I have been trained the very same way. If the physician bills for the global component of a radiology exam, the physician does not receive credit for independent visualization since he's already receiving reimbursement for the professional component. However, the physician should receive credit for ordering. As for official documenation, I don't know that you'll find it in "black & white", unless your carrier issues a statement on this. I wrote to our local Medicare medical director and his response did, somewhat, support the above. He did leave a margin of flexibility for those cases that were out of the norm in the event an appeal needed to take place based on medical necessity. There wasn't any eleboration on what that "out of norm" situation would be.
I have also attended a few E/M auditing workshops conducted by the AAPC and this was also their interpretation. The last workshop I attended was 10-2009 and this was a heavily discussed topic. I find that this area is a topic of debate from coder to coder and I recommend contacting your carrier for their guidance.
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