Radiology Coding Alert

Reader Question:

Look for Lesser Code Before Using 52

Question: Should I report an ordered and performed one-view femur x-ray with 73550-26-52? Texas Subscriber Answer: Yes. You should report 73550 (Radiologic examination, femur, two views) with modifier 52 (Reduced services) to inform the payer that the physician performed a service that is a reduced version of what the code describes. You should also append 26 (Professional component) to show you're reporting the service's professional component only -- you aren't reporting the service's technical component on your claim. Remember: You should always report the most accurate code. If CPT included a one-view femur x-ray code, you would report that code rather than 73550-52. -- The answers for You Be the Coder and Reader Questions were reviewed by Jackie Miller, RHIA, CPC, senior consultant with Coding Strategies Inc. in Powder Springs, Ga.
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Radiology Coding Alert

View All