Sandra Posted Thu 03rd of December, 2009 12:40:05 PM
Our specialty is Maternal Fetal Medicine. Our physician wants to start reading ultrasounds remotely. He will not own the equipment, he will just read the ultrasounds by computer here in our office from a office down in Kentucky.
How do we bill for this? And what codes would we use? Does insurance companies pay for this?
We need all the help we can get on this one!
SuperCoder Answered Tue 08th of December, 2009 15:38:52 PM
Obstetric ultrasounds have two components, i.e. the technical and the professional components. In a hospital setup where the physician only interprets the OB report (produced by the equipments owned by the hospital) he/she can bill the service using modifier-26. In your case your physician is only providing the professional component by interpreting the ob report and hence can bill the services with the 26 modifier. But payers don't pay for multiple interpretation of the same report. You need to make sure that the report has not been interpreted at the practice where the ultrasound was done.
Hope this helps.