Stephnaie Posted Tue 05th of November, 2013 06:42:16 AM
Are there specific CPT codes for weight bearing xrays? Is a modifier needed? For example, if xrays of the knee are taken in the supine position and then again in a standing (weight bearing) position.
SuperCoder Answered Tue 05th of November, 2013 17:55:25 PM
You should report CPT 73565 (Radiologic examination, knee; both knees, standing, anteroposterior) for the bilateral knee x-ray.
If the ordering physician requested a joint survey for a multijoint disorder and you obtained single views of two or more joints, 76066 (Joint survey, single view, two or more joints [specify]) might apply. In such cases, however, the radiology practice normally images each of the joints on separate films to improve diagnostic accuracy.
The rationale is that you should report 73565 (Radiologic examination, knee; both knees, standing, anteroposterior) only when the standing views are performed on their own. If the standing views are taken in combination with other views, then you should add the views together and choose your codes based on the total number of views for each knee.