AAPC - Back to school
Results 1 to 3 of 3

Thread: Intraoperative fluoroscopy

  1. #1

    Default Intraoperative fluoroscopy

    AAPC: Back to School
    Our orthopedic surgeons use fluoroscopy extensively while in the OR not only to fix fractures, but to check on hardware, check bone cortex and bone density and alignment, all kinds of things. Obviously soft tissue doesn't show up, but for anything involving bone, they use it. So, its such an integral part of what they do, and they do not produce any written report giving the fluoroscopic findings separate from the op note, I thought fluoroscopy could not be separately billed by the surgeon, plus in the descriptor for 76000 it says its a separate procedure, meaning its only billable if thats the only thing that was done during that session.
    Ok, so another office is disputing this and billing 76000-26 unless its specifically not allowed in the NCCI. Its true some orthopedic procedures do not have 76000 in column 2, and some do. If its not in column 2, then it must be billed with modifier 26, but I see no evidence of our docs ever writing up a separate report for every time they employ the C-arm. What do you think?

  2. #2


    You cannot bill for the fluoroscopy if it is integral to the other procedure(s). However, if it was used for a different issue, then you can bill for it. Sometimes you will need to use the 59 modifier, but if it is clearly being used for a different problem/area, then you would not have to use the modifier. I believe that is where column 2 comes into play b/c a modifier is not always necessary.

  3. #3


    Here is an excerpt you can also refer to "Remember, fluoroscopy is a diagnostic radiology code. According to the American Academy of Orthopedic Surgeons (AAOS), fluoroscopy used in surgical procedures is not considered diagnostic, and therefore should not be billed as a separate diagnostic procedure."

Similar Threads

  1. Intraoperative Neurophysiology
    By asromero52 in forum Neurology/Neurosurgery
    Replies: 19
    Last Post: 08-19-2015, 03:25 PM
  2. IntraOperative Consult
    By lec121661 in forum E/M
    Replies: 0
    Last Post: 01-22-2014, 11:20 AM
  3. Intraoperative DX
    By jmcoder in forum Interventional Radiology
    Replies: 0
    Last Post: 10-17-2012, 07:49 AM
  4. Intraoperative consult
    By dovejsd in forum E/M
    Replies: 1
    Last Post: 02-27-2012, 03:15 PM
  5. Intraoperative Consultation
    By mstiff81 in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 02-22-2012, 01:09 PM

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.