Ask Dr. Z

If an IR provider provides fluoroscopic guidance ONLY for procedures (e.g. central line placement), can the IR provider bill for that? I know most codes require the primary procedure be billed as well, so we were thinking perhaps 76000 could be a possibility. Example: "CLINICAL: Hickman placement. TECHNIQUE: Multiple intraoperative fluoroscopic radiographs are provided for interpretation. COMPARISON: None available. FINDINGS/ IMPRESSION: Fluoroscopic guidance was provided for Dr. R with a single digital spot films obtained intraoperatively. This shows a right central venous catheter, which appears to been placed from a jugular access with the tip in the superior vena cava approximately 2 cm above the expected level of the cavoatrial junction."