Radiology Coding Alert

Reader Question:

Defining Infant

Question: How do most payers define an infant, in regards to CPT Codes 73092 (radiologic examination; upper extremity, infant, minimum of two views) and 73592 (radiologic examination; lower extremity, infant, minimum of two views)?

Marcia Deeb
Washington, Pa.

Answer: Most carriers define an infant as a child younger than 366 days old. As always, however, you should confirm this with your local carriers.

Answers to Reader Questions and You be the Coder, were answered by Andrea Lamb, CPC, billing clerk for St. Josephs Medical Plaza, a multispecialty group practice in Buckhannon, W.Va.; and Gary Dorfman, MD, FACR, FSCVIR, past president of the Society of Cardiovascular & Interventional Radiology (SCVIR) and president of Health Care Value Systems in North Kingstown, Pa., which provides practice management services as well as revenue optimization techniques through coding and billing support.