Anesthesia Coding Alert
Fluoroscopic Guidance
Tennessee Subscriber
Answer: CPT 2000 explains that when you perform, for example, a sacroiliac joint injection (27096), if a formal arthrography is not performed, and a formal radiology report is not issued, you use 76005-26 (fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint], including neurolytic agent destruction; professional component). A formal report is not needed, but documentation in the operative report is necessary.
Source for answers to You Be the Coder and Reader Questions: Kim McDougald, billing supervisor with the physician group West Florida Anesthesia, P.A., Spring Hill, Fla.
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