Question: My documentation shows five spine views. May I report 72052 for this? Answer: Unfortunately, you don't have enough information to report 72052 (Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies). The answers for You Be the Coder and Reader Questions were reviewed by Jackie Miller, RHIA, CPC, senior consultant with Coding Strategies Inc. in Powder Springs, Ga.
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The provider didn't document the types of views, so you can't tell whether she performed a complete series.
Let your providers know that documenting the types of views--not just the number--is essential for you to choose the proper code.
If the doctor dictates only five cervical spine views, the highest code you can assign is 72050 (Radiologic examination, spine, cervical; minimum of four views). To report a complete series with 72052, the study must include oblique and flexion and/or extension views. If she doesn't document these views, your code automatically defaults to 72050.