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Fluoroscopic Guidance - I am getting conflicting information

  1. #1
    Default Fluoroscopic Guidance - I am getting conflicting information
    Medical Coding Books
    I am getting conflicting information. Can I bill 64483 with 77003??
    Claim was denied, saying 64483 inclusive of 77003, but research shows I can bill the two together. Can anyone help answer this?

  2. Default
    64483 actually states Injection(s), anesthetic agent and/or steriod, transforaminal epidural, WITH IMGAING GUIDANCE (FLUROSCOPY OR ct ); lumbar or sacral, single level
    so the two can not be billed together

  3. #3
    Default
    Depends on what your date of service is. If it was after January 01/2011, then no you can't bill separately for the fluoroscopy, but if it was prior than it can be....check with your payor too.
    Thanks
    Diann Do Bran CPC, CPC-H

  4. #4
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    Quote Originally Posted by diann View Post
    Depends on what your date of service is. If it was after January 01/2011, then no you can't bill separately for the fluoroscopy, but if it was prior than it can be....check with your payor too.
    Thanks
    Diann Do Bran CPC, CPC-H
    I agree with Diane that you canot bill for those seperately. The revised text states "Imaging guidance(fluoroscopy or CT) and any injection of contrast are inclusive components of 64479-64484.
    Paula Johnson CPC

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