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Wiki mri coding

cattridge

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I have been billed for 72141 & 72141 with a 59 modifier...the extra code is for flextion and extension views..can the radiologist bill twice for 72141??
 
59 mod

We have used the 59 mod before when more sequences were done with MRIs since it's the 72158 lumbar or the w and w/o codes that states (further sequences) but we have had a separate Dx for the original procedure when we do add the 59 to the second. This is a hard one for payment and it's like the 70553, 70553-59 for IAC's, which we also do at one of our centers. Do you have 2 separate reports for each 72141?
 
no, there was only one report...and in the report it had flexion and extension....so my thought is they can not bill it twice, am I correct?
 
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