Wiki Fluoroscopic guidance documentation

[pinnaclephyserv]

What documentation should be in a chart when Fluoroscopic guidance is billed? Do they need a writing report and copies of the pictures?

Thanks,

PPS

 

[jdrueppel]

Fluoroscopic guidance needs to be clearly documented in the medical record as is necessary for any billable charge. Per CPT description 77001 DOES require radiographic documentation of final image. CPT codes 77002 and 77003 do not have this requirement.

Julie, CPC

 

[pinnaclephyserv]

I was told that if they did not keep a copy they need to at least refernce the index number of the films???

 

[jdrueppel]

Yes, you don't personally have to have the image but it must be saved and available upon request. Ours are saved to a disk and housed at the facility where the service occurred.

Julie, CPC

 

[rrehorn06]

If only the fluoro time is documented for a PICC line can code 77001 be used?

 

[vpregnon]

julie I need the documentation can you point me in the right direction