Results 1 to 3 of 3

Comparison X-rays

  1. #1
    Overland Park, KS
    Default Comparison X-rays
    New Call-to-action
    I have a pressing questions for all ortho coders....

    If a provider takes an x-ray of the patient's left foot and then takes an x-ray of the patient's right foot for comparison reasons (no other reason just a comparison), can you report the comparison x-ray?

    I read in an orthropedic manual from Ingenix that comparison x-rays that are done in the absence of medical necessity (no signs/symptoms) are considered screening by Medicare and are not payable. Does anyone know this to be true and can you point me to a specific guidance from CMS that states this?

    Also, would you use modifier 50 for the comparison x-rays, or just LT, RT?

    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

  2. #2
    Louisville, KY

    Comparison reviews are not billable--they lack medical necessity. Truthfully, I cannot locate CMS guidance, but check out the ACR website for further guidance.

  3. #3
    Overland Park, KS

    This is what I thought as well, but need some reassurance. Thanks so much as always!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow

Similar Threads

  1. comparison x-rays
    By dmaec in forum Interventional Radiology
    Replies: 8
    Last Post: 09-16-2014, 07:40 PM
  2. Comparison x-rays - So there's a patient that came
    By graceroni13 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 07-16-2014, 02:05 PM
  3. Comparison x-rays - Please help...Can a hopsital
    By lolivi in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 12-12-2013, 01:30 PM
  4. Comparison X-Rays
    By lolivi in forum Orthopaedics
    Replies: 0
    Last Post: 12-12-2013, 12:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.