Radiology Coding Alert

You Be The Coder:

How Should We Report Knee X-Rays?

Question: We performed an upright weightbearing AP view of both knees, and the coder assigned 76066 -LT and 76066-RT. This doesn't sound right to our office manager. Who is right?

Tennessee Subscriber

Answer: Your office manager is correct. You should report CPT 73565 (Radiologic examination, knee; both knees, standing, anteroposterior) for the bilateral knee x-ray.

If the ordering physician requested a joint survey for a multijoint disorder and you obtained single views of two or more joints, 76066 (Joint survey, single view, two or more joints [specify]) might apply. In such cases, however, the radiology practice normally images each of the joints on separate films to improve diagnostic accuracy.
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