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Thread: Lap band fill under fluoro

  1. #1
    Join Date
    Apr 2007
    Johnson City

    Default Lap band fill under fluoro

    AAPC: Back to School
    Occasionally my surgeon chooses to do Lap Band adjustments (S2083) under Flouroscopic guidance (77002-26) I was just contacted by the someone in charge of billing for the hospital's radiology procedures she wasn't sure what codes were appropriate for the hospital to bill. I suggested billing 77002-TC She thinks the hospital should bill 77002-TC and S2083-TC. I don't think the hospital should bill the S2083 this code is for the physician's work only, not for the radiologist, am I right?

    Melissa Jewett, CPC

  2. #2



    I frequently review hospital billing and typically
    see both the surgical component and the radiological
    procedures coded for the hospital. In many cases the
    radiological components are packaged for Medicare
    so without reporting the appropriate surgical component
    there could potentially be no reimbursement. I think that
    the hospital should report both when performed within the
    facility. Hope this helps...

    Anthony CPC

  3. #3


    According to the RVU file, the concept of PC/TC does not apply to S2083, which means these services cannot be split into professional and technical components. Modifiers 26 and TC cannot be used with these codes.
    adrianne, cpc

  4. #4
    Join Date
    Apr 2007
    Johnson City


    Thank you, that is what I was thinking. Thanks for the reinforcement.

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