Question:
My radiologist is reading fluoroscopy films done in the operating room by another physician. Can my radiologist bill for the fluoroscopy (76000), or should we bill for the area being imaged (such as a chest X-ray) with a 52 modifier since the fluoroscopy isn’t being performed?
Answer:
If your physician was not in the room where the fluoro was done, he may not report 76000. If he was asked to interpret films from the fluoro, then he would report an appropriate X-ray code for the body area imaged with modifier 26. There should be medical necessity for the separate interpretation.
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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