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Kyphoplasty w/IR and Surgeon
Question:
It looks as though the IR physician is doing the fluoroscopy for the neurosurgeon. Can this even be billed? These are different surgeons/groups/NPIs, etc. I'm billing for the physician portion. I'm not sure what to do with this.
"TECHNIQUE: Intraoperative fluoroscopy was provided. Eighteen images. Fluoroscopy time: 3.6 minutes, total estimated skin dose: 96.4 mGy. FINDINGS: Images show scoliotic curvature of the spine with T11 and L3 fracture deformities. Imaging showing needle placement via the pedicles at the T11 and L3 level are provided. Balloon inflation and bone cement injection are then noted. Bone cement is seen throughout the T11 vertebral body with extension into the pedicles. At the L3 level there is extension of bone cement into the L3/4 disc space. Atherosclerotic calcification is noted. IMPRESSION: Intraoperative fluoroscopy was provided. Please refer to the operative report."
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