AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 12 of 12

Thread: charging for trays, needles , ect..

  1. #11


    AAPC: Back to School
    So if he does a 27096 injection and a 64475 injection at the same visit, would that count as 2 different 77003 codes billed? This is where I'm a little confused.
    Last edited by meggz21; 10-10-2008 at 08:29 AM.

  2. #12
    Join Date
    Apr 2007


    Quote Originally Posted by MLS2 View Post
    Per the 2008 Interventional Radiology Coder:
    "Submit fluoro or CT guidance code only once per procedure regardless of how many levels are studied. Verify with 3rd party payer policy on whether multiples of the guidance code may be used"

    I disagree with the above statement, I believe that its misleading. I agree with the "per level" but think that it should have further clarified that this can be coded "per region" and not stated that it could only be done once "per procedure. Please see below from the CPT Assistant dated June 2008, pages 8-11:

    Code 77003

    In contrast to code 77002, spine and paraspinous anatomic sites are specified in the descriptor of code77003, Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint), including neurolytic agent destruction. Code 77003 describes fluoroscopic guidance of spinal or paraspinal injections, when fluoroscopy is performed for the purpose of guiding or localizing a needle or catheter tip for spinous or paraspinous injection procedures. Contrast may then be injected to determine whether the needle or catheter is in the correct place. When fluoroscopic guidance and localization for needle placement and injection is performed in conjunction with codes 64470-64476 and 64479-64484, code 77003 should be additionally reported. It would not be appropriate to report either code 76000 or 77002 in this circumstance.
    To further clarify, code 77003 is intended to be reported per spinal region (not per level).
    Since codes 62263, 62264, and 0027T include fluoroscopic guidance and localization, code 77003 is not reported in addition to these percutaneous or endoscopic lysis of epidural adhesion procedures.¿

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Billing for disposal of syringes and needles?
    By Gabi in forum Billing/Reimbursement
    Replies: 0
    Last Post: 01-16-2014, 08:54 AM
  2. cactus needles
    By survivor1 in forum E/M
    Replies: 1
    Last Post: 07-16-2012, 10:33 AM
  3. I need the HCPC for Gold Probes & Scleral Needles
    By jhartwig in forum Outpatient Facilities
    Replies: 0
    Last Post: 05-22-2009, 11:05 AM
  4. Surgery Trays
    By JCampbell in forum Family Practice
    Replies: 4
    Last Post: 05-16-2009, 07:44 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.