Radiology Avg. $30

CPT 73560: Knee X-ray, 1 or 2 Views

Radiologic examination of the knee, 1 or 2 views. Standard X-ray examination of the knee joint for evaluation of injury, arthritis, or other conditions.

Why CPT 73560 Claims Get Denied

Claims billed under CPT 73560 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.

Diagnosis does not support imaging

Duplicate imaging in short timeframe

More views billed than documented

Missing ordering provider NPI

Billing Tips for CPT 73560

Use the correct code based on number of views: 73560 (1-2 views), 73562 (3 views), 73564 (4+ views). Bill bilateral modifier 50 if both knees are imaged. Include the clinical indication for imaging.

Documentation Requirements

To support a clean claim for CPT 73560, your clinical documentation should include:

Provider order with clinical indication

Number of views obtained and documented

Radiologist interpretation

Findings and recommendations

Common Modifiers for CPT 73560

Modifier 26
Modifier TC
Modifier 50
Modifier LT
Modifier RT

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