AMA CPT® Assistant - 1997 Issue 6 (June)
Radiology, 76857 (Q&A) (June 1997)
June 1997 page 10d Coding Consultation Radiology, 76857 (Q&A) Question Could you please explain when it is appropriate to append the -26 modifier to code 76857, when a clinician and a radiologist are involved? AMA Comment If the same clinician performs the initial interpretation of the ultrasound and prepares the report without the assistance of a radiologist, then he/she reports 76857-26. However, if a radiologist or a second physician examines the film and informs the first physician of the interpretation, then the first physician does not code for these services. Even though the first physician may examine the...
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Article Overview
This article explains a radiology coding question from CPT Assistant involving an ultrasound code and the professional component modifier. It is relevant to physicians, radiologists, coders, and billing staff who need to understand how the article frames interpretation and report review in a shared-care setting. The guidance is presented as a coding consultation with an AMA comment that clarifies the scenario at a high level without replacing the full article.
Why This Topic Matters
It helps readers identify whether the article addresses professional component billing questions for ultrasound services and shared interpretation workflows between clinicians and radiologists.
Article Sections
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Coding Consultation
Introduces the coding question addressed by the article and the general radiology context for the discussion.
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Question
Presents the reader-submitted coding question about professional component reporting in a clinician and radiologist setting.
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AMA Comment
Provides the AMA response discussing interpretation, report review, and related evaluation and management considerations at a broad level.
What You Will Learn
- How the article frames a professional component question in radiology.
- The general context in which ultrasound interpretation and report review are discussed.
- How the article is structured as a CPT Assistant coding consultation.
- The type of guidance provided by the AMA comment.
Who Should Read This
- Physicians
- Radiologists
- Medical coders
- Billing staff
- Compliance teams
Codes Discussed
Modifiers Discussed
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