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multiple xrays for fracture

  1. #1
    Default multiple xrays for fracture
    Medical Coding Books
    Please help, pt had xrays in ER and was reduced for radius/ulna fracture. Then followed up two days later w/my doctor. New xrays taken because pt's forearm still displaced. Doctor reduced fracture, took another set of xrays BEFORE casting...then took another set of xrays AFTER casting. Can all of these xrays be billed? If so, how do I do that or where can I find the info.

    Thanks,

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    pre and post op xrays are billable in the office. You will need to put a modifier 76 on the 2nd set of films.

  3. #3
    Location
    Louisville, KY
    Posts
    1,101
    Default
    Modifier -77 may also be appropriate--depending upon your circumstances.

    Be sure to reflect the appropriate ICD-9 for the post-treatment films to correlate with those taken pre-procedure.

    Good luck.

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