Forum - Questions & Answers

May 24th, 2011 - CLisica

Fluoroscopy 76000

My pulmonologist is billing the 76000 with a broch, 31624-31628-
Most of the payers are bundling the 76000-26, which I feel is incorrect
In addition, I have denials stating, "no payment can be made when performed
by this type of provider"....Only a radiologist can bill this for this code?
I have attached the modifier 26 to indicate we are billing the read.

Thank You

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May 25th, 2011 - jschmutz   323 

re: Fluoroscopy 76000

All the codes in the 31624-31628 range include fluoroscopic guidance as stated in the code description. Reporting 76000 in addition to these codes would be considered unbundling.


 


31624 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage


 


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