tci E/M Coding Alert - 2014 Issue 8

Reader Question: Give a Reason for Interpretation #2

Question: I work in a new ob-gyn practice with a new provider/specialty: a urogynecologist specializing in pelvic reconstruction. She would like to read her own anorectal manometry (91122-26). One of her patients will have a pelvic reconstruction done at another location/hospital by a physician not in our practice. Our provider wants to read/interpret their reports. Is this billable? If the patient comes to the office, can we bill for the E/M in addition to the reading/interpretation? California Subscriber Answer: You cannot report  91122 (Anorectal manometry) with modifier 26 (Professional component) for this “unless she was the only...

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