In our office when a patient comes in for an xray, we do the xray and the doctor reads it. After our doctors have done and read the xray, we send them out for the radiologist to give a second reading. We have been billing the complete xray on the date of service then billing for the radiologist consult with a 26 modifier the next day. Carolina Care Plan is no longer wanting to pay this way. Does anyone out there have a contractual agreement with a radiologist to do second readings of the xrays performed in their offices? Are you getting paid for doing it that way? Has anyone used CPT 76140 for a similar situation?