ED Coding and Reimbursement Alert

Reader Question:

Teaching Physician and Ultrasounds

Question: If a teaching physician writes, Seen and examined by me. Ultrasound by me ... , can he or she bill professionally for a component of the ultrasound or is this strictly a facility billing issue?

Cheryl Starner, CPC
Kansas City, Mo.

Answer: As long as the teaching physician provides a signed, written interpretation of the ultrasound, the professional component of the service is billable. Interpreted by me does not constitute an interpretation. The interpretation should list elements of the review and diagnosis. Modifier -26 (professional component) should be appended to indicate the physician is using the hospital equipment.

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