Neurology & Pain Management Coding Alert

Question: Do payers allow you to report fluoroscopy in conjunction with an interlaminar epidural block? If so, how do I code the fluoroscopy?Oregon Subscriber Answer: You can separately report fluoroscopic guidance with some injection procedures your pain management specialist might perform, including: 62267 (Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes)62310-62311 (Injection[s], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid ...) 62318-62319 (Injection[s], including indwelling catheter placement, continuous infusion or intermittent bolus of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], not including neurolytic substances, includes contrast for localization when performed, epidural or subarachnoid ...). Revised guidelines in CPT® 2012 state that you can report fluoroscopy for localization when the provider administers injections reported with 62310-62319, but is not required. If your provider [...]