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Radiology Coding Alert

Skip 72295 on 62287 Claims, Says CCI

Published on Thu Sep 10, 2009

RS&I/guidance codes bear the brunt again. You can count on three certainties in life: death, taxes, and Correct Coding Initiative edits for fluoro. 72295: The latest CCI version (15.2), effective July 1, includes a new edit to prevent reporting 72295 (Discography, lumbar, radiological supervision and interpretation) with 62287 (Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method, single or multiple levels, lumbar [e.g., manual or automated percutaneous discectomy, percutaneous laser discectomy]). A "0" modifier indicator means that you may never override the edit. Tip: A parenthetical note with 62287 instructs you to report fluoroscopic guidance for the procedure using 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). 76000: The latest edits also bundle 76000 (Fluoroscopy [separate procedure], up to [...]
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