Quick Tip: Always Bundle Fluoroscopy to Endoscopic Procedures
If the provider uses fluoroscopic guidance during an endoscopic procedure, you may never report the fluoroscopic guidance separately, for Medicare payers. Per Chapter VII of the National Correct Coding Initiative Policy Manual for Medicare Services:
If fluoroscopy is performed during an endoscopic procedure, it is integral to the procedure. This principle applies to all endoscopic procedures including, but not limited to, laparoscopy, hysteroscopy, thoracoscopy, arthroscopy, esophagoscopy, colonoscopy, other GI endoscopy, laryngoscopy, bronchoscopy, and cystourethroscopy.
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