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Fluoroscopic guidance and localization of needle or catheter

  1. #1
    Chicopee, Massachusetts
    Default Fluoroscopic guidance and localization of needle or catheter
    Medical Coding Books
    I need some clarification. I know that CPT code 77003 is supposed to be reported only once per region if multiple injections are completed. I have a physician who is stating that if he billed 64475 bilaterally then he can bill the 77003 bilaterally. Logically it makes sense that "Once per region" means once per region regardless of the fact that it is being done bilaterally. I need to know if there is some documentation somewhere that states whether or not the 77003 can be billed twice because the injection is being done bilaterally. Any help will be appreciated.
    Mary Davis, CPC, CPC-E/M

  2. #2
    Medical Center-Houston
    Per Dr Z's Medical Coding Series, Interventional Radiology Coding Reference, 2009 ed., pg 411 #4: "Code 77003 is coded per region (cervical, thoracic, lumbosacral) treated."

    I hope this helps!

  3. #3
    Default Fluoroscopic guidance
    My physician performs epidurals and the way the practice has always billed them is 77003-26. My question is why? Since he is doing the procedure and is doing the fluoro, why wouldn't it be billed 77003-tc or even as global?

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