CPT CODES

CPT Code 77083

CPT code 77083 is for radiographic absorptiometry, a procedure that measures bone density using X-ray technology to assess bone health.

Table of Contents
What is CPT Code 77083
Does CPT 77083 Need a Modifier?
CPT Code 77083 Medicare Reimbursement
Are You Being Underpaid for 77083 CPT Code?
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What is CPT Code 77083

CPT code 77083 is used to describe a procedure known as radiographic absorptiometry. This is a diagnostic imaging technique primarily used to assess bone density. It involves taking X-ray images of bones, typically the hand, and using these images to measure bone mineral density. This procedure is often utilized to help diagnose conditions like osteoporosis, where bone density is reduced, increasing the risk of fractures. By providing detailed information about bone health, radiographic absorptiometry aids healthcare providers in developing appropriate treatment plans for maintaining or improving bone strength.

Does CPT 77083 Need a Modifier?

For the CPT codes 77082 and 77083, the use of modifiers may be necessary depending on the specific circumstances of the service provided. Below is a list of potential modifiers that could be applied to these codes, along with the reasons for their use:

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, not the technical component.

2. Modifier TC - Technical Component: This modifier is used when only the technical component of the service is being billed. It indicates that the provider is billing for the equipment and technician services, not the interpretation.

3. 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 may be necessary if multiple imaging services are provided and need to be distinguished from one another.

4. 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.

5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when a procedure or service is repeated by a different physician or other qualified healthcare professional subsequent to the original procedure or service.

6. Modifier 91 - Repeat Clinical Diagnostic Laboratory Test: Although more commonly used for laboratory tests, this modifier can be applied if a diagnostic test is repeated on the same day to obtain subsequent results.

7. Modifier 52 - Reduced Services: This modifier is used when a service or procedure is partially reduced or eliminated at the physician's discretion.

8. 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.

It is important for healthcare providers to carefully assess the specific circumstances of each service to determine the appropriate use of modifiers. Proper use of modifiers ensures accurate billing and reimbursement while maintaining compliance with payer requirements.

CPT Code 77083 Medicare Reimbursement

CPT code 77083 is not typically reimbursed by Medicare under the Medicare Physician Fee Schedule (MPFS). The reimbursement status of this code can vary depending on the specific policies of the Medicare Administrative Contractor (MAC) that processes claims in your region. Each MAC has the authority to determine coverage and reimbursement based on local coverage determinations (LCDs) and national coverage determinations (NCDs). Therefore, it is crucial for healthcare providers to verify the reimbursement status of CPT code 77083 with their respective MAC to ensure compliance and proper billing practices.

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