Page 2 of 2 FirstFirst 12
Results 11 to 14 of 14

Cpt 70110

  1. #11
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Medical Coding Books
    Now for my reply on the 70110- The lay description states:

    The lower jaw bone is x-rayed. In 70100, three or less projections are taken for a partial view of the bone structure and in 70110, four or more projections are taken for a complete view of the bone structure.

    I looked on Encoder Pro, which generally has 50 modifier next to the code if the 50 modifier is acceptable, and it is NOT present. Therefore I agree with llewis and fisherd, I believe that this is a "complete" x-ray. (the mandible is not considered two structures like the hips, arms, legs, ears, etc--its only one)

  2. #12
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    I was going ask if your co-workers ever followed the claim to see how it's being paid - it could be a carrier preference. I know where I work, the RT/LT is what differentiates the area to the insurance and it gets it paid, some (medicare) even prefer the .50 for bilateral. But, you shouldn't need a .59 modifier on the code if the only codes they're billing are 73562.RT & 73562.RT.

    mbort - I get what you're saying but it really shouldn't be denied using just the RT/LT.
    Donna, CPC, CPC-H

  3. #13
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    To back up my previous reply on the 70110- I also just checked the crosscoder for modifiers- Neither the RT/LT nor the 50 modifier is appropriate for that code.

  4. #14
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    nice catch mbort YOU are right! (I was wrong) I double checked the RVU schedule and in the bilateral column it has a "0" indicator - (not a 3). Bilateral does not apply to this code!

    fisherd - SORRY! I was mistaken! I thought I had doubled checked the RVU's schedule before I answered your question - apparently I read it wrong In any case, mbort is correct - 70110 means complete - however, it does not mean bilateral - (that's why we can't use the LT/RT or 50 on it) It's just complete, no mods needed

    jhayes - I was wrong sorry about that.....

    llewis - YOU were right all along!

    sorry guys, I have to double check my double checks in the future !
    Donna, CPC, CPC-H

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 09:40 AM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 04:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-21-2009, 11:33 PM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-09-2009, 11:01 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?

Login

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.