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Anesthesia Coding Alert

Reader Questions:

Confirm spinal block location for fluoro code

Published on Tue Jan 05, 2010

Question: Can I report fluoroscopy in conjunction with a spinal block? If so, how do I code the fluoroscopy? Florida Subscriber Answer: Yes, you can report fluoroscopic guidance with most pain management injection procedures, including spinal blocks. Your code selection will depend on the type of injection the physician administered. If your physician performed a spine or paraspinous injection procedure, report 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve, or sacroiliac joint], including neurolytic agent destruction). CPT change: The descriptor for 77003 changes in CPT 2010 to reflect the addition of new codes 64490- 64495 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [xygaphphyseal] joint [or nerves innervating that joint] with image guidance [fluoroscopy or CT]...). Double-check the descriptors to ensure you code correctly after Jan. 1, 2010. Codes [...]
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