Wiki Xray guided injection

[narredondo1103@gmail.com]

I had a meeting with a orthopedic provider today stating she performs Xray guided injections. Currently she uses CPT 77002 for the xray. She clearly stated this is not a Floroscope. It is a static Xray. I believe this is incorrectly being billed. When I read is for 77002 this is a continuous image (real time) that is displayed on a monitor. An Xray is not that. Am I thinking about this correctly? Can I get some guidance on this?

 

[amyjph]

I think you would have to be sure exactly what is being performed. But if it is static XR, that is not the code (imo).

 

[PaigeMatthews]

I had a meeting with an orthopedic provider today stating she performs Xray guided injections. Currently she uses CPT 77002 for the xray. She clearly stated this is not a Floroscope. It is a static Xray. I believe this is incorrectly being billed. When I read is for 77002 this is a continuous image (real time) that is displayed on a monitor. An Xray is not that. Am I thinking about this correctly? Can I get some guidance on this?

Hi, did you even find any more guidance on them. We have a provider using the c-arm and static spot imaging NOT live

 

[NRaizman]

While Fluoroscopy can be used to create both static and dynamic images, you don't usually use it dynamically ("going live") unless you need to because of radiation exposure. CPT-A confirms that Fluoro can be used to create both static and dynamic images: "Fluoroscopy is a continuous x-ray beam that creates a sequence of images that are then transmitted to a monitor, which allows the provider to evaluate the static or dynamic evaluation of the structure(s) in question. Still images can be captured on film or electronically on a computer, and contrast can be used when necessary." (CPT-A 2008).

Any image guided procedure with a C-arm would use the fluoro codes.