![]() ![]() Both codes should both be reported as they are different body parts, lumbosacral and cervical.ħ2100 X-RAY EXAM L-S SPINE 2/3 VWS (spine, lumbosacral)ħ2040 X-RAY EXAM NECK SPINE 2-3 VW (spine, cervical) You are missing out on revenue if you are not billing 7210. ![]() The physician shall not report a code from the CPT code range 72081-72084 plus another code in the CPT code range 72020-72120 for services performed at the same patient encounter. If a physician performs a procedure described by CPT codes 72081-72084 and at the same patient encounter performs a procedure described by one or more other codes in the CPT code range 72020-72120, the physician shall sum the total number of views and report the appropriate code in the CPT code range 72081-72084. The other codes in the CPT code range 72020- 72120 describe the radiologic examination of specific regions of the spine differing based on the region of the spine and the number of views. CPT codes 72081-72084 describe a radiologic examination of the entire spine, the codes differing based on the number of views. Take a look at the NCCI edits manual Chapter IX Radiology Service CPT codes 70000-7999917. If you don't have a subscription, you can try it out with a Free trial. The NCCI Edit manual can be found on this page as well.If you have a subscription to Find-A-Code, check out the NCCI Codes Validator. Your questions and other radiology questions can quickly be answered by using the NCCI Edits Validator. "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (e.g., scoliosis evaluation) one view". Code selection depends on how many views were taken, for example, 72081 is reported for a single view. Codes 72081-72082 are done to assess scoliosis, such as the type of scoliosis, and the location and degree of curvature. ![]() I am not sure why you would not bill for 72081-72082 if you view the entire spine. >2.5-3.The NCCI edits manual can help with this.part of a secondary survey or under the guidance of an authorized physician ensure this radiographic series is safe to perform, i.e.patients who feel unstable on their feet can sit in a chair for this examination.ensure the patient is aware when the examination is over as to avoid extended periods of time in that position.demonstrate to the patient what flexion and extension is before performing.extension images should demonstrate crowding of the spinous process.flexion images should demonstrate well separated spinous process.the image is labeled as 'flexion' or 'extension'.there should be clear visualization of C7 to T1. ![]()
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