Wiki 25505 - both arms and pre and post x-rays

[wramsey1]

Hi all!

I work in an urgent care and we have an ortho on call.......we haven't had too many ortho patients to this extent. We have a patient that came in with 2 broken arms and the ortho charted 25505 on both arms. Do I code this as 25505 RT and another line item for 25505 LT or code it 25505 50? The payer is Health Net. Also we performed pre and post procedural x-rays. Do I code them as 73100 rt, lt for the first and 73100 rt, lt, 76. Or Most of my payers seem to want it on a separate line item for the the x-rays if they are bilateral. I know I have the right codes just not sure about the modifiers. And if they really need separate line entries.

Any help is appreciated!!

 

[Orthocoderpgu]

Both arms fractured

25505 has an MUE of "1". So you would need to bill that on one line with 2 units.

The X-rays were usually split out and bill with -RT & LT modifiers. You can use the -76 for the post reduction X-rays.

 

[wramsey1]

Thanks! I really appreciate the response!