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Anesthesia Coding Alert

CCI 18. 2 Edits:

Not So Fast: Double Check Codes Before Reporting Injections With Fluoro

Published on Wed Aug 08, 2012

Latest edits specify more injection procedures include guidance. The latest Correct Coding Initiative edits (version 18.2) add more pairs to the list of injections you can't report in conjunction with fluoroscopic guidance. Good news lies with deleted edits, however, where you'll find some injection pairs reinstated for reporting during the same patient encounter. Steer Clear of Fluoroscopy With 64480, 64484 Non-mutually exclusive edits represent procedures CMS has determined physicians should not bill together because one service inherently includes the other. These are also known as bundled services, or comprehensive/component edits. According to CCI 18.2, you cannot report certain fluoroscopy or CT guidance procedures in conjunction with injection codes 64480 (Injection[s], anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance [fluoroscopy or CT]; cervical or thoracic, each additional level [List separately in addition to code for primary procedure]) and 64484 (... lumbar or sacral, each additional level [List separately in addition [...]
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