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Wiki Xrays of Infants - CPTs 73092 & 73592

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Marianne Loeffler

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CPT Code 73092 - Xray lower extremity, infant, minimum of 2 views
CPT Code 73592 - Xray upper extremity, infant, minimum of 2 views

These two CPT codes are specifically for infants, however, we perform these procedures on children over 12 months of age. Since we can't use CPTs 73092 & 73592 for non-infants, what CPT code(s) would you use? Would you use unlisted code 76499? If not, what would you recommend? Please cite references.
 
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Marianne Loeffler said:
CPT Code 73092 - Xray lower extremity, infant, minimum of 2 views
CPT Code 73592 - Xray upper extremity, infant, minimum of 2 views

These two CPT codes are specifically for infants, however, we perform these procedures on children over 12 months of age. Since we can't use CPTs 73092 & 73592 for non-infants, what CPT code(s) would you use? Would you use unlisted code 76499? If not, what would you recommend? Please cite references.
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According to the AMA Infants are children aged 1 month to 1 year (12 months). Children over 1 year (12 months) you would use the CPT according to the specified site and views.

Billing and Coding: Is There a Pediatric Code for That? - Radiology Today Magazine

Radiology Today newsmagazine reaches 40,000 radiology professionals nationwide on a monthly basis, covering areas such as Radiology Management, Bone Densitometry, Mammography, MRI, PACS, CT, Sonography, Nuclear Medicine, Radiation Oncology, Radiation Therapy, contrast agents, and more!
www.radiologytoday.net
 
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I wouldn't use the unlisted code - I'd use the appropriate x-ray code for the body part being imaged.

For example, 73090 is an x-ray of the forearm and 73590 is an x-ray of the tibia & fibula. There are additional codes for x-rays of the arm & leg, depending on what specifically is being imaged.
 
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