Wiki X-ray Denial

urbach34@yahoo.com

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We bill for the professional side of x-rays. We recently got a denial back on 73560. We billed 73565-26, and 73560-26-50. The hospital billed 73565-TC, and 73560-TC-Lt, 73560-TC-Rt. I cannot see if they got paid or denied for their portion. My question is, does it make a difference that they billed Lt/Rt separately, and we used modifier -50? I don't know why it would, but I don't see anything other reason for this. Any ideas?
 
73565 can only be coded when AP standing views are the only views taken. Otherwise you count the total views of each knee and code separately. For example: If AP standing views are taken & a 3 view left knee, the coding would be 73560- 26-RT for 1 view right and 73564-26-LT for the 1 standing + the 3 view left.

http://www.codinginstitute.com/product/downloadsamplepdf/pid/58
 
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