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Wiki 72275 denied to 62311

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coders_rock!

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Does anyone know if 72275 can be billed with 62311.

62311 was paid and 72275 was denied. I am thoroughly confused. Can someone help me understand the guidelines?

Thank you!
 
I know in our office when we bill the 72275 we have to bill it with -26 -59 modifiers and we have to have the copies of the image and on the report it has to mention a possible blockage otherwise it won't be paid
 
72275 can be billed along with any of the interlaminar epidurals (62310-62319), however it is considered a separate procedure which requires it's own report. Think of it as an x-ray that is taken using the fluoro machine (which is why fluoro is included) and along with an injection of contrast. The documentation should include a separate radiology report detailing the findings. Depending on place of service you may need to append modifier -26 (ASC for example). Also it should be billed just like fluoro, one unit per region, not per level, in case you were curious. Hope this helps! :)
 
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