Neurology & Pain Management Coding Alert
Count Views, Then Choose Skull X-Ray Code
Question: Notes indicate that the provider performed “x-ray, skull.” What is the correct code for this procedure? Illinois Subscriber Answer: It depends on the number of views the provider took during the encounter. If they took four or fewer views, report 70250 (Radiologic examination, skull; less than 4 views). If they took more than four views, report 70260 (… complete, minimum of 4 views). Modifier alert: If the provider performed the X-ray using equipment owned by another entity (hospital, ambulatory surgery center [ASC], etc.), append modifier 26 (Professional component) to the X-ray code. This shows that you are just coding for the provider’s services, not the use of the X-ray equipment. If the provider performed the X-ray using equipment owned by your practice, you don’t need a modifier for this service.
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