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Wiki 73220 x 2 (???)

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mhstrauss

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I need some help from you Radiology pro's...a surgeon in our group ordered "MRI right arm w/wo contrast)" last month, pt hx of neurofibromatosis, now ready to plan for sx. The radiology billers in our group billed 3 different scans--73220, 73220 (again), and 73223. There are 3 different reports dictated--MRI of the Right Humerus, MRI of the Right Elbow, and MRI of the Right Forearm. This absolutely doesn't look correct to me. My interpretation of code 73220 is that it includes both the humerus and forearm areas, and should not be billed twice to capture the entire encounter. But I do see the justification of also coding 73223. So claim should be 73220 & 73223. Can anyone give any input? Thanks!!
 
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