General Surgery Coding Alert - 2015 Issue 26
Reader Question: Payers May Dictate Fluoro Rules
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Article Overview
This reader Q&A explains payer and Medicare policy issues surrounding whether imaging guidance may be reported separately with epidural injection procedures. It discusses a CY 2015 Medicare physician fee schedule update, references a Medicare learning network resource, and frames the issue for coders who need to compare local carrier policy with broader Medicare guidance.
Why This Topic Matters
The article matters because it helps coders, billers, and reimbursement staff understand whether imaging guidance is separately reportable for certain epidural injection services under Medicare-era policy changes and how payer rules may differ.
Article Sections
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Question
The reader asks about separate reporting of fluoroscopy with epidural injection procedures and seeks Medicare support for billing policy concerns.
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Answer
The response summarizes Medicare-related guidance on separate billing of image guidance for specific epidural injection services and points to a published resource for further reference.
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CY 2015 Medicare Physician Fee Schedule excerpt
An excerpt from the Medicare fee schedule is quoted to explain the policy context for image guidance and epidural injection coding in 2015.
What You Will Learn
- How payer policy may affect separate reporting of imaging guidance with epidural injection services.
- What type of Medicare guidance is cited for CY 2015.
- Where to find a Medicare resource referenced in support of the billing policy discussion.
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Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Pain management practices
- Compliance staff
Codes Discussed
Code Ranges Discussed
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