Notification

X-rays Associated with Fractures in the Office Setting


Notification Issue Date: 11/01/2017



Policy Attachment


Attachment to Policy # 00.03.09d


Attachment:B

Policy #:00.03.09d

Description:Codes Eligible for Reimbursement by Podiatrists

Title:X-rays Associated with Fractures in the Office Setting


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



X-RAYS ASSOCIATED WITH A FRACTURE THAT ARE ELIGIBLE FOR FEE-FOR-SERVICE REIMBURSEMENT WHEN BILLED BY A PODIATRIST, (THIS INCLUDES CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNPs) AND PHYSICIAN ASSISTANTS (PAs) PRACTICING WITHIN THESE SPECIALTY GROUPS), WHEN THE CRITERIA IN THE POLICY ARE MET


NOTES:
  • The Effective Date indicates either the date the code became effective and/or the date the code became eligible for fee-for-service reimbursement consideration.
  • The Delete Date indicates either the date the code becomes invalid and/or the date the code is no longer eligible for fee-for-service reimbursement consideration.
  • Claims will be considered for fee-for-service reimbursement when a Podiatrist reports a listed procedure.
CPT
CODE
EFFECTIVE DATE
DELETE DATE
73600
5/27/2011
73610
5/27/2011
73620
5/27/2011
73630
5/27/2011
73650
5/27/2011
73660
5/27/2011
Version Effective Date: 12/01/2017
Version Issued Date: 12/01/2017
Version Reissued Date: N/A

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