Sherry Posted Mon 08th of January, 2018 21:03:26 PM
For this radiology second opinion, is CPT code 76140 the correct code to use?
PROCEDURE: SECOND OPINION
CPT CODE(S): 1010 SECOND OPINION
INDICATIONS: Abdominal pain.
Supine and upright images were obtained of the abdomen on 12/21/2017 at St. Vincents Clay County.
1. Bowel gas pattern is normal. Specifically, no findings of bowel obstruction.
2. No free intraperitoneal air.
3. Surgical clips right upper quadrant from prior cholecystectomy.
4. Osseous structures demonstrate moderate spondylosis of the lumbar spine.
5. No suspicious calcifications.
6. The lung bases are remarkable for scarring within the right lung base.
SuperCoder Answered Tue 09th of January, 2018 06:18:16 AM
You should report 76140 if a physician from another institution requests your physician's opinion on a radiograph and you send that physician your interpretation. You should not report 76140 if a physician within your practice or hospital asks you to reread an x-ray that was primarily interpreted by another physician within the same practice. Instead, report 76140 when you interpret an imaging study that was primarily obtained and interpreted by a physician from a different practice and with a different provider number.
Medicare and some private payers assign "0" relative value units to 76140 and will not reimburse you for this service. If your commercial insurer allows payment for this service, ask for the coverage guidelines in writing before billing 76140 to avoid unnecessary denials.
Please feel free to write if you have any question.
Sherry Posted Tue 09th of January, 2018 09:54:56 AM
Thank you so much for your help on this one, so the reason a second opinion is being done is because they had a radiology done in December, and now we're doing another one as a second opinion on it; do we still code that 2nd opinion code for another radiology procedure done for the exact same thing?
Sherry Posted Tue 09th of January, 2018 09:57:15 AM
Disregard that question above, you answered it correctly, thank you so much!!! :)
SuperCoder Answered Wed 10th of January, 2018 01:46:02 AM
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