tci Part B Insider - 2005 Issue 41

ORTHOPEDICS: Get 'Hip' To Bilateral MRI Coding

Do you know why 72195-72197 is a choice that will cost you? The hip joint can cause coding confusion when you’re seeing double. If your documentation reveals a bilateral MRI of the hips, your modifier choice could be the difference between payment and denial.Important: Medicare seems  to prefer that you report the MRI code with LT (Left side) and RT (Right side), says Rhonda Jay, quality assurance specialist for Southwest Diagnostic Imaging in Dallas. Texas Medicare has even suggested using LT and RT with 76 (Repeat procedure by same physician), she adds.Example: The orthopedist reviews...

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