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tci Part B Insider - 2014 Issue 24
Reader Question: Comparison X-Rays May Not Be Payable
Question: We recently saw a patient who injured his leg in a car accident. The surgeon ordered an x-ray of the affected leg, along with comparison views of the other leg. The insurer denied the x-ray claim for the unaffected leg and only paid us for a unilateral x-ray. Should we appeal?
Answer: Probably not. Although your payer may reimburse comparison views of children’s legs, you can’t usually collect for comparison views that you take of adult patients. This depends on the injury. If the physician images the opposite leg to determine leg length (in event of...
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