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CPT Code 73562 | Description, Procedure & Billing Guidelines (2022)

Report CPT code 73562 if a provider took three X-ray views of the patient’s knee because of a fracture, swelling, or other cause of pain.

1. What Is CPT Code 73562?

CPT 73562 covers a procedure in which a provider takes three X-ray views of the patient’s knee to identify the cause of pain or check for swelling or fractures.

2. Description

The CPT book describes the 73562 CPT code as follows: “Radiologic examination, knee; 3 views.”

3. Procedure

The 73562 CPT code procedure begins with the patient positioning their knee for the first X-ray view. An X-ray machine takes a picture of the painful knee by sending tiny doses of radiation.

Then, the computer picks up the differences between soft and hard tissue and shows this as an image on the computer screen.

Next, they repeat the same X-ray procedure of the knee two more times until all three views are taken.

Finally, they evaluate the three X-ray images and decide on possible treatment for the patient’s knee.

4. How To Use CPT Code 73562

Use CPT code 73562 only for three X-ray views of the knee. You may use CPT 73560 for the same knee X-ray procedure but with one or two views.

Report CPT code 73564 for the same procedure with four or more views.

The radiologist must document the three different views of the patient’s knee. Check the documentation before deciding on the number of X-ray views.

Add modifier 26 for the professional component to CPT 73562 if a physician only interpreted the three X-ray images unless this procedure was performed as a global service.

Report the technical component of CPT 73562 with modifier TC if the payer does not exempt hospitals because their portion is naturally technical.

5. Resources

CPT Professional 2022



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