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spinal xrays - I was just wondering

  1. #1
    Default spinal xrays - I was just wondering
    Medical Coding Books
    I was just wondering if anyone had the experience of an insurance company bundling submitted codes into what they think is a better code. I submitted three codes - 72040 - cervical spine, two views, 72070 - thoracic spine, two views and 72100 - lumbar three views. Healthspring bundled them into 72010. Is this correct? I have no idea how many views are in 72010. Should I fight this?

  2. #2
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    Quote Originally Posted by cindy_b View Post
    I was just wondering if anyone had the experience of an insurance company bundling submitted codes into what they think is a better code. I submitted three codes - 72040 - cervical spine, two views, 72070 - thoracic spine, two views and 72100 - lumbar three views. Healthspring bundled them into 72010. Is this correct? I have no idea how many views are in 72010. Should I fight this?
    Per CPT Asst (1-07)

    72010=

    This radiologic exam involves obtaining anteroposterior & lateral views of the entire spine. The number of films required will vary depending on the size of the film available and the size of the patient examined. For an adult patient, the study may require six films (the AP and lateral views of the cervical, thoracic, and lumbar spine). For smaller patients (ex- a pediatric patient), it may be possible to obtain the AP and lateral views of the entire spine with fewer films. These films are then interpreted as a single study (ex- one study is reported regardless of the number of films taken).
    Last edited by RebeccaWoodward*; 03-11-2010 at 12:45 PM.

  3. #3
    Default spinal xrays
    Oh, ok. So I guess they were correct in bundling my codes into the one. Thank you for your response.

  4. #4
    Default
    no, they were not and you should fight this if you have 3 separate reports
    we bill this out all the time and never had problem with it - no bundling from any insurance
    also per Radiology Coding Companion description : Code 72010 includes AP views, with patient supine, knees flexed, and feet flat on the table; and lateral views, either recumbent or erect.right and left posterior obliques may be performed with the patient in semi-supine position with the spine at a 45-degree angle to the table.
    hope this hepls

  5. #5
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    North Carolina
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    CCI edits bundle 72040, 72070, 72100 into 72010


    72010 72020
    72010 72040
    72010 72050
    72010 72052
    72010 72069
    72010 72070
    72010 72072
    72010 72074
    72010 72080
    72010 72090
    72010 72100
    72010 72110
    72010 72114
    72010 72120

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