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20610-50 with 77002

  1. #1
    Location
    Cape Girardeau, MO
    Posts
    7
    Default 20610-50 with 77002
    Medical Coding Books
    Hello!!

    I am billing a 20610-50 with a dx of 715.95. Can i bill for two fluoroguides(77002); one for each hip?? Or does the billing of one 77002 encompass both sides??

    20610-50
    77002-26
    77002-26-76

    Thanks for your help!!

    Julie

  2. #2
    Default
    Julie:
    The use of the flouroscopy is going to have to be billed the following way to pay:

    20610-RT
    20610-LT
    77002
    77002-76 (which bypasses the edit)

    So, yes you are correct in coding the 77002-76 to get paid for the bilateral flouroscopy

    Hope This Helps
    Amy Pritchett,
    BSHA, CPC, CPMA, CPC-I, CDEO, CANPC, CEDC, CASCC, CRC, CMDP, CMPM, CCS, CMRS, C-AHI, ICDCT-CM, ICDCT-PCS
    2017-2018 Secretary of Local Mobile AAPC Chapter
    2015-2016 President of Local Mobile AAPC Chapter

  3. #3
    Location
    Columbia, MO
    Posts
    12,913
    Default
    76 is for a repeated service in a separate session, if this is performed all in the same session then this is incorrect usage of this modifier. If you cannot use a 50 which is payer preference, then use a 59
    20610-50
    77002-26
    77002-59, 26

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    3. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. The unit of service for these codes is the patient encounter, not number of lesions, number of aspirations, number of biopsies, number of injections, or number of localizations.


    __________________________________________________ ___________
    Per the CMS NCCI policy manual, CPT such as 77002 would report with one unit regardless of the number of needle placements performed.

    http://www.cms.gov/Medicare/Coding/N...tEd/index.html

  5. #5
    Location
    Cape Girardeau, MO
    Posts
    7
    Default
    Thank you dwaldman!! You have helped me answer an office debate!

    I had a feeling it was per encounter but just couldn't find policy on it!

    Julie

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