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EEk! Help! Question about 77003 (Fluoroscopy)

  1. #11
    Capital Coders, Columbia, SC
    Clearnace Sale
    Radiology is definitely not my specialty, but I do plenty of worker's comp. In regards to the original question, keep in mind that billing your everyday commercial insurance companies and Medicare/Medicaid, versus worker's comp, is like football vs. rugby. WC carriers have to follow the guidelines and fee schedule of each state's WC commission. Here in South Carolina, we working off a 2003 WC fee schedule. In addition, other bundling guidelines exist, such as, established outpatient visits are not payable is a procedure is performed. And that's ANY procedure. Examine your state's WC guidelines carefully, or request a copy of the particular guideline that a carrier is referring to for a denied charge. It's a whole different ballgame.

    Bill Hale, CPC

  2. #12
    I get paid with WC using 76003-TC for ASC. Hope this help.

  3. Default
    Hi Rebecca,

    I work for Pain Management Group and Anesthesia and was wondering if you might have a copy of Anesthesia and Pain Coder's Pink Sheet for October 2009, Vol. 10, No. 10 Dated 10-01-09 that you could please share.

    Thanks Kim CPC Fax 239-261-4232 Collier Anesthesia PA Naples

  4. #14
    New Port Richey & Gulf to Bay
    Default Payment Indicators
    77003 has a payment indicator of NI. This payment indicator states that the service is bundled into a payment for the procedure. Some payers do reimburse for the 77003, but from my experience, not many. I will still report the service expecially in regards to pain management services, when appropriate.

  5. Default
    That does not address the technical component- is there anything that states we should not bill for the ASC when using fluro for the 63650?


  6. #16
    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    You may get paid with 77002 in conjunction with 63650. I am finding some discussion of this on the web ( and NCCI edits do not bundle it. I will give it a try for my next claim.

    Richard Mann, your pain management coder

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