tci General Surgery Coding Alert - 2008 Issue 12

Reader Questions: Report Fluoro Codes With Caution

Question: Under what circumstances may our surgeon code for fluoroscopic guidance provided in the operating room? Illinois Subscriber Answer: In the vast majority of cases, your surgeon would not code to receive reimbursement for fluoroscopic imaging in the operating room. The American Academy of Orthopaedic Surgeons (AAOS) has offered the advice that a physician may bill fluoroscopy "if permanent films are made and the physician dictates and signs the -official- report that goes in the hospital chart." However, most hospitals require that a radiologist perform these duties. Unless your surgeon is credentialed to generate the official report (a...

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