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Thread: Physician reading of an MRI

  1. #1
    Join Date
    Apr 2007
    Montclair, NJ

    Question Physician reading of an MRI

    AAPC: Back to School
    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
    Last edited by cmedina; 01-21-2009 at 02:20 PM. Reason: new & additional info

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