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Billing radiology with surgical procedures

  1. Default Billing radiology with surgical procedures
    Medical Coding Books
    I am wondering in what situations it is appropriate to bill a physicians radiology read that is performed during a surgical procedure.

  2. #2
    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. Default
    How about regular x-rays?

  4. #4
    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. Default
    Thank you for your help!

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