AMA CPT Network response I received. I was looking 76000 versus 77002. Not sure on the ultrasound, but I would say it would support needle guided procedure just would be the carrier's coverage that would need to be considered.
"CPT code 77002, Fluoroscopic guidance for needle placement (eg, biopsy aspiration, injection, localization device), is used to report fluoroscopic guidance during injection procedures when fluoroscopic guidance is required in the performance of needle placement in areas other than the spine, for pain management injection procedures. The organ or anatomic site is not specified for use of code 77002. Codes 76000, Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy), differs from code 77002, in that the descriptor does not specifically identify fluoroscopic guidance for a procedure involving needle or device placement. Please note, from a CPT coding perspective, reporting a radiologic guidance procedure code, including codes 76000 and 77002, requires a separate distinctly identifiable report, or documentation within the report for the procedure where guidance was used, and should be signed by the interpreting physician, as indicated in the Radiology Guidelines. Therefore, in response to your specific question, it would be appropriate to report code 77002, when needle placement utilizing fluoroscopic guidance is performed with code 62370, Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring physician's skill)."