![]() Four new codes for scoliosis exams have been added for one view (72081), two or three views (72082), four or five views (72083), and a minimum of six views (72084). The procedure codes for the entire survey study (72010) and the codes typically used for scoliosis (7200) have been deleted for 2016. Some of the biggest changes are in the spinal X-ray codes. ![]() Next month, we'll feature changes in interventional coding. There are fewer coding changes in diagnostic imaging than in interventional services this year, so we will address those in this issue. There are many other updates including HCPCS codes, regulatory issues, edits, and more, so it is very important that imaging organizations identify all issues that impact your organization as you cross into 2016. This article provides a high-level overview of the new 2016 CPT® Procedures codes for radiology services. Some changes are small and have little to no impact, while others create some level of chaos either with our own processes or for the third-party payers we hope pay us in a timely manner. Mulaik, MSHS, CRA, FAHRA, RCC, CPC, CPC-HĪ new year is upon us and with it comes new coding, compliance, and reimbursement changes and challenges. If reporting these codes, you will also have had to do X-rays on the skull see the description below.ħ2081 X-RAY EXAM ENTIRE SPI 1 VW (spine, entire thoracic and lumbar, including skull, cervical and sacral spine).Radiology Billing and Coding: Diagnostic Coding Changes for 2016 - First in Two-part Seriesīy Melody W. These are all different body parts and should be reported if done. 72052 X-RAY EXAM NECK SPINE 6/>VWS (spine, cervical)ħ2110 X-RAY EXAM L-2 SPINE 4/>VWS (spine, lumbosacral)ħ2170 X-RAY EXAM OF PELVIS (Not included in spine)ħ2070 X-RAY EXAM THORAC SPINE 2VWS (spine thoracic)Entire SpineUse these codes if views of the entire spine were done.ĬPT codes 72081-72084 is an exam of the entire spine and should be used if applicable. 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. The NCCI edits manual can help with this.
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