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V-codes for CXR's and medicare

  1. #1
    Default V-codes for CXR's and medicare
    Exam Training Packages
    We are getting claims denied from medicare when a patient comes is for "pre-op" chest-xray. We have used I believe (V72.84 pre-op exam unsp) as well as (eg:715.96 for osteoarthrosis knee) if they are having knee replacement. Any ideas how we would code a pre-op chest xray to get paid from medicare???.... Also getting denied for chest xray for patients getting it done for their physicals. Thanks

  2. #2
    Pre-op chest x-rays are routine. Medicare does not cover routine services.

  3. Default pre-op chest x-ray
    pt comes in for pre-op chest x-ray to rule out respiratory disease. no respiratory disease found but cardiomegaly was. how do you code

  4. Default
    N. Patients receiving preoperative evaluations only
    For patients receiving preoperative evaluations only, sequence first a code from category V72.8, Other specified examinations, to describe the pre-op consultations. Assign a code for the condition to describe the reason for the surgery as an additional diagnosis. Code also any findings related to the pre-op evaluation.
    as per ICD guidelines
    Sreenivas Sajja-CPC,CCS

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