• 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.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Steroid epidural injections

mad_one80

Guest
Messages
179
Location
orange, ca
Best answers
0
WONDERING....FOR EPIDURAL STEROID INJECTIONS (EX: CPT 62311) DOES THIS INCLUDE THE FLUO GUIDANCE(CPT 77003) ALSO? THE CPT STATES "Injection of contrast during fluoroscopic guidance and localization is an inclusive component of.....62310-62319"

this means that the contrast injection is included, not the fluo guidance, right? some insurances have paid on some claims and reject other claims(same ins carriers processing) as inclusive...even when appealed, some claims are paid and others stay rejected! (again, same exact cpt codes appeal to the same ins carriers with different results!!) :eek:
 

mbort

True Blue
Messages
2,338
Location
ENGLEWOOD/DENVER
Best answers
0
WONDERING....FOR EPIDURAL STEROID INJECTIONS (EX: CPT 62311) DOES THIS INCLUDE THE FLUO GUIDANCE(CPT 77003) ALSO? THE CPT STATES "Injection of contrast during fluoroscopic guidance and localization is an inclusive component of.....62310-62319"

this means that the contrast injection is included, not the fluo guidance, right? some insurances have paid on some claims and reject other claims(same ins carriers processing) as inclusive...even when appealed, some claims are paid and others stay rejected! (again, same exact cpt codes appeal to the same ins carriers with different results!!) :eek:

you are correct, 77003 is codeable in the ASC setting with the modifier TC. I dont have time to go back through the forum, but if you look back in time, about a year or so ago, there was some great debate and documentation.
 

Happycoding

Networker
Messages
40
Best answers
0
"Injection of contrast during fluoroscopic guidance and localization is an inclusive component of.....62310-62319"---This means Contrast injection is not seperately reported. During this procedure the physician will confirm the needle position by injecting a contrast & taking radiographs.So this is a part of the procedure & it is not seperately billed. On summary:
1.Contrast injection is not seperately reportd
2.Fluroscopic guidance 77003 can be seperately reported if documented.

Hope this helps!!
 
Top