tci General Surgery Coding Alert - 1999 Issue 4

Reader Question: Epidurogram Modifiers

Question: What is the appropriate way to code for the verification of the location of the tip of an epidural catheter that has been placed in the patients epidural space in the spine? Dye on contrast was injected to locate the tip, and the procedure is described as an epidurogram.Audrey Adams,Princeton Reimbursement Group, MNAnswer: The epidurogram should be billed using code 62278* (injection of diagnostic or therapeutic anesthetic or antispasmodic substance [including narcotics]; epidural, lumbar or caudal, single), while the associated radiological supervision and interpretation (S&I) code would be 76000 (fluoroscopy [separate procedure], up to one...

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