test?