tci Part B Insider - 2009 Issue 45

READER QUESTIONS: Know When to Report Fluoro Separately

Plus: Rein in wireless network access, and more. Fluoro May Be Separately Billable Question: Our hand surgeons use fluoroscopic guidance when they perform wrist injections (such as 20526). Should we report the fluoroscopy code in addition to the injection code, or are they included? Answer: You should report 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) in addition to 20526 (Injection, therapeutic [e.g., local anesthetic, cortico-steroid], carpal tunnel). The Correct Coding Initiative (CCI) does not bundle either procedure into the other, and most insurers will reimburse you for both procedures at the same...

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