tci ED Coding & Reimbursement Alert - 2008 Issue 6

You Be the Coder: Mind Your X-Ray Bundles

Question: A patient complaining of sore ribs and chest discomfort reports to the ED. After a level-three E/M, the physician performs a bilateral three-view rib x-ray and a single-view frontal chest x-ray. How should I report this scenario? Arkansas Subscriber Answer: You-ll be able to report an E/M code and a code for the rib x-ray, but you cannot code the chest x-ray separately.Why? The Correct Coding Initiative (CCI) bundles chest x-rays (71010, Radiologic examination, chest; single view, frontal) into all of the rib x-ray codes. The only time you can report chest and rib x-rays for the...

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