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Diagnostic Radiology Reduced Services

  1. Default Diagnostic Radiology Reduced Services
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    My question relates to the S&I components of a radiology service, such as an ERCP. If a radiologist is not physically present when a surgeon performs an ERCP, it seems to me that the physician should be billing both the supervision and interpretation components as long as the surgical OP report addresses both components. If the hospital radiologist provides an overread of the ERCP after the procedure has already been completed, that would really be for quality or possibly hospital bylaw requirements. Please advise regarding how your facility may handle these situations and if you use modifier 52 in any instance. Any thoughts are appreciated!

  2. #2
    For the hospital setting where the RAD only reads images from the procedure.. I code the ERCP with "52" modifier. I also include a comment (Interpretation Only).
    -Hope that helps.

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