You Be the Coder:
Tackle Upper and Lower Extremity X-Rays
Published on Tue Jun 05, 2012
Question: In a single session, we performed standing AP, lateral, and tangential views of the left knee and 2 views of the right elbow. For the knee, the documentation shows "left knee pain" that "may be due to patellofemoral joint osteoarthritis or Baker's cyst ... may have ACL deficit knee." The elbow exam shows "right elbow joint osteoarthritis" and "right cubital tunnel syndrome." How should we code these X-rays?North Carolina SubscriberAnswer: For the standing AP, lateral, and tangential knee views, you should report 73562 (Radiologic examination, knee; 3 views). You also may need to append modifier LT (Left side) to 73562, depending on payer policy.AP is short for anteroposterior, which is a front view of the knee. A lateral view images the side of the knee. There are a variety of techniques for getting a tangential view, but the goal is to produce an image similar to the sun (the [...]