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Fluoroscopy Billing

  1. #1
    Default Fluoroscopy Billing
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    Ok, quick question... so one of my doctors performed a multi-level Facet Joint Injection 64493, 64494 & 64495, along with a hip injection (20610). Fluoro is inclusive to the Facet injections, but since he also used it for the hip injection, the fluoro 77002 can be billed along with 20610 (per the parenthetical can be billed separately).

    Thank you for any input...

  2. #2
    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.

    Above is from the Radiology section of the NCCI (National Correct Coding Initiative) policy manual. Below is the address that a question can be faxed to them to confirm your answer. I have wonder the same thing, but have not wrote them and just not billed the fluoro since their policy manual states fluoro can be reported once and it seems like that is be valued into the Facet injection codes, I have just taken that as once and not reported it separately like with a hip injection. But if you wrote them you might get a different interpretation.

    National Correct Coding Initiative
    Correct Coding Solutions LLC
    P.O. Box 907
    Carmel, IN 46082-0907

    Attention: Niles R. Rosen, M.D., Medical Director and Linda S. Dietz, RHIA, CCS, CCS-P, Coding Specialist

    Fax #: 317-571-1745

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