tci General Surgery Coding Alert - 2019 Issue 1

Reader Question: Don't Bundle E/M and X-ray

Question: An established patient reports to the surgeon reporting pain on her right side centered around the hip. After a level-four E/M service, the surgeon has a three-view hip X-ray complete in the office. Is the X-ray included in the E/M? Michigan Subscriber Answer: The E/M service does not include the X-ray. If you’re billing for both services, on the claim, you’d report: 73502 (Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views) for the X-ray 99214 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2...

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