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Manual application of stress

  1. #1
    Springfield, MO
    Default Manual application of stress
    Medical Coding Books
    Does anyone have any information regarding billing CPT 77071 (Manual application of stress performed by physician for joint radiography, including contralateral views if indicated)?

    Medicare has given this code a MUE of 1. If two different stresses are placed on the same joint, is it appropriate to bill twice? (Example: dorsiflexion and plantar flexion on first MTP joint.)

    I appreciate any information anyone has about this.
    Amy Bishard, BA, CPC, CPMA, CEMC, CCS, RCC
    Instructor, Medical Billing and Coding, Cox College
    2015 Education Officer - Springfield MO AAPC Chapter
    Former AAPC Chapter Association Board of Directors 2012-2015
    2011 President - Springfield MO AAPC Chapter
    2010 President Elect - Springfield MO AAPC Chapter

  2. #2
    Columbia, MO
    This code is for the actual stressing of the bine, the physician must document some like ..."while wearing lead lined gloves I stressed x......"

    Debra A. Mitchell, MSPH, CPC-H

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