Answer_Book / Radiology_Radiation_Services / Billing_for_unordered_radiology_tests_is_ok_–_if

Why This Topic Matters

Imaging orders sometimes need to be adjusted because of clinical findings, patient condition, or obvious order errors. Understanding the permitted exceptions helps facilities manage documentation, coordination with the treating practitioner, and billing compliance.

Article Sections

1. General rule for ordered diagnostic tests

   Introduces the baseline requirement for performing diagnostic tests as ordered and the need for a new order before making certain changes. The section frames the topic for radiology testing facilities and treating practitioners.

2. Exception when the treating practitioner cannot be reached

   Describes a limited exception involving inability to contact the ordering practitioner, along with documentation and communication expectations. The section also notes the broad clinical circumstances in which the exception may arise.

3. Exceptions for radiologists in non-hospital testing facilities

   Outlines additional situations in which radiologists may make certain limited changes without prior notification, provided the report is documented. The section covers general categories related to test design, clear order errors, and patient condition.