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tci Outpatient Facility Coding Alert - 2013 Issue 5

Reader Question: Remember Modifier 26 for Hand-Off X-Ray Interpretation

Question: I bill for both our urgent care center and the Emergency Department. An urgent care physician completed X-rays for a worker’s comp patient and the ER physician interpreted the result and listed his findings in the progress note. When I send the paper claim to workers’ comp, do I need to include some type of “report” from the urgent care center’s X-ray service, or does the finding in the progress note stand as sufficient documentation of the X-ray so the center will receive payment? Vermont Subscriber Answer:  A finding reported in the progress note...

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