Wiki comparable x rays

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emkahu

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Does anyone out there have any thoughts/advice on billing comparable x rays? For instance I have a Dr who likes to get bilateral wrist x rays for instability (LT wrist is having problems but wants to see how the RT compares). DO you bill for these or not? I have recieved conflicting info and I am just trying to get it right. If anyone has anything in writing regarding this I would love to see it.

Thanks
Lisa CPC
Liberty Orthopedics
 
This is always a hot topic...

Here's what Medicare states........

When limited comparative radiographic studies are performed (e.g., post-reduction, post-intubation, post-catheter placement, etc.), the CPT code for the radiographic series should be reported with modifier 52 indicating that a reduced level of interpretive service was provided. This requirement does not apply to OPPS services reported by hospitals.

http://www.cms.hhs.gov/NationalCorrectCodInitEd/01_overview.asp#TopOfPage

Chapter 9-page 6
 
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