Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Interventional Radiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 04-29-2011, 09:01 AM
butterflyed butterflyed is offline
Contributor
 
Join Date: Apr 2007
Posts: 11
butterflyed is on a distinguished road
Question Please help with billing multi views of bil knee x-rays

I am trying to figure out how to correctly bill bilateral knee images. Our physicians here do a lot of views standing, and knee sunrise showing both knees together, and then single views laterally of each knee. What is the correct way to count the views if 3 images of each leg is present? Would it be 73562 with the right and left modifiers or 73564 with no modifiers because you would really have only 4 actual xrays done.

How exactly do we bill an image classified as 73565, when it is with other bilateral images?

Sometimes the reason for the x-ray of the contra lateral knee is for comparison for our physician. So would it be correct to bill for the second knee if he is just using it for comparison? Any thoughts would be extremely helpful at this time!

Thanks
Reply With Quote
  #2  
Old 04-30-2011, 03:45 AM
Rajebpt Rajebpt is offline
Networker
 
Join Date: Apr 2007
Location: Chennai,Tamilnadu
Posts: 93
Rajebpt is on a distinguished road
Smile

My thoughts

standing views of both knee + sunrise views of both knee +lateral views of both knee= 73562-lt and 73562-rt
if the other knee views is for comparison alone please dont code for that knee
Reply With Quote
  #3  
Old 05-06-2011, 12:49 PM
RADCODER's Avatar
RADCODER RADCODER is offline
Guru
 
Join Date: Apr 2007
Posts: 124
RADCODER is on a distinguished road
Thumbs up

Hi Butterflyed,
Per MedLearn's radiology compliance question of the week April 18, 2011..

Question:
How would you code the following x-ray exam: bilateral standing, including both right and left knees in one shot, lateral left knee, bilateral sunrise view, including both right and left knees in 1 shot?


Answer:
You would code 73560-RT and 73562-LT. Code 73565 can be coded only if it is the only exam done. When additional views are done with the standing AP bilateral, you count the views for each knee and code the appropriate codes by number of views.

Hope this helps!
__________________
Jessica O'Donnell CPC
Reply With Quote
  #4  
Old 05-10-2011, 06:51 AM
Rajebpt Rajebpt is offline
Networker
 
Join Date: Apr 2007
Location: Chennai,Tamilnadu
Posts: 93
Rajebpt is on a distinguished road
Smile

My thoughts
i agree radcoder as far as is example concerned.
But in this case lateral views of both knees is performed
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 05:17 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC