Solve the Mystery of Rejected Interp Claims

Why This Topic Matters

Diagnostic test interpretation can affect both claim submission and evaluation and management coding, and misunderstandings may lead to duplicate billing or denials. The article helps readers understand the general documentation and reporting concepts involved in these situations.

Article Sections

1. Avoid Double-Billing

   Discusses the general issue of multiple physicians being involved in interpreting ordered diagnostic studies in hospital and inpatient settings. It covers why separate reporting may be affected when a report already exists.

2. Consider Test Results Toward E/M Level

   Explains how review of diagnostic test results may factor into medical decision-making for evaluation and management services. The section uses broad emergency and observation-care context to illustrate the concept.

3. When You CAN Bill, Append -26

   Reviews CPT component reporting concepts when only the physician interpretation is provided separately. It also addresses the relationship between professional and technical components in general terms.