Reader Question:
Confirm Intent When Reporting Epidurogram
Published on Tue Jul 17, 2012
Question: How do we bill for epidurals? Is an epidurogram code 72275 (Epidurography, radiological supervision and interpretation)-26 (Professional component...) billable with epidurals? Is a component of 62311 (Injection[s], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral [caudal])? Do we report 72275 only when an epidurogram is performed and recorded and a written radiological report is provided? We know that contrast was injected and it evenly spread from L3-4 posteriorly and anteriorly. The surgeon seems to be injecting contrast for a better view of where the injection is performed. Please help on the right codes. New York SubscriberAnswer: The CPT® code 72275 differs from CPT® code 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, [...]
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