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Scenario #1: A physician orders bilateral hand x-rays. Our radiology tech performs AP, lateral and oblique of both hands on the same set of films. That's three films total.
Scenario #2: A physician orders bilateral knee x-rays. Our radiology tech performs AP, sunrise, and standing PA flex views of both knees on the same films in addition to lateral views on individual knees. That's a total of five films.
Coding Question: Because there are no appropriate "bilateral" hand or knee codes available, I would like confirmation as to whether or not it is correct coding to bill individual films for each of these. That means, for the hand scenario we would be billing for 6 films but only actually producing 3 films, and for the knee scenario, we would be billing for 8 films when only actually producing 5 films. We own our own equipment and employ a full-time radiology tech. Therefore, we bill for the global service (both technical and professional components). My hesitation in billing for the extra views is that each code includes work RVUs for the tech and the provider. Is it correct coding/reimbursement to bill and be reimbursed for the increased technical component, or am I thinking into this way too much?
Scenario #2: A physician orders bilateral knee x-rays. Our radiology tech performs AP, sunrise, and standing PA flex views of both knees on the same films in addition to lateral views on individual knees. That's a total of five films.
Coding Question: Because there are no appropriate "bilateral" hand or knee codes available, I would like confirmation as to whether or not it is correct coding to bill individual films for each of these. That means, for the hand scenario we would be billing for 6 films but only actually producing 3 films, and for the knee scenario, we would be billing for 8 films when only actually producing 5 films. We own our own equipment and employ a full-time radiology tech. Therefore, we bill for the global service (both technical and professional components). My hesitation in billing for the extra views is that each code includes work RVUs for the tech and the provider. Is it correct coding/reimbursement to bill and be reimbursed for the increased technical component, or am I thinking into this way too much?