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Billing Addendums

Julia Posted Thu 19th of June, 2014 17:35:28 PM

When a report is signed out by physician A and an addendum, for special testing such as an IHC stain for example, is signed out by physician B, do you need to bill the special test on a separate claim with physician B as the rendering? For example, we have breast cases that are reviewed and reported by a physician (A) in our group and a breast panel will be ordered by physician (A) but another doctor (B) will dictate the results of that test in the original report as an addendum, and will sign the report for the special testing. We are a group and bill with group tax ID so I'm not sure if that changes things?

SuperCoder Answered Mon 23rd of June, 2014 15:10:26 PM

Thank you for your question.

I want to make sure I am fully understanding your question, could you please clarify...are you trying to bill the same test for 2 physicians on the same day? One is ordering the test, the other is reading the test?

Julia Posted Mon 23rd of June, 2014 16:33:53 PM

We are only billing the test once but we are using the initial reporting/ordering physician. Here is a forum on AAPC that expands on the question.

Julia Posted Thu 26th of June, 2014 10:43:07 AM


SuperCoder Answered Thu 26th of June, 2014 13:01:03 PM

You would only bill/ report the code one time.

Julia Posted Thu 26th of June, 2014 16:14:13 PM

I understand that, I'm inquiring about who to use as the billing provider. The inital physician who read the slides and ordered the test or the second physician who signed out the addendum for that said test?

SuperCoder Answered Fri 27th of June, 2014 06:25:39 AM

Thank you for clarifying. You would want to use the provider who ordered and read the slides. That physician provided the initial service.

Julia Posted Tue 30th of September, 2014 13:13:26 PM

Would this also be the case if there is a separate report that physician B signs out. The separate report is scanned into the patient medical record but only a brief discription of the test results is added as an addendum in physician's A report. Would you still us physician A as the billing provider?

SuperCoder Answered Wed 01st of October, 2014 06:55:16 AM

Thank you for your question.

The original question is from 3 months ago, could you please submit your question in a new thread for inquiry.

Thank you.

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