I recently started billing Discograms, 62290. I am billing Fluoroscopic Guidance code 77003 with it, using modifiers 59, 26. 77003 is getting denied by Novitas. Denial reason is "The procedure is inconsistent with the modifier used or a required modifier is missing".
I referred to the list of Eligible Surgical Modifiers from the Novitas website and 26 is not listed, I think I need to remove the 26.
How are others billing the Fluoroscopic Guidance with 62290?
26 is allowed with 77003; we bill this every day (although not for disco procedures). I would list it before the 59 though, if warranted.
I do agree that 77003 should not be billed with 62290.
The only other thing we bill with 62290 is 72295-26 for rad S&I, per notation right beneath 62290 in the CPT book.