Wiki spine coding questin

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Massapequa, New York
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dr. billing 22551 23845 22851 20660 20930 77003 - my question is the fluoro code, I don't see where it says it should not be billed, does anyone have any input on this, I am new to spine coding also with a 59 be appropriate for the 77003?
 
What purpose is 77003 serving? CPT states this code is for guidance and localization of the needle or catheter tip for diagnostic or therapeutic injections. You do not mean when the needle is placed on the spine to localize the exact vertebral level? If yes, then I would not use the fluoro code. Also 20660 is not normally reported with 22551, correct? Myself, without seeing the op note, I would e tempted to say 22551, 22845, and 22851 only.
 
I'm having trouble here...

UHC is denying codes L9900 and L0637 as a global period pt had a surgery done on 4 days later and the carrier is stating is a global period with the surgery??? I try resubmitting it with medical records but still came back denied.

Any coding tips?
 
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