![]() ![]() ![]() Sign up to receive our free newsletter with helpful resources for mid-revenue cycle professionals. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA). We encourage you to review the specific regulations and other interpretive materials as necessary. It is not intended to take the place of either the written policies or regulations. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. No modifier is available for reporting the level of the spine imaged however, the report should specify the level.ĭisclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. If we are performing a single view cervical spine x-ray, should we report Current Procedural Terminology (CPT®) code 72020 Radiologic examination, spine, single view, specify level, or would we report CPT® code 72040 Radiologic examination, spine, cervical 2 or 3 views with modifier 52 Reduced Services? If CPT® code 72020 is recommended, what modifier would be reported to identify the level of spine imaged?įor a single view, cervical spine x-ray, consider reporting CPT® code 72020 Radiologic examination, spine, single view, specify level. COVID-19 (Coronavirus) Coding & Billing Resource Center.If you have any further questions regarding this, please contact the MAC at 517.367. Medicaid is an exception to this, and we would anticipate that they will continue to bundle. We believe that this practice of insurers, if still practiced, is very questionable under our current laws. It has become common practice to bill 72010 rather than the three codes that better describe what is being done, because of the practice of insurers “bundling” multiple x-ray codes into a single code. Your responsibility is to bill the codes that best describe the service that was actually performed. If that is the case, rather than billing 72082 (or even 72084), billing 72040, radiologic examination, spine, cervical 2 or 3 views, 72070, radiologic examination, spine, thoracic, 2 views, and 72100, radiologic examination, spine, lumbosacral 2 or 3 views, better describes the service. For example, if the doctor wants to see AP and lateral views of the cervical, thoracic, and lumbar regions of the spine, they will often actually take six views, two views of each region. If a DC is taking x-rays of the full spine, or most of it, they usually are doing it as a series of x-rays. Management Program for Medicare HMO and PPO. For DCs, this is usually done for a scoliosis screening. The following CPT and HCPCS codes are in-scope under the AIM Advanced Imaging/Radiology. These four new codes are designed to describe an x-ray view on a large enough film that captures an image from the skull through the sacral spine. 72084, radiological examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine, minimum of 6 views.72083, radiological examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine, 4-5 views. CPT codes are a copyright of the American Medical Association (AMA).72082, radiological examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine, 2-3 views.72081, radiological examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine, 1 view.The eliminated codes are 72010, radiological examination, spine, entire, survey study, anteroposterior (AP) and lateral, and 72069, radiological examination, spine, thoracolumbar, standing. This year, two CPT radiology codes that are commonly used by chiropractors were eliminated and replaced by four new codes. It is the AMA’s job to make sure that as technology and health care changes, the CPT codes continue to best describe the services that are being performed by health care providers of all types. 72010 is a CPT code, which is controlled and copywritten by the American Medical Association (AMA). Important Information Regarding CPT Code 72010Ĭodes occasionally change, whether they are CPT, ICD-10, or HCPCS codes. ![]()
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