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Thread: fluoro billing

  1. #1

    Question fluoro billing

    AAPC: Back to School
    When billing multiple injections under fluoro, do you bill 77003 only once?
    For example, a one level bilateral cervical epidural...would you bill 77003 one time or two?

    Thanks for your help!

  2. #2
    Join Date
    Apr 2007
    St George, UT


    You would only bill once.

  3. #3


    Thanks! That is how we have always billed it, but it has recently been brought to my attention that it could be billed as many times as there were procedures. I have not been able to find any proof to that. I appreciate your help.

  4. #4
    Join Date
    Apr 2007


    I beleive that the only time it is billable more than once is if the anatomical location is different, ie: Lumbar and then cervical at which point you would put a -59 modifier on the second.

  5. #5
    Join Date
    Apr 2007


    That is correct you can only bill the 77003 code once unless it two seperate areas of the body.

  6. #6
    Join Date
    Apr 2007
    Salt Lake City

    Default fluoro

    What about billing 77002 for bilateral knee injections, from everhthing I have read it NCCI states to only bill once but out of all of our payors Medicare is the one who is paying both of them.

  7. #7
    Join Date
    Apr 2007


    The software might be processing mulitple units but per the NCCI policy manual, this type of service should be reported once per encounter.

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