Radiology Basic Requirements
The number of views claimed must meet the basic requirements of the CPT(R) code reported when reporting Radiologic exams. It is the coder?s responsibility to count the number of views and select the correct corresponding CPT(R) code.
For example, knee exam may be reported using one of four CPT(R) codes.
To report 73564 Radiologic examinations, knee; four or more views documentation must substantiate at least four views.
- AP
- Lateral
- Both oblique views are also acceptable documentation
If, however, the physician uses the phrase ?multiple views of the knee? the lowest-level corresponding CPT(R) code for the particular study must be reported. For example, knee exam stated as ?multiple views,? should be reported as 73560 Radiologic examination, knee; one or two views.
The medical report must state the number of views, and referring physician orders must indicate the number of views or the name of the specific views desired. If the views/number of views is not listed in the order, the radiology office cannot impose their department standards. Instead, the radiology department or office should contact the referring physician and ask for a new order indicating the views performed.
Some diagnostic studies require specific view names. For example, if the physician dictates the number of abdomen views instead of the precise names of the views, the lowest-level code must be reported (74000 Radiologic examination, abdomen; single anteroposterior view).