2025 CPT code 76140
(Active) Effective Date: N/A Revision Date: N/A Radiology Procedures - Diagnostic Radiology Radiology Feed
Consultation on x-ray examination made elsewhere; written report.
Modifiers 52 (reduced services), 76 (repeat procedure by same physician), 77 (repeat procedure by another physician), 79 (unrelated procedure), and 99 (multiple modifiers) may be applicable depending on the specific circumstances of the consultation.Modifier 26 (professional component) should not be appended as this is a professional service.
Medical necessity is established by the requesting physician's need for a qualified radiologist's interpretation of the x-ray images to inform treatment decisions. The referring physician's documentation must support the need for this consultation.
The provider's responsibility is to examine the x-ray images, interpret the findings, and communicate those findings in a formal written report to the requesting physician. There is no direct patient care involved.
In simple words: A doctor reviews x-ray images from another medical facility and sends a written report explaining what the images show to another doctor.
This CPT code represents a consultation on an x-ray examination performed at another facility, resulting in a written report.The provider reviews the images and provides an interpretation to a requesting physician.There is no face-to-face patient encounter.The service includes image interpretation and the generation of a formal written report detailing the findings.
Example 1: A radiologist receives x-ray images of a patient's knee from an urgent care facility. The radiologist reviews the images, interprets the findings, and prepares a formal written report for the patient's orthopedic surgeon., A hospitalist requests a consultation on chest x-rays taken at another hospital's emergency department. A radiologist reviews the images, writes a report summarizing the findings and sends it to the hospitalist., A primary care physician requests a consultation on a patient's abdominal x-ray performed at a walk-in clinic. A radiologist reviews the images and provides a written report interpreting the findings back to the PCP.
The documentation should include the x-ray images themselves, the radiologist's interpretation, and a formal written report with findings, impressions, and recommendations.The report should clearly identify the patient, the date of the x-ray exam, and the requesting physician.It should also include any relevant comparison studies.
** This code should not be used for interpretations performed on images obtained during the provider's own office visit. This code only applies to interpretations of images taken at another location.The interpretation must be of diagnostic quality to be reported.Payer-specific billing rules and local coverage determinations should be verified.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code because it represents a purely professional service (interpretation and report).
- Specialties:Radiology
- Place of Service:Office, Hospital, Other