You Be the Coder:
Find the Hidden Fluoro Coding Trap
Published on Sat Sep 12, 2009
Question: Which code should I report for fluoro used to guide a 62310 injection? Florida Subscriber Answer: Assuming the radiologist was present forthe procedure, you may 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) for fluoroscopy used to guide a spine injection. And if the radiologist also performed the spine injection, report 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). Caution: If the radiologist isn't present for the fluoro but interprets films taken during the procedure, you should report the code for the film interpretation rather than the fluoro, according [...]
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