Results 1 to 7 of 7

Thread: 76140 Review of xrays performed elsewhere

  1. #1
    Join Date
    Apr 2007
    Location
    Cherry Hill
    Posts
    5

    Default 76140 Review of xrays performed elsewhere

    Promo: Code Books
    Is anyone using CPT 76140 - "Consultation on x-ray exam made elsewhere, written report" when an orthopaedic surgeon is reviewing the films brought in by a patient? If so, are you getting paid for it? I cannot find any literature on if this is an acceptable code for the surgeon or be used by a radiologist only. JS
    JS

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    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.

  3. #3
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,133

    Default

    Hey Rebecca... do you have a source for that... ". This service follows the same ideology as a consult service. Consult= 3 R's=Request opinion, render opinion, report opinion"? I would GREATLY appreciate it!! I have a provider that wants to charge xray consult every time he reviews an xray - NOT only that, but rather than even use the xray consult code - he wants us to us the xray code itself, with a .26 and .77 modifier appended to it! all he is doing is simply looking at an xray that was already done, and read by another. He isn't "reading it" that's been done already, he's basically looking at it himself and reading what the finders were..

    help!!
    thanks!
    Last edited by dmaec; 08-31-2009 at 01:06 PM.
    Donna, CPC, CPC-H

  4. #4
    Join Date
    Apr 2007
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338

    Default CPT ASST Oct 1997

    Using Code 76140

    76140Consultation on x-ray examination made elsewhere, written report

    You would use this code when a physician's opinion or advice regarding a specific film is requested by another physician and upon examination of the film, the consulting physician renders his or her consultation (ie, or his/her opinion or advice) to the requesting physician in the form of a written report.

    If a patient presents to an office for a new patient visit and brings to the physician his or her medical records, including x-rays, you should not report code 76140. Although the x-rays may have been taken elsewhere, the physician does not perform a consultation as intended by code 76140. Rather, the review or re-read of the x-rays would be considered part of the face-to-face E/M service provided to the patient. Again, the E/M codes include work done before, during, or after the E/M visit. Review of x-rays is part of the E/M service. Remember, 76140 represents a consultation, in which a physician only renders an opinion or gives advice regarding the film in the form of a written report. In general, when reporting 76140, the physician is not concurrently providing an E/M face-to-face service to the patient.


    © 2005 American Medical Association
    Mary, CPC, CANPC, COSC

  5. #5
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,133

    Default

    Thanks Mary ... I agree ...however, the other coder for this provider does not. so of course, I'm trying to find something concrete...that she can read that states the meaning, more specifically on the 76140 cpt code.
    I agree with you and Rebecca...and it seems clear to me,... but she disagrees.

    sheesh..us coders and our opinions and interpretations hey!

    thanks again!!
    Donna, CPC, CPC-H

  6. #6

    Default

    Can we use modifier 26 with this? Encoder is not showing 26 in the modifier list.

  7. #7
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    Donna,

    PM you...

Similar Threads

  1. Radiology Consult - 76140
    By scorrado in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-14-2012, 07:04 AM
  2. 76140 question
    By karen57 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-18-2011, 01:10 PM
  3. 76140
    By Rgdeming in forum Interventional Radiology
    Replies: 3
    Last Post: 06-03-2011, 09:15 AM
  4. Need Help on 76140
    By bhong in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-20-2010, 12:53 PM
  5. 85025, 76140
    By adlitam in forum Internal Medicine
    Replies: 0
    Last Post: 02-20-2010, 05:28 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.