Results 1 to 2 of 2

Global xray billing and MDM credit for viewing film

  1. Default Global xray billing and MDM credit for viewing film
    Medical Coding Books
    Our group has Xray on site and we bill global. In addition to this my MD's (Orthopaedic surgeons) are insistent on getting credit in the EM MDM for ordering Xray (1pt) as well as independently viewing the Xray (2 pts) when the patient has an Xray done on site and on the same visit. My opinion this is double dipping...their position being that the Xray is a seperate and independent service that has nothing to do with the thought process that goes into the decision to order the xray (I agree with that and happily give 1 pt for that) or the independent viewing/use of the film in their MDM to base their treatment on. That in providing the xray service and billing global in itself addresses only the facility cost (Tech component) and the individual MD's liability for the read (professional component)

    Can anyone out there direct me to a source that addresses and gives guidance on this specific issue? I have searched CMS, AAOS and AMA.

    Obviously there are alot of opinions out there, but I need a reputable source that I can quote to help my argument. I am really struggling with this and want to do the right thing...

  2. #2
    From my understanding "getting credit" for any MDM would be considered an E&M service, and not applicable in the global period. I run into this with my surgeons, and what I've been able to get them to understand, that with owning the x-ray equipment we are being paid for the technical component and the read of the xray, (there's nothing else we can bill for). (just in case it didn't save from the title.

Similar Threads

  1. Oncology E&M MDM Credit for Cigarette abuse?
    By mbuckner in forum Hematology/Oncology
    Replies: 4
    Last Post: 03-19-2014, 09:12 AM
  2. e/m mdm credit for cigarette abuse?
    By mbuckner in forum E/M
    Replies: 0
    Last Post: 03-19-2014, 06:47 AM
  3. MDM Points for Viewing Images
    By suemt in forum E/M
    Replies: 1
    Last Post: 02-09-2014, 10:35 PM
  4. Credit in MDM
    By MMadrigal in forum Auditing General Discussion
    Replies: 3
    Last Post: 01-14-2012, 10:02 AM
  5. MDM Credit for EKG
    By mbarker in forum E/M
    Replies: 2
    Last Post: 10-11-2011, 07:47 AM

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.