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Knee X-ray Series question

  1. Default Knee X-ray Series question
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    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
    73565
    73562-rt-59
    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
    Location
    lawrence, kansas
    Posts
    54
    Default
    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

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