Our surgeons will sometimes use fluoro and, if appropriate and documented, we will bill it. It is almost always denied and we rarely appeal those denials.
BUT .. the more important issue for you is how can this surgeon think s/he can be reimbursed for something s/he doesn't even document as being done?
I do not think you are missing anything. Stick to your guns. If the surgeon feels s/he should be billing separately for fluoro, then s/he MUST document it.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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