We always recommend that the radiology keep the work for the breast biopsy, even when the codes weren't bundled. Payment for the procedural code includes the cost of the mammotome device and other supplies that the visiting physician should not be paid for. Meaning they should not be paid the direct practice expenses for the codes. I suppose you could figure out how to use the non-facility PE to pay them but then there is also the global malpractice expense to be split as well. I am not sure why your practice would want to agree to do this.
Pam Kassing, MPA, FRBMA, RCC
Senior Economic Advisor
Economics and Health Policy
American College of Radiology
1819 Preston White Drive
Reston, VA 20191
(800) 227-5463 x4544
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Original Message------
Hi All,
We've been approached about a potential billing scenario and I am not sure what the most appropriate answer would be.
If a physician who is not part of a practice comes into one of the practice's offices and performs stereotactic breast biopsies using the practice's equipment, supplies, and staff, is there any way for the practice to split bill for this service? Since guidance has been bundled into the biopsy code (19081, 19082) I am not sure how we would "split bill". (The way I am seeing it, the physician would bill for the global service.)
Thank you!
Jen
jmohler@sdil.net
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Jennifer Mohler RCC
Business Operations Manager
Southwest Diagnostic Imaging, Ltd.
Phoenix AZ
(602) 521-6243
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