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Bilat Elbow Xrays

  1. #1
    Default Bilat Elbow Xrays
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    We have a patient who dislocated both elbows while jumping on a trampoline. We took 2 xrays of each elbow, before and after relocation of each:
    RT Elbow Complete, RT Elbow 1 View
    LT Elbow 2 View, LT Elbow 1 View

    These were initially coded as:
    73070 -LT
    73070 -59 -50 -52
    73080 -RT

    Needless to say, the 73070 -59 -50 -52 is hitting CCI edits for the -52 modifier, which I don't think belongs on there anyway. My main question is, what's the best way to code for the single-view xrays? Would it be best to code 73080 once time for each side and call it good? All suggestions appreciated!

    Thank you in advance,
    Tracy

  2. #2
    Location
    Salt Lake City
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    if they are done pre and post reduction then you would code
    73070-LT
    73070-LT-52
    73070-RT-59-52
    73080-RT

    I think the RT LT modifiers is enough for insurance to tell its different elbows. You might have to appeal though
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Red face
    73080-RT
    73070-RT-59-52
    The (59) is unbundiling the 73080(min3+vws) & 73070(2vws).
    The (52) is reducing the 73070, anything < less than 2vws.

    73070-LT-52
    73070-LT-52-(76 OR 77 depending on reading Rad)
    The (52) is reducing the 73070, anything < less than 2vws.
    The (76) same Dr, same procedure
    The (77) different Dr, same procedure

    Hope this helps!
    Jessica O'Donnell CPC

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