Please enlighten me here. In the CPT book, it does not indicate fluoroscopic guidance (77003) is included in cpt code 64400 - 64450. Insurance company/Medicare always denies payment on this combination. When we code it with ultrasound guidance (76942), insurance always pays for it.

I understand that 76942 and 77003 are mutual exclusive.

Can anyone please educate me in here?

Thanks,
Millor