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Billing 99232 along with 78452
Anyone been re-imbursed when billing 99232 along with 78452? Per Humana these
100.1, that states, "Carriers generally distinguish between an 'interpretation and report' of an x-ray or an EKG procedure and a 'review' of the procedure. A professional component billing based on a review of the findings of these procedures, without a complete, written report similar to that which would be prepared by a specialist in the field, does not meet the conditions for separate payment of the service."
re: Billing 99232 along with 78452
Is your doctor actually interpreting the test and providing an official report, rather than the radiologist? If so, appeal and explain.