Wiki X-ray billing/coding help

[Trueladi33]

If Clinic A examines a patient and orders a X-ray but the X-ray machine is down and the patient is sent to Clinic B. Clinic B performs the X-ray, which clinic can bill for the X-ray? It is my understanding that Clinic A can bill for the EM only and Clinic B can bill for the X-ray and possible nurses visit. Any advice, suggestions or cheat sheets will be much appreciated.

 

[thomas7331]

Each clinic will bill for the work that was done in their own clinic unless there is a reciprocal billing arrangement in place or one clinic is purchasing the services from the other.

A nurse visit would not be justified if the patient was only sent to the second clinic for an x-ray. Here's a good reference tool on the requirements for billing a nurse visit: Procedure Code 99211 Job Aid

 

[Trueladi33]

Each clinic will bill for the work that was done in their own clinic unless there is a reciprocal billing arrangement in place or one clinic is purchasing the services from the other.

A nurse visit would not be justified if the patient was only sent to the second clinic for an x-ray. Here's a good reference tool on the requirements for billing a nurse visit: Procedure Code 99211 Job Aid

Thank you