Orthopedic Coding Alert

Reader Question:

Leave Guidance Off This Arthrography Claim

Question: The provider performed a radiologic ankle arthrography with supervision and interpretation. We reported 73615 and +77002, and +77002 was denied. Why?

Florida Subscriber

Answer: You cannot report +77002 (Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)) with 73615 (Radiologic examination, ankle, arthrography, radiological supervision and interpretation), as per the instructions below the 76315 descriptor in CPT® 2020.

Also in the text below the descriptor for +77002 in CPT® 2020 is this statement: “77002 is included in all arthrography radiological supervision and interpretation codes.”