How To Use CPT Code 73092

CPT 73092 describes the radiologic examination of the upper extremity in infants, involving a minimum of two X-ray images. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 73092?

CPT 73092 is used to describe a radiologic examination of the upper extremity in infants. This procedure involves taking at least two X-ray images to assess for any congenital anomalies or disease conditions in the upper extremity of an infant.

2. Official Description

The official description of CPT code 73092 is: ‘Radiologic examination; upper extremity, infant, minimum of 2 views.’

3. Procedure

1. The provider immobilizes the infant’s arm to ensure proper imaging.
2. At least two X-ray images are taken of the upper extremity, which may include anteroposterior, lateral, and oblique views.
3. The X-ray machine emits a beam of radiation through the upper extremity, and the resulting image shows the bones of the upper arm, forearm, and hand.
4. The images are recorded on special film for further analysis and interpretation.

4. Qualifying circumstances

CPT 73092 is applicable when an infant requires a radiologic examination of their upper extremity. This may be due to suspected congenital anomalies or disease conditions affecting the bones in the upper arm, forearm, or hand.

5. When to use CPT code 73092

CPT code 73092 should be used when an infant undergoes a radiologic examination of their upper extremity, and a minimum of two X-ray views are taken. This code is specific to infants and should not be used for older children or adults.

6. Documentation requirements

To support a claim for CPT 73092, the provider must document the following information:

• Reason for the radiologic examination
• Number and types of X-ray views taken
• Date and time of the procedure
• Any additional relevant findings or observations
• Signature of the provider performing the examination

7. Billing guidelines

When billing for CPT 73092, ensure that the procedure is performed on an infant and involves a minimum of two X-ray views of the upper extremity. It is important to use the appropriate CPT code based on the patient’s age and the specific body part being examined. Modifier 26 should be appended if only the professional component is being reported, and modifier TC should be appended if only the technical component is being reported. However, payer policies may vary, so it is important to review specific guidelines for accurate billing.

8. Historical information

CPT 73092 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2009, with an updated description.

9. Examples

1. An infant undergoes a radiologic examination of their upper extremity to assess for any abnormalities in the bones.
2. A provider takes at least two X-ray views of an infant’s upper extremity to evaluate for a suspected congenital anomaly.
3. An X-ray technician immobilizes an infant’s arm and captures images of the upper arm, forearm, and hand for diagnostic purposes.
4. A radiologist interprets the X-ray images of an infant’s upper extremity to identify any potential disease conditions.
5. An infant with a suspected fracture in their upper extremity undergoes a radiologic examination to confirm the diagnosis.
6. A provider orders a radiologic examination of an infant’s upper extremity to rule out any skeletal abnormalities.
7. An X-ray technician positions an infant’s arm and takes multiple X-ray views to obtain a comprehensive assessment of the upper extremity.
8. A radiologist compares previous X-ray images with the current ones to monitor the progress of a congenital anomaly in an infant’s upper extremity.
9. An infant with a history of skeletal dysplasia undergoes regular radiologic examinations of their upper extremity to monitor their condition.
10. A provider requests a radiologic examination of an infant’s upper extremity to evaluate the effectiveness of a treatment intervention.