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Sign up to receive our free newsletter with helpful resources for mid-revenue cycle professionals. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA). We encourage you to review the specific regulations and other interpretive materials as necessary. It is not intended to take the place of either the written policies or regulations. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. No modifier is available for reporting the level of the spine imaged however, the report should specify the level.ĭisclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. If we are performing a single view cervical spine x-ray, should we report Current Procedural Terminology (CPT®) code 72020 Radiologic examination, spine, single view, specify level, or would we report CPT® code 72040 Radiologic examination, spine, cervical 2 or 3 views with modifier 52 Reduced Services? If CPT® code 72020 is recommended, what modifier would be reported to identify the level of spine imaged?įor a single view, cervical spine x-ray, consider reporting CPT® code 72020 Radiologic examination, spine, single view, specify level.
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He takes an A-P lumbar spine x-ray series, reads the x-rays and documents the findings in the patient record. COVID-19 (Coronavirus) Coding & Billing Resource Center A examines the patient for complaint of low back and lower extremity pain.Assessment requires a systematic approach. The lateral view is often the most informative image. If the lateral view does not show the vertebrae down to T1 then a repeat view with the arms lowered or a ' Swimmer's view' may be required. In the context of trauma these images are all difficult to acquire because the patient may be in pain, confused, unconscious, or unable to cooperate due to the immobilisation devices. The 3 standard views are - Lateral view - Anterior-Posterior (AP) view - and the Odontoid Peg view (or Open Mouth view). Imaging should not delay resuscitation.įurther imaging with CT or MRI (not discussed) is often appropriate in the context of a high risk injury, neurological deficit, limited clinical examination, or where there are unclear X-ray findings. This is because normal C-spine X-rays cannot exclude significant injury, and because a missed C-spine fracture can lead to death, or life long neurological deficit.Ĭlinico-radiological assessment of spinal injuries should be managed by experienced clinicians in accordance with local and national clinical guidelines. Depending on the views, you can choose one from the list below. Bones - Cortical outline/Vertebral body heightĬlinical considerations are particularly important in the context of Cervical spine (C-spine) injury. There are four CPT codes for X-rays of the cervical spine.
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![cpt code x ray cervical spine cpt code x ray cervical spine](https://i.pinimg.com/736x/ac/a1/d1/aca1d1d57f02831d24a9c076b2383a09--medical-billing-medical-terminology.jpg)
Look at all views available in a systematic manner.70140 facial bones, 1-2 views (peds fb or mri. 71046 chest xray 2 v (pa & lat) 71048 chest xray 4+v (pa, lat + obliques or decubitis views) 73000 clavicle complete. 72050 cervical spine, 4 or 5 views (includes obliques 72052 cervical spine,complete flex/ext/obl. Clinical considerations are of particular importance when assessing appearances of C-spine X-rays 72040 cervical spine, 2 or 3 views (ap/lat.Normal C-spine X-rays do not exclude significant injury.