DecisionHealth, DecisionHealth - 2026 Issue 5 (May)

Q&A: Don’t count independent interpretation for imaging you provide

Question: If our pain management doctors have their imaging read on their behalf by a radiologist (using our imaging equipment) and our doctor performs and documents their own independent interpretation of the imaging, how should we bill for this? Our doctors want their interpretation to count toward medical decision making in the E/M code. We have an arrangement where we were billing the E/M and imaging under our doctor (who ordered the imaging test) and paid the radiology group for their services separately; this doesn’t allow for the ordering doctor to receive credit for their independent interpretation. 

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