CPT code 71010 is used for a single frontal view chest X-ray, helping healthcare providers diagnose conditions affecting the chest area.
CPT code 71010 is used to describe a medical procedure involving a chest X-ray that captures a single frontal view. This diagnostic imaging service is typically ordered by healthcare providers to evaluate the lungs, heart, and chest wall, helping to identify conditions such as infections, fractures, or other abnormalities. The frontal view provides a straight-on image of the chest, offering essential insights into the patient's thoracic health.
1. Modifier 26 - Professional Component
- Use this modifier when only the professional component of the service is provided, such as the interpretation of the x-ray by a radiologist.
2. Modifier TC - Technical Component
- Apply this modifier when only the technical component of the service is provided, such as the use of equipment and technician services.
3. Modifier 59 - Distinct Procedural Service
- This modifier may be necessary if the contrast x-ray of the bronchi is performed in conjunction with another procedure that is not typically reported together, to indicate that the services are distinct and separate.
4. Modifier 76 - Repeat Procedure by Same Physician
- Use this modifier if the procedure needs to be repeated by the same physician on the same day for the same patient.
5. Modifier 77 - Repeat Procedure by Another Physician
- Apply this modifier if the procedure is repeated by a different physician on the same day for the same patient.
CPT code 71010 is generally reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). The MPFS outlines the payment rates for services covered under Medicare Part B, and CPT code 71010 is typically listed among those services.
However, the actual reimbursement can vary based on several factors, including geographic location and specific Medicare Administrative Contractor (MAC) policies. Each MAC may have its own guidelines and fee schedules that can affect the reimbursement rate for CPT code 71010.
Therefore, healthcare providers should consult their local MAC for the most accurate and up-to-date information regarding reimbursement for this specific CPT code.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level, including specific codes like 71010, and by individual payer. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.
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