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Bilateral diagnostic x rays billing

boozaarn

Guru
Messages
116
Best answers
0
Hi,

Can anyone help me to clarify this billing question:

Bilateral knee 2v x rays done for pain on each joint (not comparison).
Are these two significant procedures and how these should be charged?

one line, 7XXXX SI S - MOD 50
OR
two lines 7XXXX with 2 SI S (?) is this possible - mod XU/LT/RT??
OR
one line charge with SI S and cpt for minimum 3 or 4 views (summarizing the total # of views)?
OR other?


Thanks upfront.
Z
 

tefranklin57

Networker
Messages
58
Best answers
0
If you are using CPT 73565, this code description is for both knees, no anatomical modifier is required
If you use CPT 73560, this code description is for one knee with 1-2 views, bill with either modifier 50 (one line) or modifier LT-RT for two line charge. Adding total number of views taken is not correct when calculating for both LT & RT
 
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