If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
If an MRI guided injection of contrast into the shoulder joint was done followed by MR with contrast, then the only other modifier you might need is 26 on the 2 70000 codes if you are billing for a physician who did this at the hospital. There are no CCI edits for these codes.
Was the injection really done under MR guidance? or fluoro? I'm a little leery about coding both 77021 and 73222. I would tend more toward NOT coding 77021.
Other opinions?
If an MRI guided injection of contrast into the shoulder joint was done followed by MR with contrast, then the only other modifier you might need is 26 on the 2 70000 codes if you are billing for a physician who did this at the hospital. There are no CCI edits for these codes.
Was the injection really done under MR guidance? or fluoro? I'm a little leery about coding both 77021 and 73222. I would tend more toward NOT coding 77021.
Other opinions?
Dr Z's materials from last september (webinar) conveniently skipped/omitted this scenario...hmmm
23350 is certainly correct and as of now, billing for an MRI guided (77021) MRI of the shoulder (73222) is permitted but it seems odd to me as well. Don't be surprised if this changes later this year.