fluoro billing

shelli0951

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When billing multiple injections under fluoro, do you bill 77003 only once?
For example, a one level bilateral cervical epidural...would you bill 77003 one time or two?

Thanks for your help!
Shelli
 

shelli0951

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Thanks! That is how we have always billed it, but it has recently been brought to my attention that it could be billed as many times as there were procedures. I have not been able to find any proof to that. I appreciate your help.
 

mbort

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I beleive that the only time it is billable more than once is if the anatomical location is different, ie: Lumbar and then cervical at which point you would put a -59 modifier on the second.
 

jmcpolin

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fluoro

What about billing 77002 for bilateral knee injections, from everhthing I have read it NCCI states to only bill once but out of all of our payors Medicare is the one who is paying both of them.
 

dwaldman

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The software might be processing mulitple units but per the NCCI policy manual, this type of service should be reported once per encounter.
 
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