Question:

What would we report when a radiologist interprets images from a cholangiogram being performed in surgery?

Answer:

When a radiologist interprets images from a cholangiogram being performed in surgery, he would code 74300-26-52 for the initial set of images. If a subsequent set of images is returned for interpretation, assign code 74301-26-52. Modifier -26 is added to these codes to indicate that only the professional component is being billed. Modifier -52 indicates that a lesser service is performed, in this case, interpretation only, not supervision.

74300 Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation
74301 Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure)

This question was answered in our Essentials of Interventional Radiology Coding. For more hot topics relating to interventional radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.

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