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Chest PA and lateral and add'l PA w/ nipple markers

  1. #1
    Location
    New Haven, CT
    Posts
    32
    Default Chest PA and lateral and add'l PA w/ nipple markers
    Exam Training Packages
    What would be the appropriate way to code this, all done in same visit:
    Chest 2 views 71020 followed by PA chest with nipple markers 71010

    or

    Chest 2 views 71020 followed by PA chest w/ nipple markers 71035

    Is there a right or wrong ? Thanks
    Shar

  2. #2
    Default
    A PA chest is coded as 71010. I would code 71020 and 71010-59

    Debby.

  3. Default
    I analize first, what insurance, then, the insurance acept the 2 procedure with modifiers?
    If not, what is the better reimbursement ? with modifier ? or using the complete procedure?

  4. #4
    Location
    New Haven, CT
    Posts
    32
    Default
    Thank you both for responding. The complete would be 4 views though and we are only doing 3, for which there is no code for. So, perhaps the best is 71020, 71010-59. We are doing these in our outpatient satellite facilities and do quite a few. I see they always bill out the extra view as specialis, and I really didn't agree with that.

    Thanks - again !
    Shar

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