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How do most payers define an infant, in regards to CPT 73092?

Donna m Posted Fri 12th of April, 2013 21:03:21 PM

How do most payers define an infant, in regards to CPT 73092 (radiologic exam; upper extremity, infant, minimum two views)? Websters definition of an infant is 12 months or younger.
Online growth charts have infants up to 24 months.
CPT codes 73592, 73540, 73092 only state infant.
Critical care codes 99291,99291 has a definition as "infatns 29 days through 71 months.
Many definitions have been found but it is unclear in regards to radiology codes.

SuperCoder Answered Mon 15th of April, 2013 11:14:41 AM

Most carriers define an infant as a child younger than 366 days old. As always, however, you should confirm this with your local carriers.

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