tci E/M Coding Alert - 2019 Issue 2

Reader Question: Modify Your Understanding of E/M, X-Ray Reading

Question: We used to do X-rays in our practice, but we now send out for them. If the facility that performs the service sends us the disk, can our providers charge for the reading? Arizona Subscriber Answer: When a radiologist takes an X-ray and does not interpret it, the radiologist would bill for the technical component of the service using modifier TC (Technical component). If the radiologist only interprets the X-ray, he or she would then use modifier 26 (Professional component) to denote provision of the interpretation and report. If the radiologist provides both components, he or she reports...

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