1. DEBORAH DESTEFANO
   Posted 1 year ago #
   

   Can anyone tell me what this means? Under Radiology Guidelines/Supervision and Interpretation it states:
   "When a physician performs both the procedure and provides imaging supervision and interpretation, a combination of procedure codes outside the 70000 series and imaging supervision and interpretation codes are to be used"
   Where is this combination of procedure codes outside 70000? The endocrinologist I bill for performs Ultrasound on thyroid for diagnosing purposes, she does the ultrasound, interprets the films and does her own report. I've been billing only 76536. Am I missing something for the interpretation and report?

2. SuperCoder
   Posted 1 year ago #
   

   You are absolutely right in coding 76536 in case of Thyroid Ultrasound. But to clarify your doubts, plz follow the example regarding the context in which the a procedure outside 700000 category code, and for Supervision and interpretation the CPT in 70000 category are used together.

   Example: A physician catheterizes cervical opening and injects radiological contrast into endometrial cavity with mild pressure to force the material into fallopian tubes so as to perform hysterosalpingography.

   CPT code for Injection of contrast for hysterosalpingography : 58340

   But, in hysterosalpingography, the physician visualizes and interpretes the uterine cavity and fallopian tubes and detects if there are uterine tumors, intrauterine adhesions, and developmental anomalies , and tubal obstruction caused by internal scarring, tumor, or kinking. CPT code for this supervision and interpretation is : 74740

   If you still need further clarification, it will be my pleasure to explain you elaborately.

3. DEBORAH DESTEFANO
   Posted 1 year ago #
   

   Thanks Sanjit. I appreciate your insight. That clears it up. Just to make sure I understand...the code 76536 includes all...the actual ultrasound performance, interpretation and report. Right?

4. DEBORAH DESTEFANO
   Posted 1 year ago #
   

   Thanks Sanjit. I appreciate your insight. That clears it up. Just to make sure I understand...the code 76536 includes all...the actual ultrasound performance, interpretation and report. Right?

5. SuperCoder
   Posted 1 year ago #
   

   That's right.

   Basically, any procedure if performed with Supervision and Interpretation of an image would mostly belong to range 10000-60000 category of codes, while the Supervision and Interpretation code belongs to 70000 category.

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