Advanced Search

Radiology Coding Alert

Reader Question:

73120 is 'More Extensive' Than 73140

Published on Fri Sep 02, 2011

Question: One surgeon regularly orders both hand and finger X-rays (73140, 73120). CCI bundles these codes. May I override the bundle when performed for the same hand?Codify MemberAnswer: Generally, you should not report 73120 (Radiologic examination, hand; 2 views) and 73140 (Radiologic examination, finger[s], minimum of 2 views) together for X-rays on the same hand. The rationale for the Correct Coding Initiative (CCI) edit is that 73120 is a more extensive procedure than 73140, so you would need to see separate sites or encounters to report the codes for the same date.Support: According to the NCCI Policy Manual for Medicare Services, the "more extensive procedure" designation indicates that "unless services are performed at separate patient encounters or at separate anatomic sites, the less complex service is included in the more complex service and is not separately reportable." (You may download the manual from www.cms.gov/NationalCorrectCodInitEd/.)So, for example, if you were reporting [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Radiology Coding Alert

View All