Wiki Radiology question/guidance

mparr1982

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Local Chapter Officer
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Topeka, KS
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Hello! I am needing some guidance on radiology coding and billing. We perform a variety of x-rays in our clinic for our orthopedic doctors. My main question is understanding the number of views and how the physician dictates them versus how we should actually be billing them? The clinic manager and physicians want us to bill them a certain way. I would like some guidance on finding how these should actually be billed. See the example of the dictation and how we were asked to bill them out to insurance:

The physician dictates the knee series like this:
Left 4 view knee series includes bilateral AP, bilateral weight bearing PA, lateral and bilateral Merchant views ordered, obtained and independently reviewed by me in the office today
billed as 73562-LT & 73565

Is this correct our should we be billing the as the CPT 73564? I feel this is the correct code that should be billed 4 views on the knees.

Any guidance or even information where I can find to provide to our clinic manager and physicians on the correct billing on radiology would be greatly appreciated.

Thanks,
Michelle
 
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