Ask Dr. Z

I need some clarification on intra-operative billings…vasc. surgeons sometimes do arteriograms in the OR and then a radiologist or CVIR phys. will also interpret the findings.  Here are some questions from one of my cvir physicians…I just want to make sure I'm telling them the correct thing.  should cvir/rad be billing a technical chrg. only for interpreting their findings since the vasc. surgeon did the supervision and interpretation?  Since I don't normally see the radiology part but I do see and bill the vasc. surgeon, we're afraid of duplicate billing.

thanks!

So, here are my questions:

1.  If we provide an appropriate dictation for the images, what would we be billing for?  We may be providing an interpretation, but what about the "supervision" part?
2.  If we provide an appopriate dication for the images, would we be double billing (ie we and the vascular surgeon?).  In reality, I doubt that can happen.
3.  If we are providing a dictation to bill for the "techincal" aspects of having radiology techs go up there, is it sufficient to say, "Please see  findings reported on operative report."
4.  Is it the norm for radiology techs to provide this service in the OR?  I know the CVIR techs used to go up there, but don't any more.