Question billing 72100 & 72120

gislam

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Coupeville, WA
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Having a discussion with my co-workers. They are stating that since there are no NCI edits the Lumbar spine 2v (72100) and the Lumbar spine bending (72120) can be billed separately. I saying the it needs to be billed as lumbar spine 4v (72110). Which rational is correct?
 

iowagirl77

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Cedar Rapids, IA
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I would say you are correct. Even if it doesn't technically bundle, the verbiage for 72120 is for when only bending views are done. So when more than that is done, it defaults to the code for the total number of views.

Currently, there is confusion as to what constitutes a complete (72114) vs minimum 4-view (72110) vs bending views only (72120) study of the lumbosacral spine. Therefore, editorial changes were made to codes 72114 and 72120 to clearly differentiate when these codes should be reported. Bending views are included in a minimum six-view study of the lumbosacral area (72114) and not reported separately. Bending views only are reported with code 72120. Bending views performed in conjunction with any other type of views are reported with the appropriate code, i.e., 72100 (2 or 3 views) or 72110 (minimum of 4 views).
https://www.acr.org/Advocacy-and-Ec...logy-Coding-Source-for-September-October-2011
 
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