Instead of billing CPT® codes 71100 and 71046 together with a -59 modifier on the chest X-ray, should we bill 71101 instead?
If a rib series (71100 or 71110) plus a single posteroanterior (PA) view of the chest (71045) is performed at the same session, then 71101 or 71111 would be reported instead of the individual rib and chest codes.
However, if a two-view chest (71046) is performed along with a rib series (71100 or 71110), then the individual codes, not the combination codes, are reported.
|71046||Radiologic examination, chest; 2 views|
|71101||Radiologic examination, ribs, unilateral; including PA chest, minimum of 3 views|
|71111||Radiologic examination, ribs, bilateral; including PA chest, minimum of 4 views|
The fall 2016 issue of Clinical Examples in Radiology included the following information in a discussion concerning a bilateral ribs and chest x-rays case:
When a bilateral rib study is ordered and performed and a posterior-anterior (PA) chest view is included with at least 4 views, CPT code 71111, Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views, is reported. Alternatively, when a PA and a lateral chest X-ray study is ordered and performed at the same time as a bilateral rib study, it would be appropriate to report codes 71046 (2-view chest) and 71110 (bilateral ribs). Whenever more than 1 view of the chest is performed in conjunction with a bilateral or unilateral rib X-ray, the study should be reported with both the appropriate chest X-ray code based on the number of views taken and the appropriate rib X-ray code.
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