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MRI - Professional Component?

  1. #11
    Default 76140
    Medical Coding Books
    Quote Originally Posted by rebeccawoodward View Post

    Out of curosity...are you speaking about CPT code 76140? I have a provider that bills for this but rarely paid. I'm wondering if anyone receives payment for this.

    76140=Consultation on X-ray Examination Made Elsewhere

    CPT code 76140 Consultation on x-ray examination made elsewhere, written report is intended to be used when, for example, Doctor "A" from Sunnydale Hospital sends a radiograph taken at Sunnydale Hospital to Doctor "B" at Goodhope Hospital. Doctor "A" asks Doctor "B" to offer his opinion on the radiograph. Doctor "B" writes a formal report on his interpretation of the radiograph and sends a copy of this report to Doctor "A."

    This code is not intended to be used by physicians within the same institution to reread radiographs taken at that institution. Levels of Service (limited, intermediate, extended, comprehensive) include the "evaluation of appropriate diagnostic tests" which may necessitate the attending physician to personally review the radiographs taken on his patient.
    no, this was for any radiology that the physician did an interpretation on, as long as they had their own interpretive report in the chart/medical record. It doesn't happen often, but we were under the impression we could charge for it with the Dr's own interpretation. I will research this further now since everyone is of the same thoughts and it shouldn't be billed. Thanks for everyone's input. I truly love having this forum available!!!

  2. #12
    Columbia, MO
    Your interpretation of that code is correct and yes I have had it paid for with documentation showing why a second opinion was necessary for correct interpretation and does require an "invitation" from the original radiologist to state why they want the consultation. Medicare really does not like that code, but it can get paid if you have the fortitude and documentation to stick with it.
    I was thinking Bill and the others were referring to the use of the 26 modifier after a radiologist has already provided and interpretation report.

  3. #13
    North Carolina
    Thanks for the input Anna and Michelle. Medicare is the one carrier that fights tooth and nail on this code. Time to "roll up the sleeves".......
    Rebecca CPC, CPMA, CEMC

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