AAPC - Back to school
Results 1 to 2 of 2

Thread: Radiology/Fluoroscopy

  1. #1
    Join Date
    Apr 2007

    Default Radiology/Fluoroscopy

    AAPC: Back to School
    I have a claim billed with cpt code 29075 for a repair on a cast in addition to cpt code 76000,fluoroscopy. Originally these two codes came up as unbundled. Provider then added a 59 modifier to 76000 and when the notes came over provider stated that "x-rays were obtained and three panoramic views were taken of the radius and ulnar fracture."

    My question is whether 76000-59 can be billed with 29075 when it is directly related to that casting. 76000 comes up as a (separate procedure) in the CPT manual and it states that these (separate procedures) should not be coded in addition to the basic procedure code of which it is considered an integral component.

    Is there a more appropriate code to report the "3 panoramic views" that were obtained other than 76000-59 to make it payable.

    I don't feel 59 makes this a distinct procedural service and now I am questioning whether this was the appropriate radiological code to report in the first place.

    Any feedback will be greatly appreciated.

    Thank you in advance

    Tina Moschetta

  2. #2
    Join Date
    Apr 2007
    Bangor, Maine


    For radiology it is better to go with the -TC or -26 modifiers depending on who owns the equipment. Check out the radiology guidelines in your CPT book in the beginning of that chapter. It talks about "seperate procedure" coding rules as well.

    Modifier -59 is only to be used for a "Seperate Distinct Procedure", which means that it is used only for a procedure or service that is distinct or independant from other non-E/M services performed on the same date of service. It is used for procedures that are not normally performed together. Hope this helps a little bit. If not, look into the Modifiers forum about issues with the -59 modifier. There are many posts discussing it
    Last edited by LTibbetts; 11-05-2009 at 06:01 AM.

Similar Threads

  1. Fluoroscopy
    By MACACERES in forum Orthopaedics
    Replies: 0
    Last Post: 10-21-2014, 11:34 AM
  2. fluoroscopy ng tube, radiology guru's help
    By kayrose in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-21-2010, 05:54 AM
  3. fluoroscopy - Biphasic esophagram and upper GI series
    By prabha in forum Interventional Radiology
    Replies: 2
    Last Post: 12-15-2009, 10:17 PM
  4. Fluoroscopy
    By Partha in forum Orthopaedics
    Replies: 3
    Last Post: 08-19-2009, 10:01 AM
  5. fluoroscopy - If the physician is billing 43247 & 43248
    By rcclary in forum Gastroenterology
    Replies: 1
    Last Post: 01-16-2009, 12:42 PM

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.