If both a tibia/fibula and femur x-ray are medically indicated (and explicitly documented) and ordered and adequately depict the anatomy in both regions, each procedure should be billed separately. Report the 2 separate codes for the procedures performed (ie, 73552 26, 73590 26) for the professional component of the service, which would not be reduced by the inclusion of the full extremity in one image. However, the technical component of the services would be reduced by the lesser number of exposures and should be reported with modifiers TC (technical component) and 52 (reduced service). It would not be appropriate to report code 73592 for imaging of a child who is not an infant (ie, not younger than 1 year).

Although codes in the 72081–72084 range describe radiologic examination of the entire thoracic and lumbar spine (including skull, cervical, and sacral spine, when performed), it is not required that...

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