Wiki Bilateral diagnostic x rays billing

[boozaarn]

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]

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

 

[jimenezgloria914@yahoo.com]

if cpt code 73560 is bill RT and Lt with the same Dr. reading the report, do I also add modifier 76