Multiple Radiology Interpretations

Help Team,

I'm looking at a report for a large client where a huge portion of their radiology interpretation and reports are generated from outside exams being brought to them.

I have one today I'm auditing and honestly I haven't the foggiest idea how to even approach the monstrosity. I would love any ideas and opinions on how to code this.

Thanks In Advance!

Tara Conklin
CodeRyte, Inc

REPORT AS FOLLOWS:

An enormous number of outside imaging was submitted with request for
interpretation.
Outside CT'E's of the head dated 6-1-01, 2-28-03, 2-4-04, 5-12-04,
2-8-05, 2-17-06, 4-2-07, 4-24-07, 6-6-07, 6-27-07, 8-1-07, 8-8-07, and
9-19-07 are submitted for interpretation. Outside MRI'E's from 1-24-98,
2-22-99, 8-13-99, 10-18-99, and 10-30-00 are submitted. Reports from
prior interpretations are available from the head CT dated 4-24-07, CT
head 4-2-07, CT head 2-17-06, CT head 2-8-05, CT head 2-4-04, CT head
2-28-03, CT head 6-1-01, and MRI brain 10-30-00 have been reviewed:
CTs:
6-1-01: VP shunt catheter via a right parietal burr hole with tip in
the midline near the foramen of Monro. The ventricles are
decompressed. Prominent calcification along the anterior falx.
Otherwise, negative. Specifically, no intracranial hemorrhage or mass
effect. Paranasal sinuses and mastoid air cells are clear.
2-28-03: No significant change.
2-4-04: No significant change.
5-12-04: No significant change.
2-8-05: No significant change.
2-17-06: No significant change.
4-2-07: No significant change.
4-24-07: No significant change.
6-6-07: No significant change.
6-27-07: No significant change.
8-1-07: No significant change.
8-8-07: No significant change.
9-19-07: No significant change.
MRIs:
1-24-98: MRI of the brain without IV gadolinium and MRA of the brain
without gadolinium: The cerebellar tonsils are mildly low-lying but
maintain a normal rounded morphology. Otherwise, negative.
Specifically, no abnormal parenchymal signal. Normal-sized ventricles.
Normal intracranial flow-voids. MRA demonstrates no definitive
abnormalities allowing for hypoplastic right vertebral artery, normal
variant.
2-22-99: Head MRV: Dominant right transverse venous sinus. Absence of
significant flow within the left transverse sinus is almost certainly
developmental rather than thrombotic in etiology. No other definitive
abnormalities are evident.
8-13-99: MRI of the brain without gadolinium: Overall, no significant
change.
10-18-99: Only two sequences from a planning protocol are submitted,
without IV contrast material: Overall, no significant change.
10-30-00: Only two sequences from a planning protocol are submitted,
without IV contrast material: A ventricular shunt catheter has been
placed via a right parietal burr hole with tip near the foramen of
Monro. Ventricular system remains decompressed. No other change is
evident.

Who are your clients?

Are you asking if radiologists can get paid to re-read reports already read and billed by another radiologist?

Or is this a specialist - neurologist or orthopedist for example- who wants to bill for interpreting xrays patients had at another facility that were read by a radiologist?