tci Part B Insider - 2015 Issue 26

Reader Question: Payers May Dictate Fluoro Rules

Question: Can we report fluoroscopy separately when reporting epidural injection procedures? If imaging guidance cannot be reported with epidural injections, is it wrong to expect the CCI edits to reflect that 77003 is a component code of 62311? Our local carrier has an LCD stating, “The real-time imaging guidance, fluoroscopy or computed tomography, with the use of injectable radio-opaque contrast material is required for all steroid injections and all transforaminal injections. Its use is urged but not required for other epidural injections.” Can we report 77003 with codes 62311-62319 in 2015? If not, can you share a...

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