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X-ray before and after

  1. #1
    Question X-ray before and after
    Medical Coding Books
    Patient in global for fracture care and comes in the office and has an x-rays before the cast is removed and after the cast is removed on the same visit...

    Can you bill x-ray twice??

    E & m notes say.. X-rays taken before cast change with finding and x-ray taken after cast change w/finding

    we billed x-ray twice but insurance denied this as a duplicate claim...

    Thank you for your help

  2. #2
    Columbia, MO
    you need a 76 modifier on the second x ray to keep it from denying as a duplicate

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thank you

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