If a radiology report indicates that only one view was taken when the code states "two views," how should you code the service?

When a radiology report indicates that only one view was taken, but the coding guidelines specify a code for two views, it is appropriate to use the code for the service along with modifier 52. This modifier is used to indicate that a service was reduced or that certain components of a procedure were not performed.

In this case, using modifier 52 accurately reflects the service provided since a lesser number of views were performed than what is typically included in the standard coding for that procedure. By applying this modifier, the coding accurately communicates the limited scope of the service to the payer, ensuring that the billing is aligned with the actual service rendered.

Applying a standard code without the modifier would suggest that the full service was performed, which is not the case. Using modifier 25 would be inappropriate here, as it refers to significant, separately identifiable evaluation and management services provided on the same day as a procedure. Coding the service as a denial does not appropriately portray the situation and would not result in reimbursement for the service actually provided. Therefore, the most accurate coding in this scenario reflects the actual procedure with modifier 52.