Try 77002: Code 77002 describes fluoroscopic guidance during pain management injection procedures when your physician requires guidance for needle placement in areas other than the spine. Code 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures...…..Submitting 64640 tips off the payer that you're not reporting a spinal injection.We billed 64640 with 77003; however, it is asking for a primary code for 77003. I need help - what do we bill with 77003?
The patient was taken to the fluoroscopy suite and supine The patient was them prepped and draped in the usual sterile fashion. Anatomic landmarks were identified fluoroscopically. Local anesthesia was obtained with1_ cc of 1% Lidocaine per level. A 22 g sMK needle was advanced under fluoroscopic visualization to left supraorbital foramen AP and lateral view showed excellent neddle positioning. Sensory stimulation was prositive at 0.3 volt or less .We treated each level for 120 sec at 2 Hz and greater than 50 V followed by continous RF treatment at 60-65 degrees centigrade for 60 seconds. After that, all needles were restyletted and withdrawn