Forum - Questions & Answers
xrays before/after fx manipulation
One of my docs (podiatrist) is billing a fracture treatment (28475) and x-rays; one set of 3 views before manipulation (73630) and one set of 2 views after manipulation (73620). In the coding wording, it says that the xrays are "separately reportable." Is there any way to get both of these paid on the same claim?
post manipulate
From the CCI General Policies (Radiology):
When limited comparative radiographic studies are performed (e.g., post-reduction radiographs, post-intubation, post-catheter placement, etc.), the CPT code for the radiographic series should be reported with modifier -52, indicating that a reduced level of interpretive service was provided. This requirement does not apply to OPPS services reported by hospitals.
Code 73630 has an MUE of "2". (Medicare)