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Cpt Code Help

  1. Default Cpt Code Help
    Medical Coding Books
    I have report that reads Right and Left clavicle. Does CPT 73000 include both?

    Thank you

  2. #2
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    in my opinion, it does - "radiologic examination;clavical, COMPLETE" yaknow, dangit - I have to rethink this, I just spoke to one of our radiologists and she said, when bilateral is done, they take two separate (actually four because apparently they take two angles per side). So, I guess in that case, a modifier .50 on it should cover it all
    Last edited by dmaec; 06-24-2008 at 11:15 AM.

  3. Default
    Use your modifiers to be sure

  4. #4
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    For xrays use rt and lt.

  5. #5
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    Duluth, Minnesota
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    Question
    wouldn't you use the rt/lt if it was one or the other, but the .50 modifier if it's bilateral?

  6. #6
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    I would use the RT/LT modifiers and put a 59 on the 2nd

  7. #7
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    hmmm, I guess I'd disagree with that. I rarely use a .59 on xrays - sometimes, but rarely - and not in this instance.

  8. #8
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    I would only use rt/lt, not -59.

  9. #9
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    The purpose of the 59 modifier on the 2nd is due denials on the second line for duplicate (or whatever other reason they see fit). I've seen this over and over and since I started putting the 59 (seperate site) on the 2nd line, denials have diminished.

    If you were to have a hammertoe 28285-T5 AND 28285-T6, you would have to put the 59 on the 2nd line (28285-59-T6).

    X-rays are really no different

    Then again, maybe its just an issue I have with the carriers I submit to.

  10. #10
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    yes, I see the indicator code is '3', which means you certainly can use the rt/lt on the 73000. (and apparently it should be reimbursed without multiple procedure fee reduction!)

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