tci Part B Insider - 2011 Issue 27

Reader Question: Second Opinions on X-Rays May Not Be Payable

Question: We are a radiology facility that our radiologists own, so we bill globally. We have been asked to do a second opinion read on a couple of scans done at another facility. How should we code this? Are we allowed to bill insurances? Do we need a signed consent form from the patient?Wisconsin SubscriberAnswer: For these situations, experts suggest checking with the relevant payers and getting their preferences in writing for these services. The most applicable code for second opinion or over-read services in which an outside physician asks the radiologist to provide a new interpretation of...

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