xray

  1. A

    Wiki Billing a bilateral knee xray with a unilateral knee 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 we have been doing is removing the charge for the bilateral xray (CPT 73565) and instead using...
  2. R

    Wiki BILATERAL X-RAY

    AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows: 99203 (M17.12) - PAID 73562-LT (M25.562) - RECOUPED/DENIED 73562-RT(M25.561) - RECOUPED/DENIED We also have other claims that we billed different x-ray codes for bilateral areas with -LT and -RT that have...
    • raenayg
    • Thread
    • ahcccs bilateral billing orthopaedic xray
    • Replies: 3
    • Forum: Orthopaedics
  3. kimmcelderry@gmail.com

    Wiki Telehealth xrays

    Hi there, I work for an ortho clinic so we have our own xray equipment. We normally bill out xrays without a modifier for in-office visits, but with telehealth the patient came in a few days earlier for xrays. We are receiving denials for billing xrays with a TC mod when the pt physically comes...
  4. M

    Wiki X-Ray modifiers

    Hello, We are a family practice clinic with Digital X-ray equipment. We also send the x-rays out for reading and we pay the fee to the radiologist. How should we be coding the claim to get reimbursed for both the Technical Component and the Professional Component? i.e.: 72100 X-RAY EXAM OF...
  5. M

    Wiki NY State United Healthcare community dual coverage

    Just wondering if anyone else in physician billing getting a denial for an E/m billed with an X-ray as inclusive? When I called I was told the E/M is part of Xray and must bill E/M with 25 modifier. Looking for help, and or link for correct billing? New to dual coverage thru state
  6. B

    Wiki CPT Help!

    I used CPT code 32555 for ultrasound guided left thoracentesis. The radiologist drew out fluid and later did a 1 view chest xray and a view chest xray. I am certain that I am not supposed to bill the chest xrays with this code. But need to get more opinions for the physician. Thanks!
  7. L

    Wiki Z code post op xray

    If a patient comes in for post op and xray performed, can a Z47.89 aftercare code stand alone or is another code required in conjunction with it?
  8. D

    Wiki e/m and xray

    the new office I work in are putting modifier 25 on all office visits with xrays, is that necessary? please help :(
  9. C

    Wiki Billing E/M Visit and Xray

    I need some help with documentation of some coding guidelines. I work for an orthopedic surgery practice and we are currently setting up our EMR to document E/M visits and have hit some road blocks. I have heard several different places that if you are billing for both the technical and...
  10. J

    Wiki Chest Xray after Portacath placement

    Can anyone please help me with a dilemma in my clinic? Patient is in OR to receive Portacath. CPTs billed are 77001 for Fluoro and 36561 for cath. Patient is then sent to recovery of the ASC. Once patient recovers, pt is sent to the radiology dept for a Chest 1 view (71010) to make sure there...
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