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A radiologic examination of a single plane body section, as described by CPT® Code 76100, involves the use of imaging technology to create a two-dimensional representation of various body structures. This procedure is performed without the use of contrast agents, allowing for the visualization of soft tissues, air-filled cavities, bones, foreign bodies, or radiopaque substances such as barium. The examination relies on the differential absorption of x-rays by different types of tissues, which results in a radiographic image that displays varying degrees of density. In this context, air is the least dense material and appears the lightest on the image, while fat, soft tissues (including organs and muscles), calcific tissues (like bones), and tooth enamel follow in increasing density. Foreign bodies and radiopaque contrast materials, which are denser, will appear the darkest on the radiographic film. It is important to note that this code specifically excludes examinations performed with urography, focusing instead on the assessment of other body sections.
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The indications for performing a radiologic examination using CPT® Code 76100 include the need to evaluate various conditions or abnormalities within the body that can be visualized through a single plane imaging technique. This may involve assessing:
The procedure for a radiologic examination using CPT® Code 76100 involves several key steps to ensure accurate imaging of the targeted body section. These steps include:
Post-procedure care following a radiologic examination coded with CPT® Code 76100 typically involves minimal requirements, as the procedure is non-invasive and does not require recovery time. Patients may resume normal activities immediately after the examination. However, it is important for healthcare providers to review the obtained images and discuss any findings with the patient. If further evaluation or follow-up imaging is necessary based on the results, appropriate recommendations should be made to ensure comprehensive patient care.
| Short Descr | X-RAY EXAM OF BODY SECTION | Medium Descr | RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY | Long Descr | Radiologic examination, single plane body section (eg, tomography), other than with urography | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 2 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | LT | Left side (used to identify procedures performed on the left side of the body) | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GA | Waiver of liability statement issued as required by payer policy, individual case | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | RT | Right side (used to identify procedures performed on the right side of the body) | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles |
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| Pre-1990 | Added | Code added. |
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