tci Outpatient Facility Coding Alert - 2013 Issue 1

Reader Question: Look to Category 320 for Diagnostic Radiology

Question: What is the appropriate revenue code (for UB-04 billing) for CPT® codes 73030 and 73050 for outpatient services at an ambulatory surgical center? If it makes any difference, we’re only billing for the technical/facility component of the x-ray that a physician is interpreting.Tennessee Subscriber Answer: The correct category is 320 (Radiology - diagnostic -- general). That would apply to both codes 73030 (Radiologic examination, shoulder; complete, minimum of 2 views) and 73050 (Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction). As an added note, the radiology fact sheet on the CMS website states, "Medicare...

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