• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Terminated Procedures: Use of Modifiers - VS - Billing Full Study

Create Wiki Sort by votes
L

lcurry32

New
Messages
4
Location
North Chesterfield , VA
Best answers
0
We are having discussion within our organization on how best to handle instances when radiology scan images are degraded by motion or artifact.
Can the hospital bill for this scan fully or should a reduced services modifier be used? These procedures do not involve anesthesia.

1. Patient had MRI brain wo; dictation states exam is significantly limited by motion artifact. How should this be billed by the hospital (technical)?

2. Patient had MRI brain wo; dictation states patient refused further scanning; only sag, dwi, and ax flair obtained. Limited study. No acute findings. How should this be billed by the hospital (technical)?

3. Patient had MRI Brain w wo; dictation states due to presence of braces, some of the sequences (DWI, SWI) are severely degraded. How should this be billed by the hospital (technical)?
 
0
Numbers one and three are easy; the full study was done.

For number two (without looking up all the required components of the study), I would say look at 76498 for unlisted MRI procedure, if you cannot find one that covers what was done.
 
You must log in or register to reply here.
Top