© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 76140 refers to a consultation on an X-ray examination that has been conducted at a different facility, culminating in a written report. This procedure is typically initiated when a radiologist identifies ambiguous or concerning findings in a diagnostic X-ray study and determines that a second opinion from a specialist with more expertise in the relevant area is warranted. The primary goal of this consultation is to ensure that the patient receives the most accurate interpretation of their X-ray results, which can be crucial for effective diagnosis and treatment planning. It is important to note that the consulting radiologist does not engage in direct patient interaction; they do not perform an interview, physical examination, or any form of treatment. Instead, their role is strictly to analyze the existing X-ray images and provide a detailed written report outlining their findings and interpretations, which can then be utilized by the referring physician for further clinical decision-making.
© Copyright 2025 Coding Ahead. All rights reserved.
The consultation on an X-ray examination made elsewhere, as described by CPT® Code 76140, is indicated in specific scenarios where a second opinion is necessary for accurate diagnosis. The following conditions may warrant such a consultation:
The procedure for a consultation on an X-ray examination made elsewhere involves several key steps that ensure a comprehensive review and reporting of the findings. The following outlines the procedural steps:
Post-procedure care following a consultation on an X-ray examination typically involves the referring physician reviewing the written report provided by the consulting radiologist. The physician will discuss the findings with the patient, which may include clarifying any discrepancies or additional insights gained from the consultation. Depending on the results, further diagnostic testing or treatment options may be recommended. It is essential for the referring physician to ensure that the patient understands the implications of the findings and any subsequent steps that may be necessary for their care.
| Short Descr | X-RAY CONSULTATION | Medium Descr | CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT | Long Descr | Consultation on X-ray examination made elsewhere, written report | Status Code | Not Valid for Medicare Purposes | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Non-Covered Service, not paid under OPPS | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 0 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| GZ | Item or service expected to be denied as not reasonable and necessary | GC | This service has been performed in part by a resident under the direction of a teaching physician | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | GA | Waiver of liability statement issued as required by payer policy, individual case | LT | Left side (used to identify procedures performed on the left side of the body) | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | AT | Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942) | CR | Catastrophe/disaster related | GP | Services delivered under an outpatient physical therapy plan of care | GX | Notice of liability issued, voluntary under payer policy | MC | Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues | MG | The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional | RT | Right side (used to identify procedures performed on the right side of the body) | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2006-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.