tci Outpatient Facility Coding Alert - 2014 Issue 2

Reader Question: Circumstances Help Dictate Whether You Can Submit 72275 With 64479

Question: I am a coder working with a pain clinic. Could I charge for 72275 along with the code 64479 for transforaminal cervical injections? Kentucky Subscriber Answer: Code 64479 (Injection[s], anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance [fluoroscopy or CT]; cervical or thoracic, single level) is used for injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural into a single level (either cervical or thoracic) with fluoroscopic or CT imaging guidance. CPT(R) code 72275 (Epidurography, radiological supervision and interpretation) is used only when the physician performs an epidurogram, documents the resulting images...

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