• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Multiple same site x-rays for pre and post reduction of fractures/dislocations

Create Wiki
S

SienTC1720

Networker
Messages
68
Location
Daytona Beach, FL
Best answers
0
We are having a hard time deciding how to bill for these types of procedures. It is multiples of the exact same study, i.e. shoulder x-ray for a dislocation, the first study to see the problem, and the second/subsequent to make sure it is set correctly.

My first question is, since these are all done on the same day, do they ALL have the A suffix on the diagnosis? It seems they shouldn't, but they aren't exactly separate encounters.

Then, how should we be billing these so that we will get both units paid? As 2 units on one side, or as separate line items with a -59 on everything but the first?

Thanks in advance for any help!
 
Yes the diagnosis gets the A as it is still the active treatment encounter. Second you bill the X-rays on separate lines using the 76 or 77 modifier on the second line. 76 if the same physician ordered each one.
 
You must log in or register to reply here.
Top