CPT code 73500 is used for an X-ray exam of the hip, helping healthcare providers document and manage the procedure for accurate reimbursement.
CPT code 73500 is used to describe an X-ray examination of the hip. This code specifically refers to a radiological procedure that involves taking images of the hip joint to assess its condition. The X-ray helps healthcare providers diagnose issues such as fractures, arthritis, or other abnormalities in the hip area. This code is typically used for billing purposes to ensure that the healthcare provider is reimbursed for the radiological services provided.
1. Modifier 26 - Professional Component
- This modifier is used when only the professional component of the service is being billed. It indicates that the provider is billing for the interpretation of the test results rather than the technical component.
2. Modifier TC - Technical Component
- This modifier is applied when only the technical component of the service is being billed. It signifies that the provider is billing for the equipment, supplies, and technical staff involved in the procedure.
3. Modifier 50 - Bilateral Procedure
- This modifier is used when a procedure is performed on both sides of the body during the same session. It is applicable if the procedure is inherently unilateral and performed bilaterally.
4. Modifier 59 - Distinct Procedural Service
- This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is often used to bypass National Correct Coding Initiative (NCCI) edits.
5. Modifier RT - Right Side
- This modifier is used to specify that the procedure was performed on the right side of the body.
6. Modifier LT - Left Side
- This modifier is used to specify that the procedure was performed on the left side of the body.
7. Modifier 76 - Repeat Procedure by Same Physician
- This modifier is used when a procedure or service is repeated by the same physician or other qualified healthcare professional subsequent to the original procedure or service.
8. Modifier 77 - Repeat Procedure by Another Physician
- This modifier is used when a procedure or service is repeated by another physician or other qualified healthcare professional subsequent to the original procedure or service.
9. Modifier 52 - Reduced Services
- This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.
10. Modifier 53 - Discontinued Procedure
- This modifier is used when a procedure is discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
Each of these modifiers serves a specific purpose and should be used in accordance with the guidelines set forth by the American Medical Association (AMA) and payer policies to ensure accurate billing and reimbursement.
The CPT code 73500 is reimbursed by Medicare, as it is included in the Medicare Physician Fee Schedule (MPFS). The reimbursement rates for this code can vary based on geographic location and other factors, which are determined by the Medicare Administrative Contractor (MAC) responsible for the specific region.
Healthcare providers should consult their local MAC for the most accurate and up-to-date reimbursement information regarding CPT code 73500. Additionally, it's important for providers to ensure that all necessary documentation and coding guidelines are followed to facilitate proper reimbursement.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and identifying underpayments down to the CPT code level, including CPT code 73500, and by individual payer. Schedule a demo today to see how RevFind can optimize your financial outcomes and ensure you're receiving the full reimbursement you deserve.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
