Hi Sarita,
In the example you provided, one report will suffice as long as all the elements of each CPT are met in that report. If an E/M is also billed on the same day, such as you diagnose FGR and a consultation is also performed, then the report of the E/M should be "distinct", whether included in the same report (separate heading in the report) or preferably 2 reports generated, one for the ultrasound CPTs, and another for the E/M.
Fadi
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Fadi Bsat, MD, FAIUM
Chair, SMFM Practice Management Committee
Past Chair, SMFM Coding Committee
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Original Message:
Sent: 11-14-2023 13:38
From: Sarita Fuachie
Subject: Interpretation & report for each diagnostic test
Hello,
I'm looking for clarification when it comes to the interpretation & report (I&R) for diagnostic testing. Is a separate interpretation & report required for each diagnostic test performed? For example if a provider has to do an I&R for 76816 & 76819, shouldn't those have their own separate I&R? Or if a provider has to do an I&R for 76816 & 76820, shouldn't those have their own separate I&R or can they be done on one combined report? If the report can be combined (even though the test may have been ordered for the same or different DX), what are the documentation requirements? I've been researching this & from what I can tell, each should have their own I&R just having a hard time finding anything concrete. Thank you in advance for your time & effort into answering my questions :)
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Sarita Fuachie, CPC, COBGC
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