AAPC - Back to school
Results 1 to 2 of 2

Thread: 72275 denied

  1. #1

    Default 72275 denied

    AAPC: Back to School
    Cpt codes 62311, 27096, & 72775 were billed together.

    62311 & 27096 was paid, but 72775 was denied.

    Should this be? & under what guidelines can 72775 be paid?

  2. #2
    Join Date
    Apr 2007


    " The use of code 72275 is for diagnostic purposes and is not indicated or appropriate to use for needle localization in the majority of therapeutic epidural steroid injections or similar procedures in lieu of code 77003."

    __________________________________________________ ________________________
    Above and below are from CPT Assistant 2008. I would review the intent of the injection of contrast to assist with performing the injection or for diagnostic purposes. Was a formal diagostic interpretation documented to support 72275?
    __________________________________________________ ______________________
    "The indications for the use of diagnostic epidurography are limited. The vignette associated with code 72275 for the AMA/Specialty Society Relative Value Scale Update Committee (RUC) describes the use of epidurography to determine whether there are obstructions in the epidural space that would limit the spread of therapeutic substances that may be injected, such as a neurolytic substance for chemical rhizotomy. The data obtained from the diagnostic epidurography should influence and improve patient treatment options and contribute new information to that already obtained from other spinal imaging procedures commonly used, such as magnetic resonance imaging and computed tomography with myelography. Epidurography should not be used routinely for localization with the performance of most therapeutic spinal injection procedures, as this is best addressed by code 77003."

Similar Threads

  1. 72275-59
    By abrodskycpc in forum Orthopaedics
    Replies: 0
    Last Post: 06-15-2015, 07:32 AM
  2. 72275 denied to 62311
    By coders_rock! in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-29-2012, 02:01 PM
  3. 72275 denied
    By coders_rock! in forum Anesthesia
    Replies: 1
    Last Post: 10-03-2011, 11:17 PM
  4. 62311 & 72275 denied
    By coders_rock! in forum Anesthesia
    Replies: 1
    Last Post: 05-15-2011, 07:27 PM
  5. 72275 Epidurography
    By tadavis in forum Anesthesia
    Replies: 6
    Last Post: 04-24-2009, 12:17 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.