CPT Code 71045: Chest X-ray (Single View)

What is chest x-ray procedure (single view)?

A chest X-ray (single view) is a diagnostic imaging procedure that provides a clear image of the chest area, focusing on structures such as the lungs, heart, ribs, and diaphragm. It is commonly performed to assess conditions like pneumonia, lung cancer, tuberculosis, heart failure, and fractures of the ribs or sternum.

During the procedure, a single image of the chest is captured, usually from an anterior-posterior (AP) view, which can help evaluate abnormalities or changes in these structures. This type of X-ray is often the first step in diagnosing respiratory or cardiovascular issues, as it can reveal signs of infection, fluid buildup, tumors, or structural damage.

A single-view chest X-ray may also be used for follow-up exams or routine screenings. While additional views may be needed for more detailed assessments, a single view is often sufficient for initial evaluations. It’s important to ensure that the procedure is medically necessary and properly documented, as this helps ensure accurate diagnosis and treatment planning.

CPT code 71045 documentation requirements

CPT 71045 documentation requirements typically include:

• Indications or diagnoses that support medical necessity
• Date and time of the procedure
• Type and number of views obtained [for this one, a single view for frontal or anteroposterior (AP) view of the chest]
• A signed and dated interpretation from the reading provider to support the professional component
• The ordering clinician’s name and the reason for the test

Using the correct CPT code along with proper documentation helps healthcare providers ensure accurate reimbursement.

CPT code 71045 billing guidelines

For accurate billing, consider some essential guidelines:

• Certain CPT codes include both a professional and technical component, commonly seen in diagnostic procedures like radiology or stress testing. Use modifier 26 for the professional component, TC for the technical component, or bill globally if one provider performs both.
• If multiple views or bilateral chest studies are performed, they require different CPT codes (such as 71046 for two views or 71047 for three views) and sometimes appropriate modifiers to ensure accurate coding and compliance with payer guidelines.
• Check Medicare and Medicare Administrative Contractor (MAC) policies for approved ICD-10 codes, and confirm requirements with the payer to ensure accurate claim submission. Also, always refer to current coding rules and payer policies for proper billing.

Other related codes for radiology coding

• 71046: Chest radiologic examination with two views
• 71047: Chest radiologic examination with three views
• 71048: Chest radiologic examination with four or more views