Orthopaedic office and Dr. bills for the professional component views after most procedures. We have had trouble getting appeals paid. Modifier -26 is always used but payers state they are included in primary procedure. Dr. dictates seperately for this service per guidelines. He dictates with the words, "Intraoperative c-arm fluoroscopy" as title. We have a hardcopy of the x-ray in patient's chart also. Should we attach a copy to the appeal? Should we be using a different CPT® code instead of the general 73xxx series codes when billing out? Help would be appreciated.