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Radiology Coding Alert

Reader Questions:
Report Hip Arthrograms Bilaterally

Question: Our radiologist performed bilateral hip arthrograms under anesthesia. Should I report CPT 27095 and 73525 for each hip?

Pennsylvania Subscriber
Answer: Yes. Depending on your carrier, you should report either 27095-50 (Injection procedure for hip arthrography; with anesthesia; Bilateral procedure) or 27095-LT (Left side) and 27095-RT (Right side) for the bilateral arthrography.

Code 73525 (Radiologic examination, hip, arthrography, radiological supervision and interpretation) refers to a single hip, not both hips, so you can report it using the bilateral modifiers and receive additional reimbursement for your radiological supervision and interpretation (RS&I) for both hips. As with 27095, determine whether your payer prefers modifier -50 or the -LT and -RT modifiers before submitting your bilateral claims for 73525.
 
  The answers for You Be the Coder and Reader Questions were reviewed by Cindy C. Parman, CPC, CPC-H, RCC, co-owner of Coding Strategies Inc. in Dallas, Ga.


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