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73060-26

Date: Jun 13, 2014

Question:

"INDICATIONS/COMMENTS: ORIF LT PROXIMAL HUMERUS IN OR RESULT: Left humerus. Two intraoperative C-arm images demonstrate patient to be status post ORIF of proximal humeral fracture with plate and screw fixation. There is gross anatomic alignment of the fracture. CONCLUSION: Intraoperative images confirming hardware position and alignment."

Can the radiologist report code 73060-26 for the dictation? Can the hospital charge code 73060 for the saved C-arm images since there is a dictation? Is the fluoroscopy CPT code a component of surgical code 23615, or can we report code 76000? If the surgeon must request the dictation, should that be documented in the operative report, radiology dictation, or both?

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