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Modifier 26 Question

  1. #1
    St. Louis, Missouri
    Default Modifier 26 Question
    Medical Coding Books
    My physician did a port placement under fluoroscopic guidance. He dictated his operative report and mentions in the body of his report that fluoroscopic guidence was used. He states that "the guidewire was advanced under fluoroscopic control. Fluoroscopy was used and the dilator and peel-away sheath were advanced." My physician wants to bill for the professional component of the fluorosopic guidence. My questions mentioning fluoroscopic guidence in the body of the operative report enough documentation or does he have to do a seperate report for the fluoroscopic guidence in order to bill for the professional component?

    Melissa Blow, CPC

  2. Smile
    My understanding it that you can bill the fluoro with -26 modifier no separate report is necessary

    it is just indicating that this is the portion of the fluoroscopy that the physician actually performed/read in order to ensure accuracy during the surgical case.

    If you use a code where the descriptor states "radiological supervision and interpretation", then a formal report is required.

    Hope this helps

    caprice, cpc

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