Per Cpt Assistant...
CPT code 76140 Consultation on x-ray examination made elsewhere, written report is intended to be used when, for example, Doctor "A" from Sunnydale Hospital sends a radiograph taken at Sunnydale Hospital to Doctor "B" at Goodhope Hospital. Doctor "A" asks Doctor "B" to offer his opinion on the radiograph. Doctor "B" writes a formal report on his interpretation of the radiograph and sends a copy of this report to Doctor "A."
This code is not intended to be used by physicians within the same institution to reread radiographs taken at that institution. Levels of Service (limited, intermediate, extended, comprehensive) include the "evaluation of appropriate diagnostic tests" which may necessitate the attending physician to personally review the radiographs taken on his patient.
I had some ortho physicians that wanted to use this CPT code; however, the physician can not use this code when the patient simply brings in the xray and the physician reviews/interprets the films. This service follows the same ideology as a consult service. Consult= 3 R's=Request opinion, render opinion, report opinion. If your providers are providing this service at the request of another provider and the criteria is met, you should be reimbursed. However, be prepared to appeal with documentation...and don't forget your modifier 26.
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