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Billing professional component of x-ray

  1. Default Billing professional component of x-ray
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    This has to be one of the most basic radiology coding questions, but if a physician sends a patient from the office to the hospital (outpatient) for an x-ray and then back to the office where the doctor interprets the film, how is the professional component billed with regard to place of service? Of course, the CPT would need the 26 modifier. Additionally, if the doctor did not actually look at the film until a later date, what would be the date of service?

  2. #2
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    The place of service for the modifier 26 would be the physician office as this is where the service was performed. In addition, the date of service would be the date that the physician "read" and documented the I&R.
    Chelle Johnson, CPC CPMA CDEO CEMC CPCO CPPM AAPC Fellow
    Billing/Coding/Credentialing/Auditing Coordinator

    20+ years experience in Medical Billing and Auditing

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