77003
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)
In 2010, CPT codes for facet injections (64470-64476) were deleted and replaced with CPT 64490-64495. When this change took place, CPT 77003 was updated to remove facet joint injection from the descriptor of 77003.
In 2012, CPT for an sacroilliac joint injection was revised to include fluoroscopy guidance, 77003 was also updated to remove sacroilliac joint injection from the code descriptor.
In 2012, CPT for destruction of paravertebral facet joint nerves was revised and 77003 was also updated to remove reference to this procedure.
In each of the years, that these updates took place, AMA CPT Changes documented that the descriptor for 77003 was updated and no longer could it be reported in conjunction with the procedures they included and required fluoroscopy with. If you review 2010-2013, AMA CPT Changes, you will find, that intralaminar/caudal epdiurals and subarachnoid injections are still reportable with 77003.
"Code 77003 is no longer reported separately when reporting the transforaminal epidural injection codes; thus, the term "transforaminal epidural" was deleted from the 77003 code descriptor."
Above is from AMA CPT Assistant Feb 2011, as mention eariler when the AMA decides to include fluoroscopy in pain management procedures, they also revise the descriptor to 77003. The current descriptor for 77003 gives examples of procedures that it is intended to be currently reported with ie epidural or subarachnoid.
If there was a change in the reporting in 2013, this would appear in AMA CPT Changes 2013. There is no reference in AMA CPT Changes of this inclusion.