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hip x-ray denial, anyone else getting this?

  1. Default hip x-ray denial, anyone else getting this?
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    Dr. ordered a one view of both RT & LT hip. We are billing 73500 twice for RT & LT, it states Radiologic exam, hip, unilateral; 1 view. Ins is stating there is a more appropriate code to use, but I'm not seeing anything in the cpt for 1 views of hip. Any advice?

  2. #2
    Default Denial of 73500
    We have been getting this type of denial quite often on hip and pelvis x-rays. They want you to bill 73520 which is one code for bilateral, however it is 2 views. We have had success in appeals, but it takes a long time. We have a form letter explaining why we need only one view or both hips. they are doing the same thing if we bill hip and pelvis x rays. They are wanting us to use only the plevis. Again we appeal with letter and it gets paid. Hope this helps you.
    Last edited by lostone65; 05-07-2010 at 11:32 AM.

  3. #3
    What insurance company is it? Have you tried appending the 50 modifier? for bilateral? It really depends on the insurance company as to which modifier we use. Hope this helps!

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