X-ray Denial

urbach34@yahoo.com

Networker
Messages
37
Best answers
0
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?
 

chembree

Guru
Messages
241
Location
Dallas, GA
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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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