AMA CPT® Assistant - 1997 Issue 12 (December)

Radiology, 77417 (Q&A) (December 1997)

December 1997 page 11 Coding Consultation Radiology, 77417 (Q&A) Question What is the appropriate way to report the professional component of therapeutic radiology port film(s) as described in CPT code 77417? AMA Comment From a CPT coding perspective, it would be appropriate to report the professional component by appending modifier -26 to code 77417. However, some third-party payors (eg, Medicare) consider reimbursement for port verification films as a technical component only, and do not recognize a physician component. The review and interpretation of port films is considered part of the weekly clinical treatment management by the physician. Therefore...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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