semantics of "including" vs. "using"

[Paul Seale]

Some CPT code descriptors state "using imaging guidance" and some say "including imaging guidance". Are these synonymous phrases (i.e., the guidance is not separately reportable)?

I am just starting out, and I find the most difficult thing about the CPT is interpreting the gray shades of semantics of some of the verbiage.

Thanks for the help.

[joannesheehan]

Those gray areas CAN be frustrating!!! If the description says including imaging guidance it would be included. Using imaging guidance can be tricky but I always reference the parenthetical notes associated with the procedure to guide me.
For example, look up code 36597: Repositioning of previously placed central venous catheter under fluoroscopic guidance.
Beneath the description in parenthesis it says: (For fluoroscopic guidance, use 76000). This falls under diagnostic imaging. Don't forget to real all the guidelines if you are confused. You will probably find your answer!

[Paul Seale]

Yes, I am finding the guidelines to be my best friends

Thank you for the insight.