Portable X-Ray Suppliers Billing and Coding Guidelines - Specialty 63

Clarification of non-coverage for EKG transportation

Original Article: January 1, 2018

The following codes are reimbursable for Portable X-Ray Suppliers (Specialty 63) along with single transportation or set-up to a location.

  • 70100-70110
  • 70140-70160
  • 70190-70220
  • 70250-70260
  • 73060
  • 70300-70330
  • 70350-70355
  • 71045
  • 71046
  • 71047
  • 71048
  • 72020-72050
  • 72070
  • 72100
  • 72170-72190
  • 72200-72220
  • 73000-73030
  • 73070
  • 73080
  • 73090
  • 73100-73110
  • 73120-73140
  • 73501-73502
  • 73521-73522
  • 73551-73565
  • 73590
  • 73600-73610
  • 73620-73660
  • 74018
  • 74019
  • 74021
  • 74022

Transportation

The transportation HCPCS codes R0070 or R0075 must be billed in conjunction with the above CPT® radiology codes. No transportation charge is payable unless the portable x-ray equipment used was actually transported to the location where the x-ray was taken.

Note: Medicare does not allow a transportation charge when the x-ray equipment is stored in a nursing home for use as needed; however, HCPCS code Q0092 for set-up payment is payable in such situations.

Portable X-Ray Suppliers are able to bill for portable EKGs using code 93000 or 93005. However, the transportation codes (HCPCS R0070, R0075, R0076) and the set-up code (HCPC Q0092) for the portable EKG equipment are not reimbursable by Medicare.

 

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