• 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 Radiology question/guidance

mparr1982

Contributor
Local Chapter Officer
Messages
12
Location
Topeka, KS
Best answers
0
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
 
Top