AAPC - Back to school
Results 1 to 4 of 4

Thread: Transforaminal with fluoroscopy

  1. #1
    Join Date
    Apr 2007
    San Diego Chapter

    Default Transforaminal with fluoroscopy

    AAPC: Back to School
    I understand you won't be able to bill for the fluoroscopy service (77003) when you perform a transforaminal. Does this only apply to Medicare or for all carriers?

  2. #2
    Join Date
    Apr 2007
    North Carolina


    This is not carrier specific. CPT included fluoro in the changes for 2011. The description now includes fluoroscopy or CT.

  3. #3
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    Philosophical question: Are they going to eventually bundle fluoro with all pain procedures eventually?

    Rant: I completely disagree with the AMA's bundling of fluoro primarily due to the personal risk associated with fluoro. Pain fluoro is the only radiological service where the physician stands next to the x-ray device. While the physician is shielded with aprons, collars, glasses and even lead-lined latex gloves, the phsyician is still exposed radiation several thousand times a year. Also the physician is personally manipulating and directing the equipment...Not sitting in a dark room hundreds of miles away reviewing films.

    Thank you and good night

    Brock Berta

  4. #4
    Join Date
    Apr 2007


    I was just looking at this week a Draft LCD from WPS Medicare J5 stating that 20610 is not appropriate to bill for an SI Joint block without fluoroscopic guidance. That imaging guidance for this block is "crucial" and that only 27096 77003 & G0260 would be payable.
    I don't think that it is so much as they are trying to bundled as the fact is that they are trying to require in the sense that if they follow the medical literature that the paying for procedures that can maxmize the best possible outcomes if they feel utlizing fluoro helps achieve that it becomes a standard of care and those providing that level of care are able use the codes that define that service as the total procedure and again is not considered an opitional component but the only way you even get to report the code.

Similar Threads

  1. Transforaminal or Translaminal injection
    By dragonflye in forum Anesthesia
    Replies: 1
    Last Post: 09-20-2013, 10:32 PM
  2. transforaminal epidural injection
    By bench in forum Outpatient Facilities
    Replies: 9
    Last Post: 10-18-2012, 06:27 PM
  3. facet w/ transforaminal
    By dwaldman in forum Anesthesia
    Replies: 3
    Last Post: 04-01-2010, 10:57 AM
  4. Transforaminal injections
    By coderguy1939 in forum Anesthesia
    Replies: 2
    Last Post: 02-02-2009, 04:40 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.