tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Understand When Multiple X-rays Should Be Coded

Question: A patient came into the urgent care following a bicycle accident and the doctor documented that the staff “performed an X-ray for suspected clavicle fracture and examined the AC joint.” The coder initially assumed that only a clavicle X-ray was performed, but our practice manager noticed that the documentation doesn’t say it was only a clavicle X-ray. What should we do? Pennsylvania Subscriber Answer: The answer will depend on more specifics from the documentation, but chances are you’ll report both 73000 (Radiologic examination; clavicle, complete) and 73050 (Radiologic examination; acromioclavicular joints, bilateral, with or...

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