Results 1 to 5 of 5

MUE for fluoro

  1. #1
    Salt Lake City
    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
    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.

    Revision Date: 1/1/2012
    CPT CODES 70000 - 79999

  3. #3
    Salt Lake City
    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
    Was this policy in effect prior to 01/01/12?

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

Similar Threads

  1. Exceeding MUE
    By bmanus in forum Medicare Regulations
    Replies: 2
    Last Post: 10-02-2015, 07:30 AM
  2. Mue - Could someone please tell me where
    By slc112071 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-13-2015, 09:00 AM
  3. MUE's
    By ASH527 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 05-05-2014, 09:53 AM
  4. Mue - I need some help with understanding
    By vjefcoats in forum Emergency Department
    Replies: 2
    Last Post: 05-30-2013, 11:58 AM

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.