![]() If reporting only the physician’s interpretation of the radiology service, append professional component modifier 26 to the radiology code.When billing for CPT code 72050, keep in mind the following guidelines: Interpretation and findings of the cervical spine X-ray images.Technical details of the X-ray procedure, including patient positioning and projection.Number of views taken during the examination (four or five).Indication for the radiologic examination.Physical examination findings related to the cervical spine.Patient’s medical history and presenting symptoms or conditions.Additionally, patients with known or suspected spinal conditions, such as degenerative disc disease, spinal stenosis, or tumors, may also require this diagnostic procedure. These may include neck pain, stiffness, numbness, or weakness, as well as a history of trauma or injury to the cervical spine. Patients eligible to receive CPT code 72050 services are those who present with symptoms or conditions that warrant a radiologic examination of the cervical spine. The provider examines the X-ray images to assess the cervical spine for any abnormalities or issues.The patient holds their breath while the images are taken to prevent blurring.A special film or computer records the image of the cervical spine, capturing four or five views.The provider uses an X-ray machine to send a beam of radiation through the patient’s neck.The patient is positioned appropriately for the cervical spine X-ray examination.If you have any further questions regarding this, please contact the MAC at 72050 procedure involves the following steps: ![]() Medicaid is an exception to this, and we would anticipate that they will continue to bundle. We believe that this practice of insurers, if still practiced, is very questionable under our current laws. ![]() It has become common practice to bill 72010 rather than the three codes that better describe what is being done, because of the practice of insurers “bundling” multiple x-ray codes into a single code. Your responsibility is to bill the codes that best describe the service that was actually performed. If that is the case, rather than billing 72082 (or even 72084), billing 72040, radiologic examination, spine, cervical 2 or 3 views, 72070, radiologic examination, spine, thoracic, 2 views, and 72100, radiologic examination, spine, lumbosacral 2 or 3 views, better describes the service. For example, if the doctor wants to see AP and lateral views of the cervical, thoracic, and lumbar regions of the spine, they will often actually take six views, two views of each region. If a DC is taking x-rays of the full spine, or most of it, they usually are doing it as a series of x-rays. For DCs, this is usually done for a scoliosis screening. These four new codes are designed to describe an x-ray view on a large enough film that captures an image from the skull through the sacral spine.
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