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Documentation for X-Rays

Jamie Posted Wed 19th of October, 2016 15:46:21 PM
Just wanted to get clarification on documentation when providers order X-rays. Per an AAPC article "Seven tips for diagnostic radiology coding success" it states "if the Physician does not state # of views, you must report the lowest level corresponding CPT code". Does the # of views have to be stated in the provider order or can it be a clinical form that the MA fills out for the provider they are working with that day? Just want to make sure what documentation is acceptable and not acceptable. Thank you
SuperCoder Answered Thu 20th of October, 2016 04:53:48 AM

Regarding documentation for diagnostic procedures such as X-rays, it is important that the number/names of views be mentioned in the doctor's order. Thank you.

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