Radiology Coding Alert

Question: We code our routine chest x-rays with V70.0. However, our compliance department is asking us to use V72.5 because it gives routine chest x-ray as a specific example. What code should we use?

Texas Subscriber

Answer: Most radiology practices report routine chest x-rays that are conducted as part of a general medical examination with V70.0 (routine general medical examination at a healthcare facility) and hold the patient responsible for charges. This is clearly advantageous for the practice because it allows radiologists to get paid for their efforts. However, if the charge is denied because it is not medically necessary (as when you report V72.5, radiological examination, not elsewhere classified), its likely your practice will have to write off the charge. Category V72.5 is generally used for special investigations and examination as is indicated by its definition.

It would be wise for you to call your local carrier to find out how it prefers you to submit these charges. Mostly likely, it will allow you to assign V70.0. Get the policy in writing so you can share this with your compliance department.

One exception to the codes noted above would be in cases in which chest x-rays were a preoperative service. These would be coded with V72.83 (other specified preoperative examination).