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Thread: Billing radiology with surgical procedures

  1. #1

    Default Billing radiology with surgical procedures

    AAPC: Back to School
    I am wondering in what situations it is appropriate to bill a physicians radiology read that is performed during a surgical procedure.

  2. #2
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    My orthopedic surgeon often uses the "C-arm" during surgery for verification of screw/pin placements, etc. He reports the radiology code with modifier 26, since he is performing only the professional component. The hospital reports the radiology code with modifier TC, since they own the equipment.

    Bill Hale, CPC

  3. #3


    How about regular x-rays?

  4. #4
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    Since your question said, "during a surgical procedure", I responded with an example that I have first hand experience with. As far as x-rays which are performed in the hospital setting, I'm pretty sure the professional component is going to be reported by the radiologist. If your doc is just reviewing the films, this may be included in the initial service he/she is performing.

  5. #5


    Thank you for your help!

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