CPT^® 73562, Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Lower Extremities

The Current Procedural Terminology (CPT^®) code 73562 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Radiology (Diagnostic Imaging) Procedures of the Lower Extremities.

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Summary

In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.

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Billing a bilateral knee xray with a unilateral knee xray

CPT Code 73565 is not really a bilateral knee x-ray code. It is very specific: it is an x-ray of both knees, standing. If you are doing separate x-rays for both RT and LT sides, bill with 73560-RT a... [ Read More ]

Billing a bilateral knee xray with a unilateral knee xray

Thanks for the response; However, per Vitalware, which is the website we use for CCI edits, even if 73562 has the modifier it says "73565 Cannot be billed with 73562; modifier not allowed". See attach... [ Read More ]

Billing a bilateral knee xray with a unilateral knee xray

Radiology isn't really my specialty, but I don't understand why you're saying CCI doesn't allow you to bill the bilateral with the unilateral code. I would think you should be billing what is actuall... [ Read More ]

Need X-Ray CPT code

[TABLE] [TR] [TD][B]Knee[/B] 1 or 2 views[/TD] [TD]73560[/TD] [/TR] [TR] [TD][B]Knee[/B] 3 views[/TD] [TD]73562[/TD] [/TR] [TR] [TD][B]Knee[/B] 4 or more views[/TD] [TD]73564[/TD] [/TR] [TR] [TD][B]Kn... [ Read More ]

X-ray views

Hi, You can code 73562-LT. 73560-RT. I hope this helps. Have a great week! Chris Boucher, MS, CPC Senior Development Editor AAPC... [ Read More ]

BILATERAL X-RAY ahcccs bilateral billing orthopaedic xray

AZ Complete Health (Medicaid) recouped multiple claims we have billed as follows: 99203 (M17.12) - PAID 73562-LT ([URL='https://www.aapc.com/codes/icd-10-codes/M25.562']M25.562[/URL]) - RECOUPED/DENI... [ Read More ]

AZ Complete Health Bilateral X-Rays

AZ Complete Health CCP recouped multiple claims we have billed as follows: 73562-LT 73562-RT We also have other claims that we billed bilateral x-ray with -LT and -RT that have recently recouped as ... [ Read More ]

Knee X-ray Series - Correct CPT for billing

You wouldn't code the standing together with affected & unaffecte knee x-ray. Add 1 view to each side. This is how I would code it: affected: 73564; unaffected: 73562, dx Z03.89. They take xray of ... [ Read More ]

Knee X-ray Series - Correct CPT for billing 4 view knee x-rays 73562 73565 knee x-rays

When a provider orders the following: Right knee series includes bilateral AP, Bilateral weight bearing PA, lateral and bilateral Merchant views ordered and obtained. What would the proper billing be... [ Read More ]

Radiology question/guidance

Hello! I am needing some guidance on radiology coding and billing. We perform a variety of x-rays in our clinic for our orthopedic doctors. My main question is understanding the number of views and... [ Read More ]

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