tci ED Coding & Reimbursement Alert - 2008 Issue 1

Use This Chest/Rib X-Ray Guide for Accurate Combo Claim Coding

Override CCI edits if doctor does x-rays pre- and post-diagnosisYou can avoid overcoding rib and chest x-ray procedures if you code based on these two guidelines. Use 71100 for 2-View X-Rays Suppose a patient with sore ribs reports to the ED. The ED physician conducts a two-view x-ray of one side of the rib cage and finds closed fractures on two ribs. On the claim, you would report the following:- 71100 (Radiologic examination, ribs, unilateral; two views) for the x-ray- modifier 26 (Professional component) linked to 71100 to show that you are only coding for the physician's work on...

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