claudineerie@hotmail.com
Networker
I am having a discussion with my physician and how he wants to bill fluoroscopy. I have read the NCCI edits and medical policy...unfortunately, depending on what you read....there is much open to interpretation. If my physician were to code a 62311 or a 64418- is fluoroscopy included? He has a c-arm in the office and wants to add a 59 to pay for the fluoroscopy where in the medical policy states in a vague manner that this is included. He is doing these procedures for pain management. My understanding is that unless it is an entirely different location, he cannot surpass a straight (for example)epidural- (for radiating pain) or peripheral nerve block and add 77003 or 77002 as additional codes- are they not inclusive of the above mentioned codes? He thinks because there is an allowable edit that it is ok to add the fluoroscopy. I really need a direct response . Thank you!!!!