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Thread: 64483, is flouroscopic guidance required?

  1. #1
    Join Date
    Apr 2007

    Default 64483, is flouroscopic guidance required?

    AAPC: Back to School
    Supercoder states that flouroscopic guidance is required for this code, but the CPT code book states "to report FG used..." Is FG required for this code? thanks

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    Fluoroscopic guidance is not included in the code; when used, it is reported separately (see 77003). According to the lay description in the Coder's Desk Reference, it does require this guidance, however. In my experience coding for Physical Medicine/Rehab, they always use guidance to ensure proper placement of the injection. When done in the OP department of a hospital or in a free-standing surgery center, you would use modifier 26 on the guidance code since the facility will bill for the equipment.

    Hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Join Date
    Apr 2007


    I agree for proper needle placement 77003 is always performed with 64483 at the practice I work with. I see 62310 or 62311 done without fluoro at the outlying facility where fluoro is not available. But I have never seen 64483 being performed without fluoro.

  4. #4

    Default Pain management

    How do I calculate the units for flouro. Is it depending on the levels? So, If there is a 64483 1 level and a64484 2 levels, do I code 3 units of flouro?

  5. #5
    Join Date
    Apr 2007
    Athens, Ga.


    Flouro is billed once per session, no matter how many levels are done
    Walker Bachman, CPC, CPPM

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