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Eunice Posted Fri 07th of March, 2014 12:13:33 PM

Referring physician ordered bilateral hips and complete pelvis xray.
I billed 73520-52 and 72190.
Is this correct?

Thank you

SuperCoder Answered Sun 09th of March, 2014 18:24:44 PM

73520-This particular procedure is for a minimum of 2 bilateral views of an x–ray of the hip including an anteriorposterior view of the pelvis.To report CPT code 73520 it's necessary that the physician perform 2 views of each hip and one view of the pelvis.

You need to code only 73520 here if at least two bilateral views have been taken else 73520-52.

Pelvis view is included in that code.

Thanks,

Eunice Posted Tue 18th of March, 2014 18:40:53 PM

Even if referring physician ordered "pelvis complete minimum 3 views with bilateral hips xray, min. of 2 views".
I can code only cpt 73520?

Thank you!

SuperCoder Answered Thu 20th of March, 2014 13:05:56 PM

A few points to consider:

1. CCI doesn’t bundle these codes.

2. Were three other pelvis views done in addition to the AP view covered by 73520?

3. Check to see whether your payer has a policy. See this BCBS guide as an example:

“When billing CPT codes 72170* and 72190 for pelvis studies, a hip study 73500 is included. Billing 73500 in addition to 72170 or 72190 done at the same session is considered duplicative.”

http://www.wellmark.com/Provider/CommunicationAndResources/PDFs/S5782_LabPathRadiologyPractitionerGuide.pdf

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