Charges by the hospitals radiologist for diskography (see CPT code 72295 corresponding to 62290) were denied/recouped. Why?
Radiologic supervision and interpretation of diskography is typically done by the surgeon injecting the disk, but could be provided by a radiologist present in the operating room during the procedure. Some facilities have been performing “over-reads” of the images made intraoperatively by the surgeon then submitting charges to Medicare for professional interpretation. Subsequently, Medicare has been billed for two sets of radiologic supervision and interpretation of diskography. Medicare will pay only one provider per date of service for these charges. It is incumbent upon the providers to coordinate who is performing the service and how this will be billed.
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