tci Part B Insider - 2014 Issue 24

Reader Question: Comparison X-Rays May Not Be Payable

Question: We recently saw a patient who injured his leg in a car accident. The surgeon ordered an x-ray of the affected leg, along with comparison views of the other leg. The insurer denied the x-ray claim for the unaffected leg and only paid us for a unilateral x-ray. Should we appeal? Answer: Probably not. Although your payer may reimburse comparison views of children’s legs, you can’t usually collect for comparison views that you take of adult patients. This depends on the injury. If the physician images the opposite leg to determine leg length (in event of...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.