Radiology Question for the Week of September 30, 2024

Question:

I have a question in regards to hospital (TC) billing for a code in question 74230. Is the hospital allowed to bill for 74230 if the radiologist is not present or in the room for the procedure?

Answer:

The short answer is no. You can always check with your specific payor, but according to the Medicare fee schedule, 74230 requires personal supervision; therefore, the physician must be, in attendance, in the room, during the performance of the procedure.

TAGS: Radiology

CPT® copyright 2023 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Looking for an answer?

Compliance Question Archive

Sign Up for Compliance Question of the Week