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Radiology Coding Alert

Prevent 'Duplicate' Denials With Modifier 59 and 76 Know- How

Published on Sat May 09, 2009

Keep 71010 troubles at bay with this helpful time-stamp tip. Reporting more than one chest x-ray for the same date can raise questions for payers. Are you accidentally reporting a single service more than once? If there was a second x-ray, was it medically necessary? Answer your payer's questions up front by using modifiers and the narrative field, and help your physician's claims sail through the system. Single View x 2? Think Mod 76 When radiologists interpret two x-rays on the same day that require the same code, coders need to investigate proper use of modifier 76 (Repeat procedure or service by same physician), says Sharon Wright, CPC, coding compliance auditor with Nemours health system in Jacksonville, Fla. Scenario: A physician performs two chest x-rays (71010, Radiologic examination, chest; single view,frontal) on a patient with chest pain. The same radiologist interprets both films. Solution: When repeating the x-ray is medically [...]
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