Anesthesia Coding Alert

READER QUESTION:

Learn to Report Fluoro Codes Correctly

Question: Can I bill fluoroscopy codes together (such as 76000 for the amount of fluoroscopy time and 76005 for the fluoroscopy guidance)? Can you also explain when it is appropriate to use fluoroscopy codes with 62282* (Injection/infusion of neurolytic substance [e.g., alcohol, phenol, iced saline solutions], with or without other therapeutic substance; epidural, lumbar, sacral [caudal])?

Kentucky Subscriber

Answer: The National Correct Coding Initiative (NCCI) excludes billing two fluoroscopy codes together. Code 62282 includes the services of codes 76000 (Fluoroscopy [separate procedure], up to one hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy]), 76001 (Fluoroscopy, physician time more than one hour, assisting a non-radiologic physician [e.g., nephrostolithotomy, ERCP, bronchoscopy, transbronchial biopsy]) and 76003 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]).

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