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Question fluoroscopy/intraop static spot images

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PaigeMatthews

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MELVIN, IL
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CAH/Facility coder - Our system is set up to drop/bill a 76000 every time the c-arm is utilized in the OR. In addition to that, when the images are saved in PACs it auto-drops a diagnostic x-ray CPT. Most of the time our radiologist is documenting something along the lines of "intraoperative fluoroscopy 0.3 minutes" occasionally we'll get more detail such as "intraoperative fluoroscopy 0.3 minutes 2 static spot images impression: intraoperative fluoroscopy demonstrates total hip arthroplasty". from that document a diagnostic x-ray charge is autogenerating, ex: 73502. On our facility claim we are commonly getting edits for 76000 and the procedure performed this DOS. From what I have read, when 76000 is inherent to the procedure we should not be billing this. i've been working with our radiology team to get this updated. I am unsure about guidance on diagnostic x-rays though and hoping for some assistance/guidance on what other practices are doing? from this ortho coding alert about intraoperative x-rays I'm leaning towards these are not billable either because they lack intent. I would love to know how other facilities handle these?


Thanks!
 
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