Practice Management

I was asked to review a CT scan for possible lung biopsy. After reviewing, I recommended we just wait.

Original report was read and dictated by one of our radiologists (Radiologist B). I dictated a second opinion report, mainly to have a documentation of the management, but also would like to bill for the time, if applicable. Please let me know, if this can/will be billed; as this is a quite common thing on our IR service.

_________________________

I responded by advising him that the only thing that could be billed would be 76140 IF the other radiologist was not in the same location (which they are).  Radiologist B is now asking if we can bill a second CT scan but with a 77 modifier on it.  I do not think this can be coded and billed this way but I need some information to support it.  The patient did not have 2 separate CT scans performed on the DOS.

Is there anything else that Radiologist B can code and bill?  There was no face-to-face for E/M codes.  Or does Radiologist B need to consider this a professional courtesy?

Thank you!

I was asked to review a CT scan for possible lung biopsy. After reviewing, I recommended we just wait.

Original report was read and dictated by one of our radiologists (Radiologist B). I dictated a second opinion report, mainly to have a documentation of the management, but also would like to bill for the time, if applicable. Please let me know, if this can/will be billed; as this is a quite common thing on our IR service.

_________________________

I responded by advising him that the only thing that could be billed would be 76140 IF the other radiologist was not in the same location (which they are).  Radiologist B is now asking if we can bill a second CT scan but with a 77 modifier on it.  I do not think this can be coded and billed this way but I need some information to support it.  The patient did not have 2 separate CT scans performed on the DOS.

Is there anything else that Radiologist B can code and bill?  There was no face-to-face for E/M codes.  Or does Radiologist B need to consider this a professional courtesy?

Thank you!

I was asked to review a CT scan for possible lung biopsy. After reviewing, I recommended we just wait.

Original report was read and dictated by one of our radiologists (Radiologist B). I dictated a second opinion report, mainly to have a documentation of the management, but also would like to bill for the time, if applicable. Please let me know, if this can/will be billed; as this is a quite common thing on our IR service.

_________________________

I responded by advising him that the only thing that could be billed would be 76140 IF the other radiologist was not in the same location (which they are).  Radiologist B is now asking if we can bill a second CT scan but with a 77 modifier on it.  I do not think this can be coded and billed this way but I need some information to support it.  The patient did not have 2 separate CT scans performed on the DOS.

Is there anything else that Radiologist B can code and bill?  There was no face-to-face for E/M codes.  Or does Radiologist B need to consider this a professional courtesy?

Thank you!