Neurosurgery Coding Alert

CCI 17.1:

Nix Fluoroscopic Guidance for These Trigger Points

New chemodenervation code includes injections.CCI 17.0 establishes non-mutually exclusive edits for several common procedures performed with fluoroscopic guidance that you may encounter in your neurosurgery practice.The guidance procedures being singled out include:+77001 -- Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)77002 -- Fluoroscopic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device).According to CCI 17.0, you shouldn't report +77001 or 77002 when your physician administers trigger point injections (20552 or 20553) or administers tendon sheath injections (20550-20551).CCI 17.0 also includes edits stating you shouldn't report +77001 with most diagnostic or therapeutic nerve injections (64400-64530) or most nerve destructions (64600-64681).Instead, just report the primary [...]
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