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?
- ICD-10 Training
- Exam Preparation
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join