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Bilateral Wrist X Ray

Jamie Posted Tue 16th of May, 2017 17:44:50 PM
How do you bill for a bilateral wrist xray 1 image? EX: Pt came in and the provider did what they call a "wrist series". They took 2 views of the LT and bilateral of LT & RT in one image.(not comparison)
SuperCoder Answered Wed 17th of May, 2017 06:43:07 AM

Greetings from SuperCoder.com!

 

We apologize for we could not understand your question. There were 2 views of the left wrist for which you may report CPT code 73100 (Radiologic examination, wrist; 2 views) but the no. of views are not clear for right wrist. If right also got 2 views, then you may report 73100 with modifier 50.

 

If this is not your scenario, we request you to elaborate it further so that we can provide the exact answer.

 

Please feel free to write if you have any concern or questions.

 

Thanks.

Jamie Posted Wed 17th of May, 2017 12:15:00 PM
The patient had a total of 3 xrays done.(3 films total) 2 xrays were done on the left wrist and 1 xray(Bilateral) of both LT and RT were taken in one film. How do you bill for a bilateral wrist xray 1 image?
SuperCoder Answered Thu 18th of May, 2017 06:37:18 AM

 

Hi,

 

For bilateral x-ray, you should report CPT code 73100 (Radiologic examination, wrist; 2 views) but since this code requires 2 views and there was only one view, you should append modifier 52 (Reduced Services) with 73100 along with modifier 50 (Bilateral Procedure).

 

Thanks.

 

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