I am confused about hip studies when both left and right exams are done. I currently have two reports for the same patient and the same encounter for hip exams. One accession number is ordered as a left hip, two to three views. Dictation is one image of the left hip with a pelvis. The second accession number is for a right hip, single view. Dictation states single view of the right hip. Should these reports be combined into CPT code 73502 regardless of how they were ordered?
If they were done at the same session, you would combine them into 73522 for a bilateral hip exam. You have a total of three views: one view left hip, one view right hip, and pelvis.
|73522||Radiologic examination, hips, bilateral, with pelvis when performed; 3–4 views|
That’s assuming that both were medically necessary. If one of the hips was imaged as comparison, then you would not count/code for the images on that side. For instance, if the right hip image was done for comparison, you would report 73502 for the left hip view with pelvis.
|73502||Radiologic examination, hip, unilateral, with pelvis when performed; 2–3 views|