Question Ultrasound overread billing

[SueLis]

Our private practice Radiologist is going to start doing overreads on ultrasound reports for another practice and it looks like we will be billing CPT 76140. It sounds like Medicare does not cover this code and BCBS of MI does not have a fee listed for this CPT code. I am unfamiliar with this code and would some advice from anyone who has done this type of billing. Thanks

 

[CBLENNIE]

My first question is why is the radiologist doing the overreads on the US reports from another practice? Are they being done on every US the other practice performs or is it dependent on certain circumstances that necessitate the overread? I work for an insurance company, and we would question the medical necessity of doing an overread done by an outside radiologist on every US a practice does.

 

[SueLis]

It will be done on some of the ultrasounds not all of them.