How To Use HCPCS Code R0070

HCPCS R0070 describes the transportation of portable x-ray equipment and personnel to a patient’s home or nursing home, per trip to facility or location, when one patient is seen. In this article, we will explore the official description and procedure of HCPCS code R0070, when to use it, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS R0070?

HCPCS code R0070 refers to the transportation of portable x-ray equipment and personnel to a patient’s home or nursing home. This service is provided on a per trip basis and is intended for use when one patient is seen.

2. Official Description

The official description for HCPCS code R0070 is “Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen.” The short description is “Transport portable x-ray.”

3. Procedure

The procedure for HCPCS code R0070 involves the transportation of portable x-ray equipment and personnel to a patient’s home or nursing home. The provider must ensure that the necessary equipment is properly prepared and secured for transport. Once at the patient’s location, the portable x-ray equipment is set up and the x-ray procedure is performed. Afterward, the equipment is safely packed up and transported back to the provider’s facility.

4. When to Use HCPCS Code R0070

HCPCS code R0070 is used when a patient requires x-ray services but is unable to travel to a medical facility. This may be due to their medical condition or limited mobility. The patient must be seen at their home or nursing home, and only one patient can be seen per trip. It is important to note that there may be specific eligibility criteria or guidelines for using this code, which should be checked with applicable payers or insurance plans.

5. Billing Guidelines and Documentation Requirements

Healthcare providers who bill for HCPCS R0070 must ensure that they document the transportation services provided, including the trip to the patient’s location and the return trip to the facility. They should also document the use of portable x-ray equipment and the performance of the x-ray procedure. Proper documentation is essential for accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code R0070 was added on January 1, 1982. As of January 1, 1998, no maintenance actions have been taken for this code. It is important to stay updated on any changes or revisions to this code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

Medicare and other insurance plans may provide coverage for HCPCS code R0070. The pricing indicator code for this code is 13, which indicates that the price is established by carriers. The multiple pricing indicator code is A, meaning it is not applicable as HCPCS is priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2070.4 for further information on Medicare coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS R0070 should be billed:

1. A patient with limited mobility requires an x-ray at their nursing home.
2. A homebound patient needs an x-ray to assess their injury.
3. A patient with a chronic illness receives regular x-rays at their home due to transportation difficulties.
4. An elderly patient who cannot leave their home requires an x-ray for diagnostic purposes.
5. A terminally ill patient wishes to receive x-ray services at their residence for comfort and convenience.