tci ED Coding & Reimbursement Alert - 2018 Issue 7

You Be the Coder: Ensure Thorough Documentation for X-Rays

Question: The ED performed a four-view x-ray of a patient's left knee, including lateral and sunrise views in both standing and non-standing positions. The ED circled 73564 (Radiologic examination, knee; complete, 4 or more views), but the documentation for the claim simply says, "Standing/non-standing left knee x-ray." We are the billing service and we aren't sure if we can bill this claim using this documentation. Can you advise? Supercoder.com Subscriber Answer: You are correct in suggesting that this claim should not be billed with this documentation, because this note is not thorough enough to support billing a...

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