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Hand Xray bundling

Jessica Posted Tue 26th of July, 2011 19:50:02 PM

I am looking for some help!! I have a hand surgeon who takes both a hand xray and finger xray CPT 73140 and 73120. This is of course bundled by CCI. He feels that he wants to get a better or closer look at the finger joints, however he is doing it all for the same DX.

When would you feel it is appropriate to bill both 73120/73140 on the same hand???? Everything I can find says fingers are included in hand and he should not be billing them out separate unless they are done RT/LT.

Any help or supporting documentation- Thank you sooo much in advance!!

SuperCoder Answered Wed 27th of July, 2011 15:34:35 PM

X-rays of Hands, Fingers. Radiology experts note coding hands and fingers x-rays can be perplexing because the codes for studies of the hand say nothing about the fingers. This exclusion indicates that a hand code (73120, radiologic examination, hand; two views, and 73130, … minimum of three views) and the fingers code (73140, radiologic examination, finger[s], minimum of two view) may be reported when x-rays of both are obtained.
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But, CCI edits give direction to proper coding of hand and fingers.
The logic is based on encouraging a better approach wherein physician should have properly evaluated initially, and ordered appropriately in specific either for finger x-ray or for hand or for both with correct diagnosis mapping justifying for reimbursement.

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You can use modifier 59 when x-ray is performed in opposite sides.

Jessica Posted Thu 28th of July, 2011 17:06:53 PM

I appreciate the explanation and will relay back the info. Thank you!!

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