Does CPT code 73562 need a modifier?
The below codes wont be paid separately when billing together with Procedure code 73562, Use correct Modifier. The first step when reporting knee X-rays is to check for the number of views your radiologist obtained.
What is procedure code 73562?
CPT® 73562 in section: Radiologic examination, knee.
What is the correct CPT modifier for bilateral procedures?
modifier 50
Use modifier 50 to report bilateral procedures performed during the same operative session by the same physician in either separate operative areas (e.g., hands, feet, legs, arms, ears) or in the same operative area (e.g., nose, eyes, breasts).
Which of the following modifiers may be added to a code for CPT radiology services?
Cards In This Set
| Front | Back |
|---|---|
| WHICH OF THE FOLLOWING MODIFIERS MAY BE ADDED TO A CODES FOR CPT RADIOLOGY SERVICES | -59 |
| WHEN ASSIGNING HCPCS LEVEL II CODES | SOME HCPCS LEVEL I AND II SERVICES ARE NOT PAYABLE BY MEDICARE |
Is CPT 73565 bilateral?
You cannot report code 73565 (bilateral standing AP) unless that is the only exam performed.
What is the CPT code for Radiologic examination Mastoids complete?
70120
CPT® 70120 in section: Radiologic examination, mastoids.
What is the CPT code for a modifier 50?
Example
| Date of service | Procedure code | Modifier |
|---|---|---|
| 7/1/2019 | 19303 | 50 |
What type of CPT code is modifier 51 exempt even though there is no modifier 51 exempt symbol?
CPT 45378 is a primary procedure code without modifier 51 and 43200 with 51. Modifier 51 appends with CPT code 43200 to unbundle the service with CPT code 45378.
Can modifier 50 and 59 be used together?
As long as the coding submitted supports separate payment, there should be no issues. If only one procedure was performed bilaterally, modifier -59 should not be used on the charge with modifier -50.
Does CPT code 73600 need a modifier?
Agreed with QTC’s recommendation to use the standard Procedure code, 73630, for a complete x-ray of the foot, but without the internal QTC modifiers.
Which CPT modifier should you append to a procedure code for a bilateral procedure?
The MPFS Relative Value File shows a 1 modifier indicator in the BILAT SURG column for this code; therefore, modifier 50 may be appended to describe a bilateral procedure (for example, for excision of a lesion on the left arm, and another excision of lesion of the same type on the right arm).