Ask Dr. Z

I receive questions from radiologists asking if they can bill E&M in addition to diagnostic breast ultrasound exams they perform and meet with patients face-to-face, consult with the patients regarding findings, biopsy recommendations, risks and benefits of procedure, and pre-procedure clearance in order to cover the additional physician work. Also, these patients require a separate rad- path concordance report with recommendations. These are seen as a report addendum on the procedure performed. A concordance report is generated following review of the final pathology, and follow-up recommendations are given. Are there any billing opportunities for both of these scenarios? Can you provide guidelines if there are any for reference?