Results 1 to 5 of 5

E&M codes with Radiology codes

  1. Default E&M codes with Radiology codes
    Medical Coding Books
    I am receiving claims for Breast ultrasounds and MRI's for example with E&M codes attached. I was told that this is to cover the physicians work to find the lump or area being xrayed. At one coding seminar I had asked if this was appropriate. I was told this was an inclusive part of the radiology. Can anyone verify which way is appropriate?

  2. #2
    Look at this link and see if it helps!

  3. Default
    The physician has to exam the patient first which the E/M codes cover. Radiology codes for ultrasounds and MRI's do not include RVU's for the actually examiniation. The E/M code should be modified with a 25 modifier. A physician cannot come to the decision that a patient needs a MRI/Ultrasound, etc without first examining the patient, therefore they should be reimbursed for both. Good Luck!


  4. #4
    So they are not being referred to radiology with an order from a referring physician? The Dx given is from where they already had an E&M and a reason for the procedure. Even if our Rad Dr. sees the patient during the exam here and they order another procedure an E&M is not charged.

  5. #5
    Alexandria, LA
    I agree with Jackie. If this is in a radiology department or imaging center, the radiologist generally will not bill for an E & M service.

Similar Threads

  1. Coding E&M codes and procedure codes
    By kmiller2011 in forum E/M
    Replies: 1
    Last Post: 02-04-2014, 12:33 PM
  2. E codes for radiology
    By dfabela in forum Interventional Radiology
    Replies: 1
    Last Post: 11-10-2010, 02:08 PM
  3. E & M codes/procedure codes
    By mjones20 in forum ENT/Otolaryngology
    Replies: 7
    Last Post: 05-14-2009, 01:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.