Hello Out there,
I am currently coding for a neurosurgeon who disagrees with me on the coding for the following scenario relating to his interpretation of MRI and CT's. He feels that if he is called to the ER to evaluate a pt and has to interprate an MRI or CT scan in order to make a decision on how to proceed he is intiltled to bill the appriate 70,000 series code with a -26 modifier attached. I disagree b/c the professional component consists of both interpretation and supervision. I feel his interpretation of the films is part of his medical decision making. Any thoughts out there for me?
Thanks,
Theresa
I am currently coding for a neurosurgeon who disagrees with me on the coding for the following scenario relating to his interpretation of MRI and CT's. He feels that if he is called to the ER to evaluate a pt and has to interprate an MRI or CT scan in order to make a decision on how to proceed he is intiltled to bill the appriate 70,000 series code with a -26 modifier attached. I disagree b/c the professional component consists of both interpretation and supervision. I feel his interpretation of the films is part of his medical decision making. Any thoughts out there for me?
Thanks,
Theresa
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