The first thing I'd recommend is printing off and becoming familiar with the Practice Standards as stated on www.acr.org (American College of Radiology).
Even if your physician is not a Radiologist, he/she will be held to many of the documentation, report, etc standards mentioned in those documents.
As for the diagnoses used for Radiology services, that depends mostly on the formal order for the service. I doubt that will be much of a case if the docs are doing them "in-house". Basically, the diagnoses are coded as follows (this is consistent with ICD OP Reporting Guidelines and CMS requirements/recommendations):
1.) Any finding on the Radiology report would be reported for the radiology service--this may or may not include incidental findings on those reports (which would be reported secondarily).
2.) If the X-ray is normal, then the stated reason for the exam/indication/history code would be reported; this is frequently a symptom (e.g., pain, etc).
3.) If there is a normal impression, no history, no indication, and so on, I'd use the diagnoses associated with the office visit of the ordering physician--in this case, they'd theoretically be one and the same provider.
If I were you, I'd also clearly establish whether or not the provider planned to have a Radiologist render a formal report on these films. If the physician (him/herself) is providing interp., then you're billing a global.
Well, hope this at least gives you a strong start. If you need any further recommendations for resources, just let me know.
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