Wiki Post reduction xray

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KIMBO101080

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How are post reduction X-rays supposed to be reported. We have tried -59, -76 without luck in getting paid. Mostly Horizon however Medicare started to recently deny the post reduction claims as well.

Anyone else getting rejections? If you are getting paid, how are you coding the X-rays?

This never used to be a problem until recently.

Any help would be appreciated. I have read several articles but they all say something different. :confused:
 
We bill ours with modifier 76 and occasionally have to send in the clinical note to confirm they were re-performed. This is only if we have a repeat identical views of view's performed at the beginning of the visit.

Although, I worked for another practice and we would total the views and bill as one anatomical area as one CPT code.

Just a few suggestions to help.
 
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