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Is is appropriate to use fluoroscopy in place of x-ray?

PLAIDMAN

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A podiatrist recently joined our service line. He is requesting to use the mini c-arm and bill fluoroscopy in place of x-ray. Is this appropriate if the physicist approves the space?
I know for Medicare they do not accept "spot shots" in place of an xray - you cant just take a pic of metatarsal to rule out fx (example)

we have our own fluoro - we use it for needle localization -77002 and we get paid for that.

we also do use it for viewing a joint - 76000 - this requires a report just like an xray does - that includes: time spent, range of motion, stability of joint, laxity ect...-we do get paid for this as well, but sometimes have to appeal for it

fluoro is also included in many surgical procedures...so be careful with that too

that is all I know for sure - but I learn something new every day !
 
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