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The treating physicians order, dated before the study, names the specific joint and laterality and specifies without contrast The clinical indication ties to the patients documented condition, not a bare symptom description The prior evaluation history records conservative treatment attempted, dates, and patient response, for non-emergent presentations The radiology report confirms in writing that no contrast went in The signed interpretation report includes indication, technique, findings by structure, and clinical impression For IDTF settings, documentation records the supervision level and personnel qualifications per MAC contractor guidance For CPT 73721 claims, the clinical record documents the treating physicians order with the joint and laterality named, the clinical indication tied to the patients condition, the prior conservative treatment history for non-emergent presentations, written confirmation that no contrast went in, a complete signed interpretation report, and, for IDTF settings, supervision and personnel documentation per MAC guidance
Confirm with your MAC or commercial payers current NCCI edit table before billing both on the same date
