Fluoroscopic guidance can be used independently or in combination with other imaging methods; therefore, it is important to refer to the code descriptors, parenthetical instructions, and introductory notes for specific reporting instruction. For example, fluoroscopic guidance (77002) is inclusive of all radiographic arthrography with the exception of supervision and interpretation for computed tomography and magnetic resonance arthrography. Therefore, it is not appropriate to report 77002 in addition to codes 70332, 73040, 73085, 73115, 73525, 73580, and 73615.
Fluoroscopic guidance is inclusive of organ or anatomic specific radiological supervision and interpretation procedure codes 74320, 74350, 74355, 74445, 74470, 74475, 75809, 75810, 75885, 75887, 75980, 75982, and 75989.
If the physician is not present in the operating room during a procedure that uses fluoroscopy or fluoroscopic guidance, that physician should not submit a code for fluoroscopy because fluoroscopic imaging requires personal supervision. However, the appropriate radiographic code to report the anatomy evaluated should be submitted in the event that (1) the radiologist's contract with the hospital requires that a radiologist issue a formal interpretation or (2) the physician performing the study requests that a radiologist produce a formal report of the procedure from permanent images recorded.
This is from CPT Assistant, February 2007 Page 11
Anthony Bush, CPC, CCP
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