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comparable x rays

  1. #1
    Default comparable x rays
    Medical Coding Books
    Does anyone out there have any thoughts/advice on billing comparable x rays? For instance I have a Dr who likes to get bilateral wrist x rays for instability (LT wrist is having problems but wants to see how the RT compares). DO you bill for these or not? I have recieved conflicting info and I am just trying to get it right. If anyone has anything in writing regarding this I would love to see it.

    Lisa CPC
    Liberty Orthopedics

  2. #2
    North Carolina
    This is always a hot topic...

    Here's what Medicare states........

    When limited comparative radiographic studies are performed (e.g., post-reduction, post-intubation, post-catheter placement, etc.), the CPT code for the radiographic series should be reported with modifier 52 indicating that a reduced level of interpretive service was provided. This requirement does not apply to OPPS services reported by hospitals.

    Chapter 9-page 6

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