Results 1 to 2 of 2

Knee X-ray Series question

  1. Default Knee X-ray Series question
    New Call-to-action
    When a provider orders the following:
    Right knee series includes bilateral AP, Bilateral weight bearing PA, lateral and bilateral Merchant views ordered and obtained.

    What would the proper billing be? The way I understand it is the physician is looking at 3 views of the affected knee, 2 of the unaffected knee and then the Bilateral standing. Most insurance do not pay for the unaffected side as comparisons so would
    be appropriate? It has been shown to me that NCCI edits do not bundle these two codes and that 73562 is allowed with 73565 with modifiers.
    I am finding quite a bit of conflicting information and most of the sources are from old dates, so I'm asking for advise.

  2. #2
    lawrence, kansas
    In our orthopedics practice this is how we have been billing our knee xrays when performed with the bilateral standing views of the unaffected side for comparison.
    Ryan Raich, CPC COSC
    Lawrence, Kansas Chapter President

Similar Threads

  1. Knee question
    By Jamie Dezenzo in forum Orthopaedics
    Replies: 0
    Last Post: 02-28-2011, 10:49 AM
  2. knee question
    By richelle25 in forum Orthopaedics
    Replies: 1
    Last Post: 01-31-2011, 12:05 PM
  3. Knee Arthroscopy Question
    By amartinez1 in forum Orthopaedics
    Replies: 3
    Last Post: 09-10-2010, 12:09 PM
  4. Another Knee Question
    By RebeccaWoodward* in forum Orthopaedics
    Replies: 10
    Last Post: 09-18-2009, 09:28 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.