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2025 CPT code 77071

Manual application of stress by a physician or qualified healthcare professional for joint radiography, including contralateral joint if needed.

Appropriate anatomical site codes should be used in conjunction with 77071. Modifier 26 (professional component) may be appended if only the physician's interpretation is billed. Modifier TC (technical component) may be appended if only the technical component is billed (payer policy may exempt hospitals from using TC).

Modifiers 26 (professional component) and TC (technical component) are applicable depending on the services provided. Other modifiers may be used as needed to accurately describe the circumstances of the service, such as modifiers to indicate reduced services (52) or repeat procedures (76, 77).

Medical necessity is established when clinical findings warrant the need for stress radiography to assess a specific joint injury or instability.This may include suspected ligamentous tears, fractures, or other conditions not readily apparent on routine views.The information must be documented appropriately.

The physician or qualified healthcare professional applies stress to the joint, ensuring proper positioning for the radiographic images. The radiology technician takes the X-ray images. The physician interprets the images, analyzes findings, and generates a report.

IMPORTANT:For radiographic interpretation of stressed images, refer to the appropriate anatomic site and number of views codes.

In simple words: X-rays of a joint are taken while a doctor gently moves the joint to get a better view of any injuries. This helps the doctor see the injury better before any surgery, or to check how well it is healing.

This CPT code encompasses the manual application of stress to a joint by a physician or other qualified healthcare professional during radiography.The provider positions the joint and applies stress to achieve views not possible with routine positioning. This helps assess injury extent before surgery or monitor healing. Imaging of the contralateral joint may be included. The physician interprets the images, performing measurements and reporting findings.The procedure typically involves multiple exposures.

Example 1: A patient presents with suspected anterior cruciate ligament (ACL) tear.The physician performs stress radiography of the knee using code 77071 to assess the degree of instability and plan surgical intervention., A patient with a history of ankle fracture is being followed clinically. Stress views using code 77071 are taken to evaluate fracture healing and stability before resuming weight-bearing activities., A patient reports shoulder pain and instability. The physician uses code 77071 to evaluate the glenohumeral joint for suspected instability or dislocation, capturing images of both the affected and contralateral shoulder.

* Detailed clinical history indicating the need for stress radiography.* Physician's order specifying the joint(s) to be imaged and the type of stress to be applied.* Radiographic images clearly demonstrating the applied stress and relevant anatomical structures.* Physician's interpretation report documenting findings, measurements, and clinical correlation.

** The use of this code may depend on the specific clinical scenario. Always refer to the most current coding guidelines and payer policies for accurate billing.

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