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The speech pathologist is in the room with the radiologic technologist who operates the fluoroscopy for the procedure sometimes there is a radiologist present in the room and other times there is not. Can the hospital bill for 74230 (TC)?
The short answer is no. You can always check with your specific payor, but according to the Medicare fee schedule, 74230 requires personal supervision; therefore, the physician must be, in attendance, in the room, during the performance of the procedure.
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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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