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tci Outpatient Facility Coding Alert - 2012 Issue 8

Reader Question: Check the Situation Before Assuming 77003 Won't Be Paid

Question: One of our pain management specialists keeps adding 77003 to his billing sheet when he administers injections. The fee schedule doesn't include the codes, which makes me think we shouldn't be reporting them. Does Medicare cover fluoroscopy code CPT 77003 in an ASC setting? North Dakota Subscriber Answer: Many procedures include the service represented by 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, or subarachnoid]) when performed in an ASC. That's not always the case, however, so always check guidelines before making assumptions. Example: Medicare has assigned...

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