Question:

The speech pathologist is in the room with the radiologic technologist who operates the fluoroscopy for the procedure sometimes there is a radiologist present in the room and other times there is not. Can the hospital bill for 74230 (TC)?

Answer:

The short answer is no. You can always check with your specific payor, but according to the Medicare fee schedule, 74230 requires personal supervision; therefore, the physician must be, in attendance, in the room, during the performance of the procedure.

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