tci Part B Insider - 2009 Issue 14

Part B Coding Coach: Dodge Double-Billing Interpretation Claim Mishaps With This Advice

Discover this big benefit of reporting interps. When your physician performs the interpretation for magnetic resonance imaging (MRI), computed tomography (CT) scan, or other diagnostic test, you may run into hospital policy specifying only a facility radiologist can perform the interpretation. If so, coding your doctors interpretation would mean youre guilty of double-billing. But its not all bad news. When the physician cannot bill separately for the interpretation,you can still consider the test as a factor in medical decision making when assigning an E/M level. Avoid This Double-Billing Danger Zone Before billing for any diagnostic test interpretations in...

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