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#1
02-02-2012, 10:13 AM
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Bilat Elbow Xrays
We have a patient who dislocated both elbows while jumping on a trampoline. We took 2 xrays of each elbow, before and after relocation of each:
RT Elbow Complete, RT Elbow 1 View LT Elbow 2 View, LT Elbow 1 View These were initially coded as: 73070 -LT 73070 -59 -50 -52 73080 -RT Needless to say, the 73070 -59 -50 -52 is hitting CCI edits for the -52 modifier, which I don't think belongs on there anyway. My main question is, what's the best way to code for the single-view xrays? Would it be best to code 73080 once time for each side and call it good? All suggestions appreciated! Thank you in advance, Tracy 
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#2
02-02-2012, 12:13 PM
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if they are done pre and post reduction then you would code
73070-LT 73070-LT-52 73070-RT-59-52 73080-RT I think the RT LT modifiers is enough for insurance to tell its different elbows. You might have to appeal though
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Jenifer McPolin CPC, CPMA, RCC
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#3
02-21-2012, 12:39 PM
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73080-RT
73070-RT-59-52 The (59) is unbundiling the 73080(min3+vws) & 73070(2vws). The (52) is reducing the 73070, anything < less than 2vws. 73070-LT-52 73070-LT-52-(76 OR 77 depending on reading Rad) The (52) is reducing the 73070, anything < less than 2vws. The (76) same Dr, same procedure The (77) different Dr, same procedure Hope this helps!
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Jessica O'Donnell CPC
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