Results 1 to 4 of 4

Interpretation Of An X-ray

  1. Default Interpretation Of An X-ray
    Medical Coding Books
    Hello Out there,

    I am currently coding for a neurosurgeon who disagrees with me on the coding for the following scenario relating to his interpretation of MRI and CT's. He feels that if he is called to the ER to evaluate a pt and has to interprate an MRI or CT scan in order to make a decision on how to proceed he is intiltled to bill the appriate 70,000 series code with a -26 modifier attached. I disagree b/c the professional component consists of both interpretation and supervision. I feel his interpretation of the films is part of his medical decision making. Any thoughts out there for me?


    Last edited by TGIMPEL; 03-31-2008 at 11:57 AM.

  2. #2
    Default question
    Hello I hope I can help. I code for radiology but not for a hospital. Does your doctor dictate a report? If he does then I do think he should bill for the professional component. The supervision and interpretation is stated in certain radiology codes but not most. I don't believe this is stated in the MRI and CT codes and it's not stated with 26 modifier. Your doctor does need a report to back up his interpretation. Good luck!!!

  3. #3
    Louisville, KY
    His "interpretation" is part of the E/M service. Attempting to code a 70,000 series code in addition is double dipping and we know what that means.

  4. #4
    Springfield, MO
    I work for hospital-based radiologists. Usually at the hospital, there is a board-certified radiologist on staff who is contracted to read all radiology exams. In this case, you would not be able to bill for the reading of the exam as the ER physician would simply be doing an 'over-read'.. Hope this helps...

Similar Threads

  1. 93306 Interpretation
    By in forum Cardiology
    Replies: 1
    Last Post: 11-07-2013, 07:30 AM
  2. x-ray interpretation in the OR
    By fhysong in forum Orthopaedics
    Replies: 1
    Last Post: 03-12-2013, 03:16 PM
  3. Your interpretation
    By twizzle in forum Diagnosis Coding
    Replies: 6
    Last Post: 10-11-2012, 09:06 AM
  4. Billing for interpretation
    By camilla38 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-09-2012, 09:01 AM
  5. Interpretation
    By lynn929 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-08-2009, 09:40 AM

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?


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.