CPT^® 73564, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Lower Extremities

The Current Procedural Terminology (CPT^®) code 73564 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Lower Extremities.

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Summary

In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.

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Billing a bilateral knee xray with a unilateral knee xray bilateral bilateral knee xray bilateral xray knee knee x-rays xray

Ex: When a provider orders a bilateral xray of the knees AND 3 additional views of the right knee, per CCI guidelines we are not allowed to bill the bilateral xray with a unilateral xray code. What w... [ Read More ]

Need X-Ray CPT code

[TABLE] [TR] [TD][B]Knee[/B] 1 or 2 views[/TD] [TD]73560[/TD] [/TR] [TR] [TD][B]Knee[/B] 3 views[/TD] [TD]73562[/TD] [/TR] [TR] [TD][B]Knee[/B] 4 or more views[/TD] [TD]73564[/TD] [/TR] [TR] [TD][B]Kn... [ Read More ]

Pain code on Xray

You would only link the pain diagnosis to the x-rays if the physician is unable to establish a diagnosis. In this case there is a diagnosis of osteoarthritis of the left knee. So M17.12 would be used ... [ Read More ]

Pain code on Xray

I have a very large orthopedic practice. When our patients come in we always do xrays. Since our MA closes out the xray order with the code of pain M25562 and the doctor reads the xray and codes it ... [ Read More ]

Pain in "Knee" following Total Knee Arthroplasty

I have a question in this same area, if I have a new patient that comes in with pain in knee. We do a 99203 and 73564, would i code the pain code of M25562 on the xray since it is a diagnostic xray a... [ Read More ]

Knee X-ray Series - Correct CPT for billing

You wouldn't code the standing together with affected & unaffecte knee x-ray. Add 1 view to each side. This is how I would code it: affected: 73564; unaffected: 73562, dx Z03.89. They take xray of ... [ Read More ]

Knee X-ray Series - Correct CPT for billing 4 view knee x-rays 73562 73565 knee x-rays

When a provider orders the following: Right knee series includes bilateral AP, Bilateral weight bearing PA, lateral and bilateral Merchant views ordered and obtained. What would the proper billing be... [ Read More ]

Radiology question/guidance

Hello! I am needing some guidance on radiology coding and billing. We perform a variety of x-rays in our clinic for our orthopedic doctors. My main question is understanding the number of views and... [ Read More ]

modifier needed for 73564?

A commercial insurer is denying payment for 73564 (xray knee, 4 view) that was billed with dx code of right knee pain (M25.561) saying that a modifier is required. I'm at a loss. What modifier might... [ Read More ]

Bilateral Knee xray 5 view

[b]5 views bilateral knees[/b] Do you bill 73564 RT and 73564 LT if there are only 5 views: one of both knees from front, one of both knees from back, one of both knees sunrise, and one view of a lat... [ Read More ]

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