Hi all! I have a question about fluoro guidance and localization of needle or catheter tip for spine: is it now inclusive to the lumbar puncture 62270? It has come to my attention this month because an internal edit is denying 77003 with just about everything now! The edit states a parenthetical in the CPT book:
"Injection of contrast during fluoroscopic guidance and localization [77003] is included in 22526, 22527, 27096, 62263, 62264, 62267, 62270-62282, 62310-62319."
I think it's being misinterpreted to say the fluoro is included, instead of the injection of contrast is included. If they read further down it lists the do not report codes with 77002 and 77003 as 22586, 27096, 64479-64484, 64490-64495, 64633-64636, 0195T, 0196T, 0309T.
So now when we code for a lumbar puncture of 62270 and 77003, the 77003 is hitting an edit. But when I look it up in CCI, there is no edit. Where can I get documentation to prove that 77003 is coded and billable with the 62270-62282 codes?
Any help is greatly appreciated!
"Injection of contrast during fluoroscopic guidance and localization [77003] is included in 22526, 22527, 27096, 62263, 62264, 62267, 62270-62282, 62310-62319."
I think it's being misinterpreted to say the fluoro is included, instead of the injection of contrast is included. If they read further down it lists the do not report codes with 77002 and 77003 as 22586, 27096, 64479-64484, 64490-64495, 64633-64636, 0195T, 0196T, 0309T.
So now when we code for a lumbar puncture of 62270 and 77003, the 77003 is hitting an edit. But when I look it up in CCI, there is no edit. Where can I get documentation to prove that 77003 is coded and billable with the 62270-62282 codes?
Any help is greatly appreciated!