![]() Following examination, the provider orders a 3-view x-ray of the hand and thumb and a 3-view x-ray of the wrist. However, in those instances when the provider isn't exactly sure where the injury may be located or the extent of the damage and as such, orders multiple images of the fingers, hand, and wrist, the National Correct Coding Initiative (NCCI) edits provide guidance important for proper reporting of the images.Ī 14-year old male presents with swelling, pain, and immobility of the right thumb following a wrestling match, with pain extending into the wrist. If imaging is focused on the injury located at the interphalangeal (IP) joint, report 73140. If imaging is focused on the first metacarpal or metacarpophalangeal (MP) joint, report the appropriate 73120-52 (single view), 73120 (2 views), or 73130 (3 views) of the hand. When imaging is focused on a potential problem with the CMC joint, or the carpals nearest the thumb (trapezium or scaphoid), report code 73110 (see CPT Assistant 2018 Diagnostic Radiology (Diagnostic Imaging)for imaging of the wrist. ![]() If imaging is done "in-house," the documentation must identify a reason for the order, that the provider requested the imaging and why, along with documentation of the findings, which could shed further light on the situation as well. If there isn't enough detail to clarify the order, a provider query identifying the issue should be submitted and waited upon for a response before the final code assignment is made.Īdditionally, the final diagnosis code assigned to the encounter must support the imaging performed, either with an injury code or a condition, symptoms, or disease code. However, attention should be paid to the imaging order from the physician (what was ordered and why) and what was actually produced.
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