Neurology & Pain Management Coding Alert

READER QUESTIONS:

Confirm Spinal Block Location for Fluoro Code

Question: Can I report fluoroscopy in conjunction with pain management blocks? If so, what code should I use for the fluoroscopy? Florida Subscriber Answer: Yes, you can report fluoroscopic guidance with most of the pain management injection codes. Your  ode 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). Examples of spine or paraspinous injections include a cervical epidural injection (62310, Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; cervical or thoracic) or a [...]
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