A client has supposedly received a letter from CMS stating that CMS will no longer pay for epidurals done without the use of fluoroscopic guidance. I am concerned of whether or not this is true. If anyone can give advice as to whether or not CMS does/will require the use of fluoroscopic guidance in order to bill for an epidural injection, please let me know ASAP.

I do know that there are instances such as RFA, where if fluoro is not used that the procedure is actually coded as a completely different procedure. Could this be the case with this as well?

Any help is greatly appreciated!!!