Bilat Elbow Xrays

tfrick2

Networker
Messages
91
Best answers
0
We have a patient who dislocated both elbows while jumping on a trampoline. We took 2 xrays of each elbow, before and after relocation of each:
RT Elbow Complete, RT Elbow 1 View
LT Elbow 2 View, LT Elbow 1 View

These were initially coded as:
73070 -LT
73070 -59 -50 -52
73080 -RT

Needless to say, the 73070 -59 -50 -52 is hitting CCI edits for the -52 modifier, which I don't think belongs on there anyway. My main question is, what's the best way to code for the single-view xrays? Would it be best to code 73080 once time for each side and call it good? All suggestions appreciated!

Thank you in advance,
Tracy
 

jmcpolin

True Blue
Messages
841
Location
Midvale, UT
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if they are done pre and post reduction then you would code
73070-LT
73070-LT-52
73070-RT-59-52
73080-RT

I think the RT LT modifiers is enough for insurance to tell its different elbows. You might have to appeal though
 

RADCODER

Guru
Messages
146
Location
Monmouth
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73080-RT
73070-RT-59-52
The (59) is unbundiling the 73080(min3+vws) & 73070(2vws).
The (52) is reducing the 73070, anything < less than 2vws.

73070-LT-52
73070-LT-52-(76 OR 77 depending on reading Rad)
The (52) is reducing the 73070, anything < less than 2vws.
The (76) same Dr, same procedure
The (77) different Dr, same procedure

Hope this helps!
 
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