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MUE for fluoro

  1. #1
    Location
    Salt Lake City
    Posts
    841
    Default MUE for fluoro
    Medical Coding Books
    There is some confusion in our office on whether to bill 77002 when performing bilateral injections in the knee 20610, we understand that MUE edits state to bill only once but Medicare is the one payor that has been paying for both.

  2. #2
    Default
    3. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. The unit of service for these codes is the patient encounter, not number of lesions, number of aspirations, number of biopsies, number of injections, or number of localizations.

    Above is from NCCI Policy manual.

    CHAP9-CPTcodes70000-79999_01012012final.doc
    Revision Date: 1/1/2012
    CHAPTER IX
    RADIOLOGY SERVICES
    CPT CODES 70000 - 79999
    FOR
    NATIONAL CORRECT CODING INITIATIVE POLICY

  3. #3
    Location
    Salt Lake City
    Posts
    841
    Default
    Thats what I thought but for some reason Medicare is the only one paying both of them all of our commercial insurance companies are denying the second one.

  4. #4
    Default
    Was this policy in effect prior to 01/01/12?

  5. #5
    Default
    Yes, it was in the NCCI policy manual prior to 2012.

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