Wiki Help Needed: Edit

[BrittanyWalker44]

Hi everyone,

I am stumpt on this preoject/research question below, any assistance would be so greatly helpful Thanks so much, Brittany-

CPT code 77003 is present under revenue code 320. CPT code 64490 is present under revenue code 360. An NCCI edit is present on code 77003 and reads: “Warning: Do not report CPT code 77003 in conjunction with 22586, 27096, 64479-64484, 64490-64495, 64633-64636, 0195T, 0196T or 0309T. According to the medical record, 64490 procedure was performed under fluoroscopy. How would you correct this edit?

 

[mitchellde]

Image guidance is inclusive to the 64490 and therefore not separately reportable. The code description tells you this.

 

[Haritha16]

77003 and 64490 coding

HI,

CPT code 64490 description tells you with image guidance fluroscopy or CT, so not necessary to report 77003.

Hope this helps u..